PT-RVN www.hctax.net Rev 05/13 v5
Refund Verification
Dear Taxpayer/Property Owner:
Our records indicate that an overpayment may exist for the property tax account listed below. If you paid the taxes on
this account directly and believe you are entitled to this refund, please complete this Refund Verification and return it
to our office. If you did not make the payment(s) directly to the Tax Office on this account, please forward this letter to
the person or company who paid these taxes.
Please send completed form to:
Attn: Property Tax Refunds
Harris County Tax Office
P.O. Box 4520
Houston, TX 77210-4520
or via fax to:
713-368-2249
Please send completed Verification Form to:
or
Verification:
1. The verification process is considered complete
only when all appropriate documentation to
substantiate the refund claim is received by the
Harris County Tax Office.
2. Claimant assumes responsibility for the validity
of the posting and transfer of payments on the
property tax account.
3. The property tax account is subject to
assessment of penalty and interest if the
overage refund is later adjusted due to the
correction of payment on the account, or if the
refund is claimed in error.
4. Account payment information is subject to
audit verification and documentation review to
establish the validity of the claim.
5. For you to qualify for a refund, a Refund
Verification must be submitted within three
years after the date of overpayment.
6. Release authorization from the payor is
required if the refund is to be issued to a party
other than the payor.
7. Other:
For assistance with this form, call the Tax Office at
713-274-8100 or access our website, www.hctx.net.
Completed by:
property owner
payor-mortgage, title company, agent, or other
Account Number: Tax Year:
Name:
Street:
City: St: Zip:
E-mail: Phone:
Tax Payment Details:
Payment by: Check No.: Paid Date: Amount:
____________ ____________ _________ _______
Refund Distribution:
As payor of the property tax overage, I choose to have my
refund distributed as follows:
Issue payment directly to me.
Transfer to tax account:
for delinquent tax years:
Release payment to: (Name and Address)*
*Note: Require signed release authorization from payor.
Affirmation:
By signing below, I hereby affirm that I am entitled to the
refund identified above and that the information I have given
on this form is true and correct.
(If you make a false statement on this verification, you could
be found guilty of a Class A misdemeanor or a state jail felony
under the Texas Penal Code.)
Signature Date
Tax Assessor-Collector & Voter Registrar
ANN HARRIS BENNETT
