Texas Comptroller of Public Accounts
Form
50-135
Application for Disabled Veterans or Survivors Exemption
_____________________________________________________________________
Appraisal District’s Name Phone
___________________________________________________________________________________________________
Address, City, State, ZIP Code
___________________________
(area code and number)
GENERAL INSTRUCTIONS: This application is for use in claiming a property tax exemption pursuant to Tax Code Section 11.22 for property owned by
a disabled veteran with a service connected disability, the surviving spouse or child of a qualifying disabled veteran or the surviving spouse or child of an
U.S. armed service member who died on active duty. A qualied individual is entitled to an exemption from taxation of a portion of the assessed value of
one property the applicant owns and designates. This application applies to property owned on Jan. 1 of this year.
FILING INSTRUCTIONS: You must furnish all information and documentation required by this application so that the chief appraiser is able to determine
whether the statutory qualications for the exemption have been met. This document and all supporting documentation must be led with the appraisal
district office in each county in which the property is located. Do not le this document with the Texas Comptroller of Public Accounts. A directory with
contact information for appraisal district offices may be found on the Comptroller’s website.
APPLICATION DEADLINES: The completed application and supporting documents must be submitted to the appraisal district between Jan. 1 and April
30 of the tax year for which you request the exemption. For good cause shown, the chief appraiser may e
xtend the deadline for ling the application by
written order for a single period not to exceed 60 days. The chief appraiser may disapprove the application and request additional information. If the chief
appraiser requests additional information, the information must be furnished within 30 days after the date of the request or the application is denied. For
good cause shown, the chief appraiser may extend the deadline for furnishing the information by written order for a single period not to exceed 15 days. If
the chief appraiser denies the application, you may protest that determination to the county appraisal review board under Tax Code Chapter 41.
You may le a late application. For the 2016 tax year and any tax year after that, a late application must be led no later than ve years after the
delinquency date for the taxes on the designated property.
DUTY TO NOTIFY: Once this exemption is allowed, an application does not have to be led annually unless the ownership of the property changes or
qualications for the exemption change. The chief appraiser may require a new application to be led to conrm current eligibility by sending written notice
and an application form. If eligibility ends, the property owner must notify the appraisal office in writing before May 1 after the eligibility ends.
State the tax year(s) for which you are applying for the exemption.
________________________________________
Tax Year(s)
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
_________________________________________________________
Name of Property Owner Driver’s Licence, Personal I.D. Certicate or Social Security Number*
___________________________________________________________________________________________________
Physical Address, City, State, ZIP Code
_______________________________________
_______________________________________________________________________________________________
Primary Phone Number (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
Are you a Texas resident? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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.
Attorney for property owner
Agent for tax matters appointed under Tax Code Section 1.111 with completed and signed Form 50-162
Other and explain basis: _______________________________________________________________________________
The Property Tax Assistance Division at the Texas Comptroller of Public Accounts provides property tax
information and resources for taxpayers, local taxing entities, appraisal districts and appraisal review boards.
For more information, visit our website:
comptroller.texas.gov/taxes/property-tax
50-135 • 11-17/14
DENTON CENTRAL APPRAISAL DISTRICT
940-349-3800
3911 MORSE ST. DENTON, TX 76208
Texas Comptroller of Public Accounts
Form
50-135
Page 2
SECTION 2: Authorized Representative (continued)
Provide the following information for the individual with the legal authority to act for the property owner in this matter:
___________________________________________________________________________________________________
Name of Authorized Representative
________________________________
Title of Authorized Representative Primary Phone Number
___________________________________________________________________________________________________
Mailing Address, City, State, ZIP Code
_______________________________ ____________________________
(area code and number) Email Address**
SECTION 3: Property Descriptions
Provide the descriptive information requested below for the designated property that is the subject of this application for exemption under Tax Code Section 11.22.
___________________________________________________________________________________________________
Physical Address (i.e. street address, not P.O. Box), City, State, Zip Code
_________________________________________ ______________________________________________________
Appraisal District Account Number (if known) Manufactured Home (make, model, and identication number)
Legal Description:
SECTION 4: Type of Exemption and Qualications
Check the exemption for which you are applying.
Veteran classied as disabled by the Veteran’s Administration (VA) or a service branch of the U.S. armed forces
Surviving spouse or child of a deceased disabled veteran
Surviving spouse or child of U.S. armed service member who died on active duty
_____________________________________________________________
Veterans Name
___________________________________ _______________________
Branch of Service Disability Rating Age Serial Number
________ _____________________
Does the service-connected disability include: ......... Loss of use of one or more limbs
Blindness in one or both eyes
Are you the surviving spouse of a disabled veteran?
If y
es
, ha
v
e y
ou r
emarr
ied?
Ar
e y
ou the sur
viving spouse of a U
.S. armed service member who died on active duty?
Ar
e you a surviving child of a deceased disabled veteran or U.S. ar
med service member who died on active duty?
If yes, did: The spouse survive the veteran or the U.S. armed service member?
..............................................................
..............................................................................
.................................
.............
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
For more information, visit our website: comptroller.texas.gov/taxes/property-tax
50-135 • 11-17/14
Texas Comptroller of Public Accounts
Form
50-135
Page 3
SECTION 4: Type of Exemption and Qualications (continued)
If yes, are you: Under 18 years of age?
Unmarried?
Number of qualifying par
ent’
s childr
en who ar
e under 1
8 and unmarr
ied
....................................................................
.............................................................................
..........................................
Yes
Yes
_____________
No
No
SECTION 5: Additional Documents to be Provided
If the exemption is based on a veterans disability, attach documentation from the VA or service branch identifying the most recent disability rating.
SECTION 6: 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 the owner identied 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
____________________________
* 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 Section 11.48(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 Act.
For more information, visit our website: comptroller.texas.gov/taxes/property-tax
50-135 • 11-17/14
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