Harris County Appraisal District
Business Industrial Property Division
P. O. Box 922005
Houston, TX. 77292-2007
Form 11.271 (12/2013)
Application for Exemption for Offshore Drilling
Equipment Not In Use for Tax Year __________
*NEWPP196*
Step 1. Provide Name and Mailing Address of Property Owner or Lessee and Identity of Person Preparing Application
GENERAL INSTRUCTIONS: This application is for use in claiming property tax exemptions pursuant to Tax Code §11.271. This application covers property
owned or leased on January 1 of this year. You must furnish all information and documentation required by the 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.
If the chief appraiser grants the exemption, you do not need to reapply annually, but you must reapply if the chief appraiser required you to do so, or if you want the
exemption to apply to property not listed in this application. You must notify the chief appraiser in writing if and when your right to this exemption ends. Return the
completed form to the appraisal district ofce in the county in which your property is taxable.
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.
Name of Property Owner or Lessee Seeking Exemption
Mailing Address
City, State, ZIP Code Phone (area code and number)
Property Owner or Lessee is a(n) (check one)
Name of Person Preparing this Application Title Driver’s License, Personal I.D. Certicate,
or Social Security Number*
Partnership Corporation
Other (specify):
Individual
Step 2. Applicant Information
Please indicate if you are completing this form as: Authorized Agent Fiduciary
Name of Authorized Agent or Fiduciary, if Applicable
Present Mailing Address
City, State, ZIP Code Phone (area code and number)
Are you the property owner, an employee of the property owner, or an employee of a property owner on behalf
of an afliated entity of the property owner? Yes No
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 drivers 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 drivers license number, personal identication certicate number, or social security account number.
Step 3. Check Type of Exemption Requested
Offshore Marine or Mobile Drilling Unit Under Tax Code §11.271(b)
Offshore Spill Response Containment System Under Tax Code §11.271(c)
Continued on Page 2
Application for Exemption for Offshore Drilling Equipment Not In Use
Step 4. Complete if Offshore Marine or Mobile Drilling Unit
1. Description
(HCAD account number, if known)
2. Location
3. Is this location in
a county bordering
the Gulf of Mexico or
on a body of water
contiguous to the
Gulf?
4. Is this item stored
for repairs or mainte-
nance only?
5. Is this item being
leased to drill a well
where it is stored?
a. Yes No
b. Yes No
c. Yes No
d. Yes No
e. Yes No
f. Yes No
g. Yes No
h. Yes No
i. Yes No
a. Yes No
b. Yes No
c. Yes No
d. Yes No
e. Yes No
f. Yes No
g. Yes No
h. Yes No
i. Yes No
a. Yes No
b. Yes No
c. Yes No
d. Yes No
e. Yes No
f. Yes No
g. Yes No
h. Yes No
i. Yes No
Step 5. Complete if Offshore Spill Response Containment System
Step 6. Read, Sign, and Date
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.
By signing this application, you certify that the information is true and correct to the best of your knowledge and belief.
print
here
sign
here
Date
Form 11.271 (12/2013) Page 2
Attach one Schedule A form listing ALL personal property for which you are seeking an exemption.
Answer the following questions:
1. Is the owner or lessee of the property an entity formed primarily for the purpose of designing, developing, modifying, enhancing,
assembling, operating, deploying, and maintaining an “offshore spill response containment system” dened in Tax Code §11.271(a)(2)?
2. Is the applicant providing services to or for an offshore spill response containment system that the person does not own or lease?
3. Was the personal property for which an exemption is being sought used, constructed, acquired, stored, or installed in this state on
or before January 1, 2013?
4. Is the personal property for which an exemption is being sought used, wholly or partly, for the exploration for or production of oil,
gas, sulfur, or other minerals, including the equipment, piping, casing, and other components of an oil or gas well? (The offshore
capture of fugitive oil, gas, sulfur, or other minerals that is entirely incidental to the property’s temporary use as an offshore spill
response containment system is not considered to be production of those substances.)
5. Is the personal property for which an exemption is being sought used, constructed, acquired, stored, or installed solely as part of
an offshore spill response containment system that is being stored while not in use in a county bordering on the Gulf of Mexico or
on a bay or other body of water immediately adjacent to the Gulf of Mexico?
6. Is the personal property for which an exemption is being sought used solely for the development, improvement, storage, deployment,
repair, maintenance, or testing of an offshore spill response containment system that is being stored while not in use in a county
bordering on the Gulf of Mexico or on a bay or other body of water immediately adjacent to the Gulf of Mexico?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Application for Exemption for Offshore Drilling Equipment Not In Use
Schedule A: Description of Personal Property
List all personal property to be exempt on this schedule.
Attach completed schedule to your application for exemption.
Item Location
Form 11.271 (12/2013) Page 3
Continue on additional sheets as needed.
Name of Property Owner or Lessee
item