Request for Separate Taxation for Cooperative
Housing Corporation
____________________
YEAR
____________________________________________________
Appraisal District Name
______________________________________________________
Address
___________________________
Phone (area code and number)
FOR APPRAISAL DISTRICT USE ONLY
This request covers property owned by the cooperative housing corporation on Jan. 1 of this year. You must le this completed form between Jan. 1 and
March 1 of this year. Be sure to attach any documents requested. If the chief appraiser grants the separate appraisal, you do not need to reapply annually,
but you must provide the chief appraiser with an updated list of stockholders, their interest and residency upon request. Return this completed form to the
address above, with a payment of $ _________________ for this separate appraisal.
___________________________________________________________________________________________________
Corporation Name
___________________________________________________________________________________________________
Current Mailing Address (number and street)
_____________________________________________________________________ ___________________________
City, Town or Post Office, State, ZIP Code Phone (area code and number)
___________________________________________________________________________________________________
Authorized Agent
___________________________________________________________________________________________________
Current Mailing Address (number and street)
___________________________________________________________________________________________________
City, Town or Post Office, State, ZIP Code
Cooperative housing corporation?
Ye s
No
________________________________________________ _________________________________________________
Legal Description Street Address
STEP 1: Name, Address and Agent of Corporation
STEP 2: Describe the Property
STEP 3: Documents
File the following documents with this completed form:
a. a list of names, addresses and proportionate interests of all stockholders in this property, indicating each stockholder that resides at this property;
b. a resolution from the corporation’s board of directors certifying that the stockholders approved this request for separate appraisal;
c. a diagrammatic oor plan of the improvements on this property; and
d. a survey plat map of the land showing location of the improvements.
STEP 4: Sign and Date the Application
_____________________________________________________________________ ___________________________
Signature Date
_____________________________________________________ ___________________________________________
Name Title
___________________________________________________________________________________________________
Corporation
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 Penal Code Section 37.10.
Parcel Number:
Legal Description:
The Property Tax Assistance Division at the Texas Comptroller of Public Accounts provides property tax
information and resources for taxpayers, local taxing entities, appraisal districts and appraisal review boards.
For more information, visit our website:
comptroller.texas.gov/ taxes/property-tax
50-173 • 03-17/4
Texas Comptroller of Public Accounts
Form
50-173
PO BOX 830248 SAN ANTONIO, TX 78283-0248
click to sign
signature
click to edit
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