Form 50-285: Texas Lessee's Affidavit, Motor Vehicle Use Other Than Production of Income

Enter the Appraisal District Name and the Tax Year.

Your lease agreement or title should provide you with the information about your leased automobile required by Section 1.

Enter the Vehicle Identification Number and the Year.

Enter the Make, Body Style and Model, mark Yes or No under Vehicle under 9,000 lbs, and enter the Lease Date. Vehicle under 9,000 lbs: if the empty weight of the leased vehicle exceeds 9,000 pounds, the vehicle does not qualify for this exemption. For Federal Identification Number: if the lessee is an entity described by Section 11.252(b), Tax Code, include the federal identification number if applicable. For Driver's License Number or Personal Identification Number: social security number disclosure may be required for tax administration and identification. (42 U.S.C. §405(c)(2)(C)(i); Tax Code §11.43(f)). A driver's license number, personal identification number or social security number disclosed in an exemption application is confidential and not open to public inspection, except as authorized by Tax Code §11.48(b).

Enter the Owner Name and Address.

Enter the Lessee's Name-Individual and the Driver's License Number or Personal Identification Number.

Enter the Lessee's Name-Entity and the Federal Identification Number.

Enter the Address of Lessee, then the City, State, ZIP Code and County Name.

If the vehicle is usually located at an address other than the address you provided in Section 2, or if the address provided in Section 2 is a post office box or rural route, provide the physical address at which the vehicle is primarily located.

Enter the Vehicle Street Address, City, State, ZIP Code and County Name.

After My name is, enter your name, then your date of birth as Birthdate and your address as Street, City, State, ZIP code and Country.

By signing you declare under penalty of perjury that what you entered is true and correct.

After Executed in, fill in the blank, then the day, the Month and the Year.

Enter the Printed Name of Lessee or Authorized Representative of Entity after I, to swear or affirm the following:

1. that each fact contained in this application is true and correct; 2. that I will not hold the vehicle for the production of income; and 3. that the vehicle is used primarily for activities that do not involve the production of income.

SIGN on the line for Lessee or Authorized Representative of Entity Signature.

The Subscribed and sworn before me lines are for the Notary Public, State of Texas.

This affidavit must be completed by the person leasing the vehicle. This document must then be submitted to and retained by the owner of the leased vehicle and made available to the appraisal district, on request for copying or inspection. Do not file this document with the Texas Comptroller of Public Accounts.

Before filing Form 50-286 Lessor's Exemption Application Motor Vehicles Leased for Use Other than Production of Income, the lessee or entity leasing the vehicle must complete this affidavit.

Form 50-286 Lessor's Exemption Application Motor Vehicles Leased for Use Other than Production of Income and supporting documentation must be filed beginning Jan. 1 and no later than April 30 of the year for which the exemption is requested.

The owner must retain this affidavit, an electronic image or certified copy.

If this affidavit is not retained, the owner must render the vehicle for taxation and may not file an application for exemption under Section 11.252(a).

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.