HOT-RA www.hctax.net Rev. 10/16 v 1
The Harris County Tax Assessor-Collector’s Office will remove an agent authorization upon written request by the hotel owner, a
property manager authorized to designate agents for the owner, another person authorized to act on the owner’s behalf, or the
person designated as agent.
Name Phone Number (including area code)
Address City, State, Zip Code
Name Phone Number (including area code)
The Agent listed in Step 2 above is no longer authorized to represent me in Hotel Occupancy Tax Payments and Filings for those
properties listed in Step 3 above.
Authorized Individual’s Signature* Date
Authorized Individual’s Printed Name
The individual signing this for is (check one):
the hotel owner
a property manager authorized to designate agents for the owner
another person authorized to act on the owner’s behalf
the person designated as agent
If you have additional hotels for which authority is removed, attach additional sheets providing the TP# and Hotel Name
for each property. Number of additional sheets attached: .....................................................................................................
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.
Step 1: Owner’s Name and Address
Step 2: Identify the Agent to be Removed
Step 3: Identify the Hotel Property to which this Removal Applies. Identify all property for which you are removing authority of
the agent by completing the TP#’s and Hotel Name for each in the table below. The Tax Assessor-Collector may, if necessary to
identify the property, request additional information. Additionally, in lieu of listing property below, you may attach a list of all
property to which this authorization removal applies, denoting in the lower right corner the total number of pages attached.
from Online Payments and Filings
