Fillable Form 11.18 (05/2013): Application for Charitable Organization (Harris County Appraisal District)

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Form 11.18 (05/2013): Application for Charitable Organization (Harris County Appraisal District)

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Harris County Appraisal District
Exemption Center
13013 Northwest Fwy.
P. O. Box 922012
Houston, TX. 77292-2012
(713) 812-5830
Form 11.18 (05/2013)
Application for Charitable Organization
Property Tax Exemption for ______
Step 1: Provide Name and Address of Organization and Identity of Person Preparing Application
Year
Continue on Page 2
GENERAL INSTRUCTIONS: This application covers property you owned or leased from the state or political subdivision of the state 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.
Name of Organization
Mailing Address
City, State, ZIP Code Phone (area code and number)
If operated by a corporation, is the corporation non-prot as dened by the Texas Non-Prot Corporation Act
(art.1396-1.01 VACS et. seq.)?
If this application is for an exemption from ad valorem taxation of property owned by a charitable organization with a federal
tax identication number, that number may be provided here in lieu of a driver’s license number, personal identication
certicate number, or social security number:
* Unless the applicant is a charitable organization with a federal tax identication number, the applicant’s driver’s license number, personal identication
certicate number, or social security account number is required. Pursuant to Tax Code Section 11.48(a), a driver’s license number, personal
identication certicate number, or social security account number provided in an application for an exemption led with a chief appraiser is condential
and not open to public inspection. The information may not be disclosed to anyone other than an employee of the appraisal ofce who appraises
property, except as authorized by Tax Code Section 11.48(b). If the applicant is a charitable organization with a federal tax identication number, the
applicant may provide the organization’s federal tax identication number in lieu of a driver’s license number, personal identication certicate number, or
social security account number.
Step 2: Answer These Questions About the Organization
Yes No
Organization is a (check one):
Partnership Corporation Other (specify): ______________________________________________________________
Name of Person Preparing this Application Title Driver’s License, Personal I.D. Certicate, or
Social Security Number*
1. The organization must satisfy the requirements of Article VIII, Section 2 (a) of the Texas Constitution.
Is the organization engaged primarily in public charitable functions?
If yes, using an attachment, describe the organization’s activities in a narrative. The narrative description
of activities should be thorough, accurate and include date-specic references to the tax year for which
the exemption is sought. You may also attach representative copies of newsletters, brochures or similar
documents for supporting details to this narrative.
2. Is the organization organized exclusively to perform religious, charitable, scientic, literary or educational
purposes?
If yes, attach copies of organizational documents supporting your answer.
Yes No
Yes No
11.18 (05/2013) page 2
Continue on Page 3
Application for Charitable Organization Property Tax Exemption
Step 2: Answer These Questions About the Organization (continued)
Provide medical care without regard to ability to pay.* Tax Code §11.18 (d)(1)*
Provides support or relief to orphaned, delinquent, dependent or handicapped children who need
residential care, or to abused or battered spouses or children in need of temporary shelter, or to the
impoverished, or to victims of natural disaster without regard to ability to pay.* Tax Code §11.18 (d)(2)*
Provides services to elderly persons or to the handicapped including the provision of recreation or social
activities, training and employment in the production of commodities or provision of services and facilities
designed to address the special needs of elderly persons or the handicapped without regard to ability
to pay.** Tax Code § 11.18 (d)(3)
Preserves a historical landmark or site. Tax Code § 11.18 (d)(4)
Promotes or operates a museum, zoo, library, theater of the dramatic or performing arts, symphony
orchestra or choir. Tax Code § 11.18 (d)(5)
Promotes or provides humane treatment of animals. Tax Code § 11.18 (d)(6)
Acquires, stores, transports, sells or distributes water for public use. Tax Code § 11.18 (d)(7)
Answers re alarms and extinguishes re with little or no compensation paid to members. Tax Code
§ 11.18 (d)(8)
Promotes the athletic development of boys or girls under the age of 18 years.* Tax Code § 11.18 (d)(9)
Promotes educational development through student loans or scholarships. Tax Code § 11.18 (d)(11)
Provides halfway house services if certied as a halfway house by the parole division of the Texas
Department of Criminal Justice. Tax Code § 11.18 (d)(12)
Provides permanent housing and related social, health care and educational facilities for persons 62
years of age or older without regard to ability to pay. Tax Code § 11.18 (d)(13)
Preserves or conserves wildlife. Tax Code § 11.18 (d)(10)
Promotes or operates an art gallery, museum or collection in a permanent location or on tour that is open
to the public. Tax Code § 11.18 (d)(14)
Provide housing on a cooperative basis to students of an institution of higher education. Tax Code
§ 11.18 (d)(20)
Operates a television station that produces or broadcasts educational, cultural or other public interest
programming and that receives grants from the Corporation for Public Broadcasting. 47 [U.S.C.A. Sec.
396.*] Tax Code § 11.18 (d)(17)
Provides housing and services to people 62 years old or older in a retirement community that provides
independent and assisted living services and nursing services to residents on a single campus, without
regard to ability to pay or in which at least 4 percent of community’s combined net resident revenue is
provided in charitable care to its residents. Tax Code § 11.18 (d)(19)
Provides housing for low-income and moderate-income families, for unmarried individuals 62 years old
or older, for handicapped individuals, and for families displaced by urban renewal, through the use of
trust assets irrevocably dedicated through a contract entered into before December 31, 1972, for the
sale of housing to a charitable organization performing the athletic development of boys and girls under
18 years.* Tax Code § 11.18 (d)(18)
Yes No
3. Does the organization operate in such a manner that does NOT result in the accrual of distributable prots,
realization of private gain resulting from payment of compensation in excess of a reasonable allowance
for salary or other compensation for services rendered, or realization of any other form of private gain?
4. Check the appropriate box(es) if any of the following statements describe a function performed by the
organization.
Performs biomedical or scientic research or scientic education for benet of the public.*
Tax Code § 11.18 (d)(16)
Aquires, holds, and transfers unimproved real property under an urban land bank demonstration
program established under Chapter 379 , Local Government Code, as or on behalf of a land bank.
Tax Code § 11.18 (d)(21)
Aquires, holds, or transfers unimproved real property under an urban land bank demonstration
program established under Chapter 379e , Local Government Code, as or on behalf of a land bank.
Tax Code § 11.18 (d)(22)
Provides housing and related services to individuals who are unaccompanied, homeless and have a
disabling condition who have been continuously homeless for a year or more or have had at least
four episodes of homelessness in the preceding 3 years and are owned by a charitable organization
that has been in existence for at least 10 years, are used to provide housing and related services to
individuals described by that subsection that are located on a single campus owned by a municipality
with a population of more than 750,000 and less than 850,000. Tax Code Section 11.18 (d)(23)
Operates a radio station that broadcasts educational, cultural or other public interest programming,
including classical music, and that in the preceding ve years has received or been selected to receive
one or more grants from the Corporation for Public Broadcasting under 47 U.S.C. Section 396, as
amended, Tax Code Section 11.18 (d)(24)
* A corporation that performs a function that is marked with an asterisk (*) does not have to be organized
as a nonprot corporation.
** A charitable organization that performed this function must engage primarily in performing the described
function, but may engage in other activities that support or are related to its charitable functions.
11.18 (05/2013) page 3
Step 3: Answer These Questions About the Organization’s Bylaws or Charter
Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs, and answer the following questions.
1. Does the organization use its assets in performing the organization’s charitable functions or the charitable function of another charitable
organization?
2. Does the charitable organization divide responsibility with another organization?
If “Yes,” is that organization:
1. exempt from federal income taxation under §501(a), Internal Revenue Code of 1986, as an organization described by §501(c)(3)
of that code;
2. meets the criteria for a charitable organization under § 11.18 (e) and (f) Texas Tax Code; and
3. under common control with the charitable organization?
Continue on Page 4
Application for Charitable Organization Property Tax Exemption
5. Yes No
1. Yes No
2. Yes No
Yes No
Provides for the organized solicitation of gifts and grants to nonprot human services organizations.
If this function is checked, answer the following questions.
a. Does the organization have a volunteer board of directors?
b. Is the organization afliated with a state or national organization that authorizes,
approves or sanctions volunteer fund-raising organizations?
c. Does the organization qualify for exemption under § 501(c)(3), Internal Revenue
Code, as amended?
a. Yes No
b. Yes No
c. Yes No
d. Yes No
Step 2: Answer These Questions About the Organization (continued)
5. Does the organization perform, or does its charter permit it to perform, any functions other than
those checked in question 2?
If “Yes,” attach a statement describing the other functions in detail.
Does the organization distribute contributions to at least ve other organizations
which: (1) use the funds for charitable purposes: (2) are governed by volunteer
boards of directors; (3) qualify for exemption under §501(c)(3), Internal Revenue
Code, as amended; (4) receive a majority of their revenue from charitable gifts
and government agencies; and (5) provide services without regard to
their beneciaries’ ability to pay?
If “Yes,” attach a list of organizations.
d.
If “No,” do these documents direct that on discontinuance of the organization, the organization’s assets
are to be transferred to its members who have promised in their membership applications to immediately
transfer them to the State of Texas, to the United States, or to an educational, religious, charitable or
other similar organization that is qualied for exemption under §501(c)(3), Internal Revenue Code,
as amended?
(1) If “Yes,” give the page and paragraph numbers. Page _______ Paragraph___________
If “Yes,” was the two-step transfer required for the organization to qualify for exemption under
§501(c)(3), Internal Revenue Code, as amended?
Step 4: Describe the Property for Which You Are Seeking an Exemption
Property to be Exempt:
• Attach one Schedule A (Real Property) form for EACH parcel of real property to be exempt.
• Attach one Schedule B (Personal Property) form listing ALL personal property to be exempt.
• List only property owned by the organization.
Step 5: Read, Sign, and Date
• By signing this application, you designate the property described in the attached Schedules A and B as the property against
which the charitable organization exemption may be claimed in this appraisal district.
• You certify that this information is true and correct to the best of your knowledge and belief.
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 Texas Penal Code Section 37.10.
11.18 (05/2013) page 4
Application for Charitable Organization Property Tax Exemption
Step 3: Answer These Questions About the Organization’s Bylaws or Charter (continued)
On Behalf of (name of organization) Date
Authorized Signature Title
Sign
Here
Printed Name
3. Do these documents direct that on the discontinuance of the organization, the organization’s assets are
to be transferred to the State of Texas, to the United States, or to an educational, religious, charitable
or other similar organization that is qualied for exemption under §501(c)(3), Internal Revenue Code, as
amended?
If “Yes,” give the page and paragraph numbers. Page _______ Paragraph_______________
3a. Yes No
3a(1). Yes No
a.
Name Dates Used Activity Rent Paid, if any
Continue on additional sheets as needed
Schedule A: Description of Real Property
· Complete one Schedule A form for EACH parcel qualied for exemption.
· Attach all completed schedules to your application for exemption.
Is this property currently under active construction or physical preparation?
If under construction, when will construction be completed? (date) _________________
If under physical preparation, check which activity the organization has done.
(Check all that apply.)
Architectural Work Land Clearing Activities Engineering Work
Site Improvement Work Soil Testing Environmental or Land Use Study
(Please attach all supporting documentation)
Is the incomplete improvement designed and intended to be used exclusively by a qualied charitable organization?
Does any portion of this property produce income?
If “Yes,” attach a statement describing use of the revenue.
Is the land on which the incomplete improvement is located reasonably necessary for the use of the improvement in the
operation of the association/organization?
List all other individuals and organizations that used this property in the past year, and give the requested information for each.
HCAD Account Number
Yes No
Yes No
Yes No
Yes No
State the year for which you are
seeking an exemption:
______________
Name of Property Owner
Legal Description of Property [also attach copy of deed(s)]
Describe the primary use of this property
11.18 (05/2013) Page 5
Application for Charitable Organization Property Tax Exemption
Schedule B: Description of Personal Property
· List all tangible property to be exempt on this schedule.
· Attach all completed schedules to your application for exemption.
HCAD Account Number
Yes No
Name of Property Owner
Is this property reasonably necessary for operation of the association/organization?
Item Location
State the year for which you are
seeking an exemption:
______________
11.18 (05/2013) Page 6
Application for Charitable Organization Property Tax Exemption
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Form 11.18 (052013): Application for Charitable Organization (Harris County Appraisal District)

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Completed 30 July 2021

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