Fillable ANN HARRIS BENNETT Tax Assessor-Collector 72 hr 144 (Harris County Tax Office)

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ANN HARRIS BENNETT Tax Assessor-Collector 72 hr 144 (Harris County Tax Office)

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I, ___________________________________, am purchasing a timed permit for the following described vehicle:
Color of Vehicle:_______________________Daytime Phone Number of Owner/Agent: ( )
Date to Start Permit: Time to Start Permit:
Did anyone get a ticket for driving the vehicle since the registrtaion or permit expired? Yes No
I understand that upon my signature, the timed permit issued on the above vehicle will not be voided or changed for any reason.
Signature Owner/Agent Today's Date
MV-502 www.hctax.net
Rev 07/20 v.3
I, ___________________________________, am purchasing a timed permit for the following described vehicle:
Color of Vehicle:_______________________Daytime Phone Number of Owner/Agent: ( )
Date to Start Permit: Time to Start Permit:
Did anyone get a ticket for driving the vehicle since the registration or permit expired? Yes No
I understand that upon my signature, the timed permit issued on the above vehicle will not be voided or changed for any reason.
Signature Owner/Agent Today's Date
MV-502 www.hctax.net
Rev 07/20 v.3
Timed Permit Verification
Timed Permit Verification
Please circle one:
VIN: Yr/Make:
72 hr
Please circle one:
VIN: Yr/Make: 72 hr
144 hr
YES
NO
YES
NO
144 hr
30 day
30 day
ANN HARRIS BENNETT
Tax Assessor-Collector
A
NN HARRIS BENNETT
Tax Assessor-Collector
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ANN HARRIS BENNETT Tax Assessor-Collector 72 hr 144 (Harris County Tax Office)

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Completed 7 February 2021

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