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Part I
Owner/Business Name and Property Identification
Instructions: This form is to be used to present facts or evidence concerning your property to the Harris County Appraisal District. Please write legibly and attach any relevant
documents. You are not required to use this form. You may submit a sworn affidavit by letter or other form, but it must contain the protesting property owner’s name, account
number, description of the property under protest, and the evidence or argument.
Owner Name
Mailing Address
City, State, and Zip + 4
Location Address
Business Name (if applicable)
Telephone (area code and number)
Part II – Statement of Owner
All information provided for the business should be as of January 1 of the tax year.
State of _______________________________________
County of ______________________________________
I, (name of person making affidavit) ____________________________________________________________________________
being first duly placed under oath by the undersigned official authorized to administer oaths under the laws of this state, do solemnly
swear that the information herein and attached is true and correct.
___________________________________________________________
Signature and Title of Property Owner
(must be signed before notary public or officer.)
Subscribed and sworn before me this _____________day of ______________________ , 20 _______ .
_________________________________________
Notary Public Signature
Commission expires: _________________________________ _________________________________________
Notary Public Printed Name
Part III - Evidence
Property Owner’s Affidavit of Evidence
AccountNumber: TaxYear:
Harris County Appraisal District
P.O. Box 920975
Houston, Texas 77292-0975
(713) 812-5800
#_______
_ Description __________________________________________________________ Pages __________
# ________ Description __________________________________________________________ Pages __________
Part IV - Attestation
37B April 2018
click to sign
signature
click to edit
click to sign
signature
click to edit