Form Pt001 is an online form that allows you to collect information from your users. It can be used for a variety of purposes, such as collecting feedback or registering users for an event. In this tutorial, we'll show you how to create a form and customize it to suit your needs. We'll also cover how to send notifications when the form is submitted, and how to store the data collected by the form.
This information will help you understand better the details of the form pt001 before you begin filling it out.
| Question | Answer |
|---|---|
| Form Name | Form Pt001 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mcad tx, PT001, foregoing, Conroe |
Montgomery County, et al
Property Tax Refund Application
J.R. Moore, Jr.
Montgomery County Tax
400 N San Jacinto
Conroe, Texas 77301
Phone
To Apply For A Tax Refund, The Taxpayer Must Complete The Following:
Step 1: Property Owner’s |
Property |
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Account |
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Name and Address |
Owner(s) Name: |
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Number: |
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Present Mailing Address (Number and Street) |
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City, Town or Post Office, State, Zip Code |
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Phone (Area Code and Number) |
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Step 2: Taxpayer Name |
Taxpayer Name: |
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and Address |
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(Refund Payable To) |
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Present Mailing Address (Number and Street) |
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City, Town or Post Office, State, Zip Code |
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Phone (Area Code and Number) |
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Step 3: Describe The |
Legal Description (or attach copy of the tax bill or tax receipt): |
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Property |
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Address or location of property: |
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Step 4: Give the tax |
Tax Year: |
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Date of |
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Payment Amount: |
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payment information |
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Payment: |
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(*Supporting Payment |
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Payment |
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Amount of Refund |
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Documentation Must |
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Check #: |
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Method: |
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Applying For: |
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Accompany Application. If |
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unable to provide, must |
Taxpayer’s Reason for Refund (attach supporting payment documentation)(*): |
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complete below affidavit.) |
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Step 5: Sign the form |
“I hereby apply for the refund of the |
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correct.” |
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Sign Here► |
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Applicant Signature |
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Date of Application for Tax Refund |
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Print Here► |
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Print Applicant Name |
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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 |
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Disapproved |
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Refund Check #: |
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Refund Check |
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Amount: |
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Sign Here► |
Deputy Submitting Refund Application For Approval |
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Date: |
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Sign Here► |
Accounting Manager or Supervisor Approving Payment |
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Date: |
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Sign Here► |
Authorized Officer For Governing Body (if over $2500) |
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Date: |
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Sign Here► |
County Auditor Signature (if over $2500) |
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Date: |
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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
________________________________. 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
Printed NameSignature
SUBSCRIBED AND SWORN BEFORE ME this _______ day of, ____________________20________.
Notary Public in and for the State of _____________________________
PT001
Revised 04/2011