Texas Comptroller of Public Accounts
Form
50-117
For more information, visit our website: comptroller.texas.gov/taxes/prop ert y-tax
Page 2
50-117 • 03-17/14
STEP 2: Applicant Information
_______________________________________ ___________________________ _____________________________
Name of Person Preparing this Application Title Driver’s License, Personal I.D. Certicate
or Social Security Number*
If this application is for property owned by a charitable organization with a federal tax identication number,
that number may be provided in lieu of a driver’s license number, personal identication certicate
number or social security number:
......................................................... _____________________________
* Pursuant to Tax Code Section 11.48(a), a driver’s license, personal I.D. certicate or social security 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 office who appraises property, except as authorized by Tax Code Section 11.48(b).
STEP 3: Property Information
• Attach one Schedule AR form for each parcel of real property to be exempt.
• Attach one Schedule BR form listing all personal property to be exempt.
• Attach one Schedule LR form for each parcel of land to be exempt.
STEP 4: Questions About the Organization
Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs.
1. Is the organization organized and operated primarily for the purpose of engaging in religious
worship or promoting the spiritual development or well-being of individuals? ........................................
Yes
No
2.
Does the organization operate in such a manner that does not result in the accrual of distributable prots,
the distribution of prots or the realization of any other form of private gain? ........................................
Yes
No
3.
Does the organization use its assets in performing its religious functions or the religious
functions of another religious organization? ..................................................................
Yes
No
4.
Does the organization’s charter, bylaws, or other regulation adopted by the organization direct that on the
discontinuance of the organization, the organization’s assets are to be transferred to the State of Texas, the
United States or to an educational, religious, charitable or other similar organization that is qualied for exemption
under Internal Revenue Code Section 501(c)(3), as amended?
...................................................
Yes
No
If yes, give the page and paragraph numbers. Page ________ Paragraph ________
STEP 5: Certication and Signature
By signing this application, you designate the property described in the attached Schedules AR, BR and LR, if applicable, as the property against which
the exemption for religious organizations may be claimed in the appraisal district. You certify that the information provided in this application is true and
correct to the best of your knowledge and belief.
_____________________________________________________ ____________________________________
Print Name Title
_____________________________________________________ ____________________________________
Authorized Signature Date
If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Penal Code
Section 37.10.
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