Return to:
Harris County Appraisal District
Business & Industrial Property Div.
PO Box 922007
Houston TX 77292-2007
PLANT ASSETS RENDITION
CONFIDENTIAL
January 1, 2021
Form 22.15-P (12/20)
*NEWPP130*
*2021*
Ownership Type (optional) Individual Corporation Partnership Other _____________________
Account Number __________________
iFile™ Number __________________
Agent's Name __________________
Agent ID No.
Business Owner ______________________________________
Property Address ______________________________________
City/State/Zip ______________________________________
Business Name ________________________________________
Mail Address ________________________________________
Mail Address ________________________________________
City/State/Zip ________________________________________
Part 1. Property Owner Name, Address, and Physical Location or Situs [Required]:
Business Sold: Date _________ Phone No. ___________________
New Owner (if sold) ____________________________________________
Mail Address ________________________________________________
City/State/Zip ________________________________________________
Part 2. Business Information: Please address all that apply. Optional but very important.
Business Description _____________________________________________
Business Start Date at Location ____________________
Business Moved: Date ____________ New Location_____________________________
Business Closed: Date ____________ Assets in place on Jan 1? Y N
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 Section 37.10, Penal Code.
If you fail to timely file a rendition or property report required by Texas law, the chief appraiser must impose a penalty in an amount equal to 10 percent of the total taxes due on the property for the current year. If the court
determines that you filed a false rendition or report with the intent to commit fraud, or to evade the tax, or you alter, destroy, or conceal any record, document, or thing or present to the chief appraiser any altered or fraudulent
record, document, or thing, or otherwise engage in fraudulent conduct for the purpose of affecting the outcome of an inspection, investigation determination, or other proceeding before the appraisal district, the chief appraiser
must impose an additional penalty equal to 50 percent of the total taxes due on the property for the current year.
Signature and Affirmation: By signing this document, you attest that the information contained in this rendition and all attachments, if any, is accurate and complete to the best of your knowledge and belief.
Section 22.26 of the Property Tax Code states: (a) Each rendition
statement or property report required or authorized by this chapter must be
signed by an individual who is required to file the statement or report. (b)
When a corporation is required to file a statement or report, an officer of the
corporation or an employee or agent who has been designated in writing by
the board of directors or by an authorized officer to sign in behalf of the
corporation must sign the statement or report.
Notary Statement: Complete if signer is not an owner, employee, or officer of the company or affiliated company
SUBSCRIBED AND SWORN TO BEFORE ME this the
day of , 20 .
SEAL
Notary Public, State of Texas
Page 1
Owner/Employee
Authorized Agent / Fiduciary
Secured Party
Indicate if you
are filling out
this form as
(see definitions):
Printed Name
Date
Phone No. ( )
Email (optional)
Signature
Part 3. Affirmation of Prior Year Rendition: Check only if applicable and your assets were exactly the same as those assets contained in the most recent rendition filed.
By checking this box, I affirm that the information contained in the most recent rendition statement filed for a prior tax year (the tax year) continues to be
complete and accurate for the current tax year. [If checked, you may skip to "Signature and Affirmation"]
Part 4. Market Value: What do you estimate to be the total market value of your business assets? [Required, unless you checked Part 3 of this form.]
Under $20,000 [If checked Page 2 is optional]
$20,000 and over [You must complete all of Page 2. Original Cost (Historical Cost) and year acquired can be provided in lieu of a Good Faith Estimate of Value.]
Title Company Name
For assistance, please refer to important information and instruction sheet.
D
1
0
2
2
2
0
F
0
9
7
Machinery and
Equipment Fixed in
Place
Site and Yard
Improvements
Buildings and Structures
Totals
Owner Name: _________________________________________ Account Number: ___________________
Part 5: General Description of Plant Assets.
Part 6: Plant Assets in your possession that are owned by others. (attach additional sheets if necessary, identified by business name, account number, and "Part 6).
Construction work in process
Total Construction in process as of January 1, 2021 (optional)
Owner's good faith estimate of market value for work in process of January 1, 2021
G.
Owners's good faith
estimate of market
value *
I.
Date
Acquired
(optional)
2021 Rendition
A.
Total Investment as
of January 1, 2021
(optional)
B.
Retirements during
year 2020
(optional)
C.
Additions during
year 2020
(optional)
H.
Original Cost
(optional)
D.
Total Investments
as of January 1,
2021 (A-B+C)
(optional)
E.
Accrued
Depreciation as of
January 1, 2021
(optional)
F.
Maintenance and
Repair during 2020
(optional)
Totals
Page 2
*If "Over $20,000" is checked in Part 4 and original cost is not provided, the chief appraiser may later ask you to
provide a supporting statement detailing the basis for your good faith estimate of market value.
A.
General Description
B.
Location of Assets
C.
Owner's good
faith estimate
of market value*
D.
Property owner name/address
(if you manage or control the property as a fiduciary)