Harris County Appraisal District
13013 Northwest Fwy.
P. O. Box 922012
Houston, TX 77292-2012
(713) 957-7800
11.24 (10/2013)
Application for Historic or Archeological Site
Property Tax Exemption for ______
Step 2. Describe the Property For Which You Are Seeking an Exemption
GENERAL INSTRUCTIONS: This application is for use in claiming property tax exemptions pursuant to Tax Code §11.24. You must furnish
all information and documentation required by this 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.
ANNUAL APPLICATION REQUIRED: You must apply for this exemption each year you claim entitlement to the exemption.
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.
Step 1: Provide Name and Mailing Address of Property Owner and Identity of Person Preparing Application
Name of Property Owner
Mailing Address
City, State, ZIP Code Phone (area code and number)
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 drivers 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.
Organization is a (check one):
Individual Partnership Corporation Other (specify): ________________
Name of Person Preparing this Application Title Driver’s License, Personal I.D. Certicate, or
Social Security Number*
Address, City, State, ZIP Code
Continue on Page 2
Year
Legal Description
HCAD Account Number
Application for Historic or Archeological Site Property Tax Exemption
Step 3. List the Taxing Units That Have Granted an Exemption Pursuant to Tax Code
Section 11.24 and Attach Supporting Documents
FOR EACH TAXING UNIT IDENTIFIED, ATTACH COPIES OF DOCUMENTS REFLECTING OFFICAL ACTION OF THE GOVERNING BODY
THAT PROVIDES FOR AN EXEMPTION.
Step 4. Identify Ofcal Historical and Archeological Designations and Attach Supporting Documentation
Has the property been designated as a Recorded Texas Historical Landmark under Chapter 442, Government Code, or
a state archeological landmark under Chapter 191, Natural Resources Code, by the Texas Historical Commission?
IF YES, ATTACH COPIES OF DOCUMENTS REFLECTING DESIGNATION.
Has the property been designated as a historically or archeologically signicant site in need of tax relief to encourage its
preservation pursuant to an ordinance or other law adopted by the governing body of the unit?
IF YES, ATTACH COPIES OF DOCUMENTS REFLECTING DESIGNATION.
Yes No
Yes No
Step 5. Read, Sign, and Date
By signing this application, you certify that this information is true and correct to the best of your knowledge and belief.
Signature
sign
here
Date
Printed Name Title
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.
11.24 (10/2013) page 2
click to sign
signature
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