Form Pt001 PDF Details

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QuestionAnswer
Form NameForm Pt001
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesforegoing, assessor, Disapproved, PT001

Form Preview Example

Montgomery County, et al

Property Tax Refund Application

J.R. Moore, Jr.

Montgomery County Tax Assessor-Collector

400 N San Jacinto

Conroe, Texas 77301

Phone 936-539-7809

To Apply For A Tax Refund, The Taxpayer Must Complete The Following:

Step 1: Property Owner’s

Property

 

 

 

 

Account

 

 

Name and Address

Owner(s) Name:

 

 

 

 

Number:

 

 

 

 

 

 

 

 

 

 

 

 

Present Mailing Address (Number and Street)

 

 

 

 

 

 

 

 

 

 

 

 

City, Town or Post Office, State, Zip Code

 

Phone (Area Code and Number)

 

 

 

 

 

 

 

 

 

 

 

Step 2: Taxpayer Name

Taxpayer Name:

 

 

 

 

 

 

 

 

and Address

 

 

 

 

 

 

 

 

 

 

(Refund Payable To)

 

 

 

 

 

 

 

 

 

 

Present Mailing Address (Number and Street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, Town or Post Office, State, Zip Code

 

Phone (Area Code and Number)

 

 

 

 

 

 

 

 

Step 3: Describe The

Legal Description (or attach copy of the tax bill or tax receipt):

 

 

 

 

Property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address or location of property:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 4: Give the tax

Tax Year:

 

 

 

Date of

 

 

 

Payment Amount:

payment information

 

 

 

Payment:

 

 

 

 

 

 

 

 

 

 

 

 

(*Supporting Payment

 

 

 

 

 

 

 

 

 

 

Payment

 

 

 

 

 

 

 

Amount of Refund

Documentation Must

 

 

 

Check #:

 

 

 

Method:

 

 

 

 

 

 

Applying For:

Accompany Application. If

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

unable to provide, must

Taxpayer’s Reason for Refund (attach supporting payment documentation)(*):

complete below affidavit.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 5: Sign the form

“I hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and

 

correct.”

 

 

 

 

 

 

 

 

 

Sign Here►

 

Applicant Signature

 

 

 

 

Date of Application for Tax Refund

 

 

 

 

 

 

 

 

 

 

Print Here►

 

Print Applicant Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

Step 6: Tax Refund

Determination

(For Office Use Only)

The tax refund is Approved

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Refund Check #:

 

 

 

 

 

 

Refund Check

 

 

 

 

 

 

 

 

Amount:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sign Here►

Deputy Submitting Refund Application For Approval

 

 

Date:

 

 

 

 

 

Sign Here►

Accounting Manager or Supervisor Approving Payment

 

 

Date:

 

 

 

 

 

Sign Here►

Authorized Officer For Governing Body (if over $2500)

 

 

Date:

 

 

 

 

 

Sign Here►

County Auditor Signature (if over $2500)

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

Affidavit

COUNTY OF _________________________________________, STATE OF ______________________________________

Before me, ______________________________________________, on this day personally appeared __________________________________, known to me or proved to

me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed. I do hereby affirm that I am the taxpayer (or taxpayer representative) for property tax account # __________________________. A check in the amount

of $______________ was issued to J.R. Moore, Jr. Montgomery County Tax Assessor-Collector with the intent to be credited to account number(s)

________________________________. I do hereby request a refund of above amount. I do not have the original tax receipt for the taxes paid. I hereby agree to

indemnify and hold harmless Montgomery County, Texas and/or Montgomery County Tax Assessor-Collector for any loss that may result to either or both because of any superior claim to this refund.

Printed NameSignature

SUBSCRIBED AND SWORN BEFORE ME this _______ day of, ____________________20________.

Notary Public in and for the State of _____________________________

PT001

Revised 04/2011

How to Edit Form Pt001 Online for Free

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Step 1: Choose the button "Get Form Here" and then click it.

Step 2: Now you are ready to edit PT001. You've got many options thanks to our multifunctional toolbar - it's possible to add, delete, or change the information, highlight the particular areas, as well as undertake many other commands.

Provide the content demanded by the platform to create the document.

Jacinto fields to complete

Inside the section I hereby apply for the refund of, Date of Application for Tax Refund, Applicant Signature, Print Here, Print Applicant Name, If you make a false statement on, Step Tax Refund Determination For, The tax refund is Approved, Disapproved, Refund Check, Refund Check Amount, Sign Here, Deputy Submitting Refund, Sign Here, and Accounting Manager or Supervisor write down the particulars the program asks you to do.

stage 2 to finishing Jacinto

You can be asked to provide the information to help the program fill in the section Before me on this day personally, Printed Name SUBSCRIBED AND SWORN, Signature, Notary Public in and for the State, and Revised.

Jacinto Before me on this day personally, Printed Name SUBSCRIBED AND SWORN, Signature, Notary Public in and for the State, and Revised fields to fill out

Step 3: Click the Done button to save your document. Now it is accessible for upload to your electronic device.

Step 4: Generate duplicates of the file - it will help you stay away from potential complications. And don't be concerned - we don't share or read your information.

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