Form 50 135 – Fill Out and Use This PDF

	Texas Comptroller of Public Accounts	Form
		50-135

Application for Disabled Veteran’s or Survivor’s Exemption

_____________________________________________________________________	___________________________
Appraisal District’s Name	Phone (area code and number)

___________________________________________________________________________________________________

Address, City, State, ZIP Code

GENERAL INSTRUCTIONS: This application is for use in claiming a property tax exemption pursuant to Tax Code Section 11.22 for property owned by a disabled veteran with a service connected disability, the surviving spouse or child of a qualifying disabled veteran or the surviving spouse or child of an U.S. armed service member who died on active duty. A qualiied individual is entitled to an exemption from taxation of a portion of the assessed value of one property the applicant owns and designates. This application applies to property owned on Jan. 1 of this year.

FILING INSTRUCTIONS: You must furnish all information and documentation required by this application so that the chief appraiser is able to determine whether the statutory qualiications for the exemption have been met. This document and all supporting documentation must be iled with the appraisal district office in each county in which the property is located. Do not ile this document with the Texas Comptroller of Public Accounts. A directory with contact information for appraisal district offices may be found on the Comptroller’s website.

APPLICATION DEADLINES: The completed application and supporting documents must be submitted to the appraisal district between Jan. 1 and April 30 of the tax year for which you request the exemption. For good cause shown, the chief appraiser may extend the deadline for iling the application by written order for a single period not to exceed 60 days. The chief appraiser may disapprove the application and request additional information. If the chief appraiser requests additional information, the information must be furnished within 30 days after the date of the request or the application is denied. For good cause shown, the chief appraiser may extend the deadline for furnishing the information by written order for a single period not to exceed 15 days. If the chief appraiser denies the application, you may protest that determination to the county appraisal review board under Tax Code Chapter 41.

You may ile a late application. For the 2016 tax year and any tax year after that, a late application must be iled no later than ive years after the delinquency date for the taxes on the designated property.

DUTY TO NOTIFY: Once this exemption is allowed, an application does not have to be iled annually unless the ownership of the property changes or qualiications for the exemption change. The chief appraiser may require a new application to be iled to conirm current eligibility by sending written notice and an application form. If eligibility ends, the property owner must notify the appraisal office in writing before May 1 after the eligibility ends.

State the tax year(s) for which you are applying for the exemption.

________________________________________

Tax Year(s)

Did the applicant own the property that is the subject of this application on Jan. 1 of the tax year? . . . . . . . . . . . . . . . . . . . Yes No

SECTION 1: Property Owner/Applicant

_________________________________________________________ _______________________________________

Name of Property OwnerDriver’s Licence, Personal I.D. Certiicate or Social Security Number*

___________________________________________________________________________________________________

Physical Address, City, State, ZIP Code

_________________________________________	______________________________________________________
Primary Phone Number (area code and number)	Email Address**

Mailing Address of Property Owner (if different from the physical address provided above):

___________________________________________________________________________________________________

Mailing Address, City, State, ZIP Code

Are you a Texas resident?

Yes No

SECTION 2: Authorized Representative

If you are an individual property owner iling this application on your own behalf, skip to section 3; all other applicants are required to complete section 2.

Please indicate the basis for your authority to represent the property owner in iling this application.

Attorney for property owner

Agent for tax matters appointed under Tax Code Section 1.111 with completed and signed Form 50-162

Other and explain basis: _______________________________________________________________________________

The Property Tax Assistance Division at the Texas Comptroller of Public Accounts provides property tax	For more information, visit our website:
information and resources for taxpayers, local taxing entities, appraisal districts and appraisal review boards.	comptroller.texas.gov/taxes/property-tax

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	Texas Comptroller of Public Accounts	Form
		50-135

SECTION 2: Authorized Representative (continued)

Provide the following information for the individual with the legal authority to act for the property owner in this matter:

___________________________________________________________________________________________________

Name of Authorized Representative

________________________________	_______________________________	____________________________
Title of Authorized Representative	Primary Phone Number (area code and number)	Email Address**

___________________________________________________________________________________________________

Mailing Address, City, State, ZIP Code

SECTION 3: Property Descriptions

Provide the descriptive information requested below for the designated property that is the subject of this application for exemption under Tax Code Section 11.22.

___________________________________________________________________________________________________

Physical Address (i.e. street address, not P.O. Box), City, State, Zip Code

_________________________________________	______________________________________________________
Appraisal District Account Number (if known)	Manufactured Home (make, model, and identiication number)
Legal Description:

SECTION 4: Type of Exemption and Qualiications

Check the exemption for which you are applying.

Veteran classiied as disabled by the Veteran’s Administration (VA) or a service branch of the U.S. armed forces

Surviving spouse or child of a deceased disabled veteran

Surviving spouse or child of U.S. armed service member who died on active duty

_____________________________________________________________

Veteran’s Name

___________________________________		_______________________	________	_____________________
Branch of Service		Disability Rating	Age	Serial Number
Does the service-connected disability include:	Loss of use of one or more limbs		Blindness in one or both eyes

For more information, visit our website: comptroller.texas.gov/taxes/property-tax	Page 2

50-135 • 11-17/14

	Texas Comptroller of Public Accounts	Form
		50-135

SECTION 4: Type of Exemption and Qualiications (continued)

SECTION 5: Additional Documents to be Provided

If the exemption is based on a veteran’s disability, attach documentation from the VA or service branch identifying the most recent disability rating.

SECTION 6: Certiication and Signature

NOTICE REGARDING PENALTIES FOR MAKING OR FILING AN APPLICATION CONTAINING A FALSE STATEMENT: 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.

I, _______________________________________________________________, swear or affirm the following:

Printed Name of Property Owner or Authorized Representative

1.that each fact contained in this application is true and correct;

2.that the property the owner identiied in this application meets the qualiications under Texas law for the exemption claimed; and

3.that I have read and understand the Notice Regarding Penalties for Making or Filing an Application Containing a False Statement.

___________________________________________________________	____________________________
Signature of Property Owner or Authorized Representative	Date

*Disclosure of your social security number (SSN) may be required and is authorized by law for the purpose of tax administration and identiication of any individual affected by applicable law. Authority: 42 U.S.C. § 405(c)(2)(C)(i); Tax Code Section 11.43(f). Except as authorized by Tax Code Section 11.48(b), a driver’s license number, personal identiication certiicate number or social security number provided in this application for an exemption iled with your county appraisal district is conidential and not open to public inspection under Tax Code Section 11.48(a).

**An email address of a member of the public could be conidential under Government Code Section 552.137; however, by including the email address on this form, you are affirmatively consenting to its release under the Public Information Act.

For more information, visit our website: comptroller.texas.gov/taxes/property-tax	Page 3

50-135 • 11-17/14