Application for Cemetery Property
Tax Exemption for ______
Harris County Appraisal District
Exemption Center
P. O. Box 922012
Houston, TX 77292-2012
(713) 957-7800
Form 11.17(08/2013)
GENERAL INSTRUCTIONS: This application is for use in claiming property tax exemptions pursuant to Tax Code §11.17. 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: You must le 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 rst anniversary of the date you acquired the property, or before the rst anniversary of the date
any property was acquired after January 1.
If the chief appraiser grants the exemption, 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 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: Provide Name and Mailing Address of Property Owner and Identity of Person Preparing Application
Name of Property Owner
Mailing Address
City, State, ZIP Code Phone (area code and number)
If this application is for an exemption from ad valorem taxation of property owned by a charitable organization
with a federal tax identication number, that number may be provided here in lieu of a driver’s license number,
personal identication certicate number, or social security number:
* Unless the applicant is a charitable organization with a federal tax identication number, the applicant’s driver’s license number, personal identication
certicate number, or social security account number is required. Pursuant to Tax Code Section 11.48(a), a driver’s license number, personal
identication certicate number, or social security account number provided in an application for an exemption led with a chief appraiser is
condential and not open to public inspection. The information may not be disclosed to anyone other than an employee of the appraisal ofce who
appraises property, except as authorized by Tax Code Section 11.48(b). If the applicant is a charitable organization with a federal tax identication
number, the applicant may provide the organization’s federal tax identication number in lieu of a driver’s license number, personal identication
certicate number, or social security account number.
Property Owner is a(n) (check one):
Individual Partnership Corporation Other (specify): ___________________________________________
Name of Person Preparing this Application Title Driver’s License, Personal I.D. Certicate,
or Social Security Number*
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Step 2: Describe the Property For Which You Are Seeking an Exemption
1. Legal Description
HCAD Account Number
Year
