Fillable 11-28 50-116-Abatement-App Application for Property Tax Abatement Exemption

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11-28 50-116-Abatement-App Application for Property Tax Abatement Exemption

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GENERAL INSTRUCTIONS: This application is for use in claiming property tax exemptions pursuant to Tax Code
Section 11.28. A property owner who has established a tax abatement agreement under Tax Code Chapter 312, Property
Redevelopment and Tax Abatement Act, is entitled to exemption from taxation by an incorporated city or town or other
taxing unit of all or part of the value of the property as provided by the agreement.
FILING INSTRUCTIONS: This document and all supporting documentation must be filed with the appraisal district office
at the address listed above.
APPLICATION DEADLINES: The completed application and supporting documentation must be filed beginning Jan. 1
and no later than April 30 of the year for which an exemption is requested. For good cause shown, the chief appraiser may
extend the deadline for filing the application by written order for a single period not to exceed 60 days.
ANNUAL APPLICATION REQUIRED: An application for this exemption must be filed each year. If information has not
changed and/or agreement(s) were not modified, copies of the agreement(s) are not required to be attached.
OTHER IMPORTANT INFORMATION
Pursuant to Tax Code Sec. 11.45, the chief appraiser may request additional information. The additional information must
be provided 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.
State the tax year for which you are applying.
________________________________
Tax Year
Did the applicant own the property that is the subject of this application on Jan. 1 of the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
SECTION 1: Property Owner/Applicant
The applicant is the following type of property owner: (check one):
Individual Partn
____________
ership
Corporation
Other (specify): ___________________________________________
________ __________________________________________ ___________________________________
Name of Property Owner Driver’s License, Personal I.D. Certicate
Social Security Number or Federal Tax I.D. Number*
___________________________________________________________________________________________________
Physical Address, City, State, ZIP Code
___________________________________________________ ______________________________________________
Phone (area code and number) Email Address**
Mailing Address of Property Owner (if different from the physical address provided above):
___________________________________________________________________________________________________
Mailing Address, City, State, ZIP Code
Harris County Appraisal District
Office of the Chief Appraiser
Attn:Abatements
P. O. Box 920975
Houston, TX 77292-0975
(713) 957-5290
Form 11.28 (12/2019)
Application for Property Tax Abatement
Exemption for ______
Tax Year
Page 1
Form 11.28 12/2019
This application covers property you owned on January 1 of this year. Be sure to attach any additional documents requested. File this application
at the mailing address above. The district is located at 13013 Northwest Freeway, Houston, Texas 77040.
Page 2
Form 11.28 12/2019
SECTION 2: Authorized Representative
If you are an individual property owner ling this application on your own behalf, skip to section 3; all other applicants are required to complete
section 2.
Please indicate the basis for your authority to represent the property owner in ling this application:
Officer of th pany
General Partner of the company
Attorney for property ownere com
Agent for tax matters appointed under Tax Code Section 1.111 with completed and signed Form 50-162
Other and explain basis: ________________________________________________________________________________________
_____________________________________________________ ____________________________________________
Name of Authorized Representative Driver’s License, Personal I.D. Certicate or Social Security Number*
_______________________________________ _____________________________ ___________________________
Title of Authorized Representative Primary Phone Number (area code and number) Email Address**
___________________________________________________________________________________________________
Mailing Address, City, State, ZIP Code
______
Provide the following information for the individual with the legal authority to act for the property owner in this matter:
____
SECTION 3: Property Description
Provide the descriptive information requested below for the property that is the subject of this application. Provide the appraisal district account number (if
known) or attach a tax bill or copy of appraisal or tax office correspondence concerning this account.
______________________________________________________________________________________________
Physical Address (i.e. street address, not P.O. Box), City, State, ZIP Code
Appraisal district account number (if known) ________________________________________________
Legal Description:
_____
Was a wind-powered energy device installed or constructed:
• on a parcel of real property under an abatement agreement;
• at a location within 25 nautical miles of the boundaries of a military aviation facility located in this state; and
• on or after Sept. 1, 2017?.......................................................... . . . . . . . . . . . . . . . . . . .
. . .
Yes
No
, was the wind-powered energy device installed or constructed as part of an expansion or repowering of an existing project? . .
Yes
No
sf yeI
SECTION 4: Taxing Units that have Agreed to Abate Taxes
For each taxing unit identied, attach copies of abatement agreements unless you previously applied for and were granted the abatement and no changes
have occurred and/or the agreement(s) were not modied.
_______________________________________________ ___________________________
_______________________________________________ ______________________________________________
_______________________________________________ ______________________________________________
___________________
Application for Property Tax Abatement Exemption
Page 3
Form 11.28 12/2019
SECTION 5: Abatement(s) Questions
If different, please copy this form for each taxing unit and complete section 5 for each unit. In the area where taxing
units are listed, please circle the taxing unit being summarized.
1. Is this a continuation of an existing abatement agreement? ................................................
Yes
No
2. Are the terms and duration of each taxing unit’s agreement different or identical? ................................
Different
Identical
If identical, please describe the nature of the abatement agreements for this year by completing the following:
Lump sum exemption of $ _______________________
Percentage exemption of _______________________ %
Other (Attach a statement describing the method of calculating abatement. Provide dollar value to be exempted this year.)
3. Does the agreement abate taxes on personal property? ........................................................
Yes
No
4. Are you in compliance with the agreement? ..................................................................
Yes
No
If no, attach a statement explaining the reason for noncomplance.
SECTION 6: Additional Required Documentation
The following documents must be included with this application.
• copies of abatement agreements, unless the abatement was previously granted and no changes have occurred and/or the agreement(s) were not
modied;
• a statement describing the method of calculating the abatement if it is not a lump sum or percentage exemption (provide the dollar amount to be
exempted this year); and
• a statement explaining the reason for noncompliance if applicant is not in compliance with an abatement agreement.
SECTION 7: Certication 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 or 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 qualications under Texas law for the exemption claimed; and
3. that I have read and understand the Notice Regarding Penalties for Making or Filing an Application Containing a False Statement.
_____________________________________________________ ____________________________________
Signature of Property Owner or Authorized Representative Date
* If the property owner is a company or other legal entity (not an individual), the Federal Tax I.D. Number is to be provided. Disclosure of your social
security number (SSN) may be required and is authorized by law for the purpose of tax administration and identication of any individual affected by
applicable law. Authority: 42 U.S.C. § 405(c)(2)(C)(i); Tax Code Section 11.43(f). Except as authorized by Tax Code Section11.48(b), a driver’s license
number, personal identication certicate number, or social security number provided in this application for an exemption led with your county appraisal
district is condential and not open to public inspection under Tax Code Section 11.48(a).
** An email address of a member of the public could be condential under Government Code Section 552.137; however, by including the email address on
this form, you are affirmatively consenting to its release under the Public Information A
ct.
Application for Property Tax Abatement Exemption
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11-28 50-116-Abatement-App Application for Property Tax Abatement Exemption

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Completed 3 July 2020

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