Harris County Appraisal District
Information & Assistance Division
P.O Box 922012
Houston, TX 77292-2010
FORM 25.25(b) 3/2018
You may use this form to ask the Harris County Appraisal District to correct an erroneously denied or canceled exemption(s). These include:
(1) Residential homestead exemption of an individual who is disabled or is 65 or over;
(2) Residential homestead exemption of the surviving spouse of an individual who qualified for age 65 or older exemption;
(3) Residential homestead or other property exemption of a disabled veteran, or the surviving spouse of a disabled veteran who qualified or would
have qualified for the 100% disabled veteran’s exemption.
Please complete the requested information and attach supporting documentation. After completion, please return the designated form to the Harris
County Appraisal District office located at 13013 Northwest Freeway or by mail at the address above. If further assistance is needed, please contact the
office at (713) 957-7800.
Owner’s Name ___________________________________________________________________________________
Mailing Address __________________________________________________________________________________
Property Address _________________________________________________________________________________
Legal Description _________________________________________________________________________________
City _______________________________________________ State _______________ Zip _______________
Daytime Number ________________________ Email A
ddress _______________________________________
Please provide a brief description of the correction request
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Tax Year(s) requested: ________________________________
I certify I am the owner of the property described above and acknowledge the information provided is true and correct.
Printed Name _____________________________ Signature _________________________________
Date __________________________________ Title ____________________________________
For Oce Use Only
Request Receive Date ___________________________
Agree
Disagree
Correction Completed By _________________________
Division Director’s Signature _______________________
Any person who makes a false entry upon the foregoing record may be subject to one of the following penalties:1) confinement in jail for a
term up to 1 year or a fine not to exceed $3,000 or both such fine and imprisonment; 2) confinement of up to 1 year in a community
correctional facility; 3) imprisonment of not more than 10 years and/or a fine of not more than $10,000 or both such fine and imprisonment as
set forth in Section 37.10, Penal Code.
REQUEST TO CORRECT AN ERRONEOUS
DENIAL OR CANCELLATION OF AN EXEMPTION
Account Number: ________________________________
25.25b_Mar_2018
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