Fillable 11-23 2018 Fillable - 11-23 Misc Property Tax Exemption2016

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11-23 2018 Fillable - 11-23 Misc Property Tax Exemption2016

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Harris County Appraisal District
Exemption Center
13013 Northwest Fwy.
P. O. Box 922012
Houston, TX 77292-2012
(713) 957-7800
Form 11.23 (04/2018)
Application for Miscellaneous Property
Tax Exemption for
Year
GENERAL INSTRUCTIONS: This application is for use in claiming property tax exemptions pursuant to Tax Code §11.23. This application
covers property you owned on January 1 of this year or acquired during this year. You must furnish all information and documentation
required by the application.
APPLICATION DEADLINES: Y
ou must file the completed application with all required documentation between January 1 and no later than
April 30 of the year for which you are requesting an exemption. If you acquired the property after January 1 of this year and wish to qualify for
the exemption this year, you must apply before the first anniversary of the date you acquired the property or before the first anniversary of the
date any property was acquired after January 1.
ANNUAL APPLICATION REQUIRED: You must apply for this exemption each year you claim entitlement to the exemption, except for
exemption as veteran’s organization, medical center development, county fair association or National Hispanic Institute.
For exemption as a veterans organization, medical center development, a county fair association or a National Hispanic Institute, you do not
need to reapply annually, but you must reapply if the chief appraiser requires you to do so, or if you want the exemption to apply to property not
listed in this application. You must notify the chief appraiser in writing by May 1 if and when your right to this exemption ends. Return the
completed form to the address above.
OTHER IMPORTANT INFORMATION
Pursuant to Tax Code §11.45, after considering this application and all relevant information, the chief appraiser may request additional
information from you. You must provide the additional information within 30 days of the request or the application is denied. For good cause
shown, the chief appraiser may extend the deadline for furnishing the additional information by written order for a single period not to exceed
15 days.
STEP 1: Property Owner/Applicant
The applicant is the following type of property owner:
Individual Partnership Corporation Other (specify):
Name of Property Owner
Physical Address
Driver’s License, Personal ID Certificate,
Social Security Number,** Federal Tax ID Number
City, County, State, ZIP Code % Ownership Interest Phone (area code and number)
Applicant’s Mailing Address (if different from the physical address provided above):
Address: City: County: State: ZIP Code
P
lace an “X” or check mark in the box if the ownership interest identified above is less than 100 percent (100%) in the property for which you
are claiming the exemption. Provide on a separate sheet the following information for each additional individual or entity who has an ownership
interest in the property: property owner’s name; driver’s license, personal ID certificate, social security number, or federal tax ID number;
primary phone number; mailing address; and percentage (%) of ownership interest in the property. Under Tax Code §11.41(a), if the applicant
is not the sole owner of the property to which the exemption applies, the exemption shall be multiplied by a fraction, the numerator of which is
the value of the property interest the applicant owns and the denominator of which is the value of the property.
If you are an Individual property owner filing this application on your own behalf, skip Step 2 and go to Step 3; all other applicants are
required to complete Step 2.
STEP 2: Authorized Representative
Provide the following information for the individual with the legal authority to act for the property owner in this matter:
Name of Authorized Representative Driver’s License, Personal ID Certificate,
Social Security Number,** Federal Tax ID Number
Title of Authorized Representative Phone (area code and number)
County
Mailing Address
** Disclosure of your social security number (SSN) may be required and is authorized by law for the purpose of tax administration and identification of any individual affected by applicable law. Authority: 42
U.S.C. § 405(c)(2)(C)(i); Tax Code §
11.43(f). Except as authorized by Tax Code Section 11.48(b), a driver’s license number, personal identification certificate number, or social security number provided in
this application for an exemption filed with your county appraisal district is confidential and not open to public inspection under Tax Code Section 11.48(a).
Continue on Page 2
Application For Miscellaneous Property Tax Exemption
STEP 3. Check Type of Exemption Requested
Federation of Women’s Clubs
Medical Center Development
County Fair Association
Nature Conservancy of Texas
Community Service Club
Medical Center Development in Populous Counties
Congress of Parents and Teachers
Scientific Research Organization
National Hispanic Institute
Private Enterprise Demonstration Association
Veterans Organization
STEP 4. Answer these questions about the organization. All applicants answer these questions.
What is the organization’s purpose?
Describe the organization’s activities. (Attach additional sheets if necessary.)
Explain how the organization’s activities relieve a burden or duty of the state or community. (Attach additional sheets if necessary.)
Is the organization affiliated with a state or national organization?
Is membership in the organization open to anyone, regardless of race, religion, or national origin?
Yes No
Yes No
Explain how the organization’s activities promote the physical, mental, and spiritual development of young people, development of patriotism and
love of country, and interest in community affairs. (Attach additional sheets if necessary.)
Attach a copy of the charter, bylaws, or other documents adopted by the organization
which govern its affairs, and answer the following questions.
Is your organization chartered by the United State Congress?
Do these documents pledge the organization’s assets for use in performing the organization’s charitable functions?
If “Yes,” give the page and paragraph numbers. Page Paragraph
Do these documents require the organization to operate in a nonprofit manner?
Yes No
Yes No
Yes No
If “Yes,” give the page and par
agraph numbers. Page
Paragraph
Does the organization operate in such a manner that does not result in the accrual of distributable profits,
the distribution of profits, or the realization of any other form or private gain?
Yes No
11.23 (04/2018)
Continue on Page 3 Page 2
Application For Miscellaneous Property Tax Exemption
STEP 5. Complete if County Fair Association
1. Does the association hold a license (issued after January 1, 2001) under the Texas Racing Act (Article 179e Vernon’s Texas
Civil Statutes) to conduct a horse race meeting or a greyhound race meeting with pari-mutuel wagering?.......................... Yes No
2. Does the association use the land or a building to conduct a race meeting or greyhound race meeting with pari- mutuel
wagering under a license issued after January 1, 2001? Yes No
3. Is the association a nonprofit corporation as defined by the Texas Non-Profit Corporation Act (Article 1396-1.01, et seq.,
Vernon’s Texas Civil Statues)? Yes No
4. Is the association exempt from federal income taxes as an organization under Section 501(c)(3), (4), or (5), Internal
Revenue Code of 1986, as amended? Yes No
5. Is the association qualified for an exemption from the franchise tax under Section 171.060, Texas Tax Code? Yes No
Is the association exempt from federal income taxes as an organization under Section 501(a) Internal Revenue of 1986 as
an organization described by Section 501 (c) (3) of that code …………………………………………………………………
Yes No
STEP 7. Describe the property for which you are seeking an exemption
PROPERTY TO BE EXE
MPT:
•
Attach one Schedule A (REAL PROPERTY) form for EACH parcel of real property to be exempt.
•
Attach one Schedule B (PERSONAL PROPERTY) form listing ALL personal property to be exempt.
•
List only property owned by the organization.
STEP 8. Certification and Signature
NOTICE REGARDING PENALTIES FOR MAKING OR FILING AN
APPLICATION CONTAINING A FALSE STATEMENT: If you make
a false statement on this form, you could be found guilty of a Class A misdemeanor or a state jail felony under Penal Code
Section 37.10.
“I _________________________________________________________________________________ , swear and affirm the following:
Printed Name of Property Owner or Authorized Representative
(1) that each fact contained in this application is true and correct; (2) that the property described in this application meets the qualifications
under Texas law for the exempti
on claimed; (3) and that I have read and understand the Notice Regarding Penalties for Making or Filing an
Application concerning a False Statement”
sign
here __________________________________________________________ _________________________________________
Signature of Property Owner or Authorized Representative Date
11.23 (04/2018) Page 3
STEP 6. Complete if National Hispanic Institute
Application For Miscellaneous Property Tax Exemption
Schedule A: Description of Real Property
Complete one Schedule A form for EACH parcel qualified for exemption. Tax Year
Attach all completed schedules to your application for exemption. ________________________
HCAD Account Number (if known)
_________________________________________
Name of Property Owner
Legal Description of Property (also attach a copy of deed(s))
Describe the primary use of this property.
1. Is this property used exclusively for charitable purposes?
2. Is this property held for gain, rented or used with a view to profit?
3. Is this property the organization’s state headquarters?
4. Is this property reasonably necessary for operation of the association/organization?
5. Is this property located in a medical center area where the organization has donated land to the state for hospital or
medical school?
If “Yes,” is the medical center development complete?
6. Is the property currently under active construction or physical preparation?
A. If under construction, when will construction be completed? (date) **
B. If under physical preparation, check which activity the organization has done. (Check all that apply.)
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Soil testing Site improvement work Architectural work
Engineering work Land clearing activities Environmental or land use study
7. Is the incomplete improvement designed and intended to be used by a qualified person for a purpose
described by §11.23 (a)-(e), (g), or (i)-(k)?
8. Is the land on which the incomplete im
provement is located necessary for the use of the improvement for a purpose
named in Question 7 above?
Yes No
No
Yes
List all oth
er individuals and organizations that used this property in the past year, and give the request
ed information for each.
Name Dates Used Activity
Rent Paid,
If An
y
11.23 (04/2018) Continue on additional sheets as needed. Page 4
A
pplication For Miscellaneous Property Tax Exemption
Schedule B: Description of Real Property
List all tangible property to be exempt on this schedule Tax Year
Attach all completed schedules to your application for exemption. ________________________
HCAD Account Number (if known)
_________________________________________
Name of Property Owner
Is this property reasonably necessary for operation of the association/organization? …………………………………………………. Yes No
Is this property held for gain? .......................................................................................
…………………………………………………. Yes No
Is this property used exclusively for charitable purposes? ....................................................................................
………………… Yes No
Is this property located in a medical center area where the organization has donated land for a state medical, dental, or
nursing school? …………………………………………….......................................................................................
………………… Yes No
If “Yes” is the medical center development complete? .......................................................................................
………………… Yes No
Item Location
11.23 (04/2018)
Continue on additional sheets as needed. Page 5
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