Form 11.13: Harris County Residence Homestead Exemption Application

Enter the Account Number and the Tax Year.

Yes or No: Do you own and live in the property for which you are seeking this residence homestead exemption?

In SECTION 1: Exemption(s) Requested, mark the exemption you request: General Residence Homestead Exemption, Disabled Person or Person Age 65 or Older (or Surviving Spouse).

No residence homestead exemption can be claimed by the property owner on any other property.

Age 65 or Older Exemption (Tax Code Section 11.13(c) and (d)) This exemption is effective Jan. 1 of the tax year in which the property owner becomes age 65.

The due date for persons age 65 or older, disabled, or partially disabled veterans with donated homesteads to apply for the exemption is no later than the first anniversary of the qualification date.

Property owner who receives a 100 percent disability compensation due to a service-connected disability and a rating of 100 percent disabled or individual unemployability from the U.S. Department of Veterans Affairs or its successor.

Yes or No: Is the disability a permanent total disability as determined by the U.S. Department of Veterans Affairs under 38 C.F.R. Section 4.15?

For the Donated Residence of Partially Disabled Veteran (or Surviving Spouse), enter the Percent Disability Rating.

For a Surviving Spouse, enter the Name of Deceased Spouse and the Date of Death.

Yes or No: Do you have an exclusive right to occupy this property because you own stock in a cooperative housing corporation?

If yes, state name of cooperative housing corporation.

Yes or No: Were you receiving a homestead exemption on your previous residence?

Yes or No: Are you transferring an exemption from a previous residence?

Yes or No: Are you transferring a tax limitation?

Enter the Previous Residence Address, City, State, Zip Code and the Previous County.

In SECTION 2: Property Owner/Applicant, provide information for additional property owners in Section 5.

Mark Single Adult, Married Couple or Other (e.g., individual who owns the property with others).

For Property Owner 1 and Property Owner 2 (e.g., Spouse, Co-Owner/Individual), enter the Name, Birth Date (mm/dd/yyyy), Driver's License, Personal ID Certificate or Social Security Number, Primary Phone Number (area code and number), Email Address and Percent Ownership Interest.

Name of Property Owner, Driver's License, Personal ID Certificate or Social Security 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)).

Primary Phone Number (area code and number), Email Address***: May be confidential under Government Code §552.137; however, by including the email address on this form, you are affirmatively consenting to its release under the Public Information Act.

Enter the Applicant mailing address (if different from the physical address).

In SECTION 3: Property Information, enter the date you acquired this property and the date you began occupying this property as your principal residence.

Enter the Physical Address (i.e. street address, not P.O. Box), City, County, ZIP Code and the Legal Description (if known).

Yes or No: Is the applicant identified on deed or other recorded instrument? Yes: Court record/filing number on recorded deed or other recorded instrument. If no, required documentation must be provided.

Yes or No: Is the property for which this application is submitted an heir property?

Yes (affidavits required) or No: Do other heir property owners occupy the property?

Enter the Manufactured Home Make, Model and ID Number.

Yes or No: Is any portion of the property for which you are claiming a residence homestead exemption income producing?

If yes, indicate the percentage of the property that is income producing.

Enter the Number of acres (or fraction of an acre, not to exceed 20 acres) you own and occupy as your principal residence.

In SECTION 4: Waiver of Required Documentation, indicate if you are exempt from the requirement to provide a copy of your driver's license or state-issued personal identification certificate. Property owners who reside in certain facilities or participate in a certain address confidentiality program may be exempt from this requirement.

(Tax Code Section 11.43(m)) REQUIRED DOCUMENTATION Attach a copy of property owner's driver's license or state-issued personal identification certificate. The address listed on the driver's license or state-issued personal identification certificate must correspond to the property address for which the exemption is requested.

Mark I am a resident of a facility that provides services related to health, infirmity or aging, and enter the Facility Name and Address.

Mark I am certified for participation in the address confidentiality program administered by the Office of the Texas Attorney General under Code of Criminal Procedure Chapter 58, Subchapter C.

Mark I am an active duty U.S. armed services member or the spouse of an active duty member.

Mark I hold a driver's license issued under Transportation Code Section 521.121(c) or 521.1211. Attached is a copy of the application for that license.

In SECTION 5: Provide Additional Information Here (if any), if you own other residential property in Texas, please list the county(ies) of location.

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.

Enter the Property Owner/Authorized Representative Name and the Title/Authorization, then sign here: 1. that each fact contained in this application is true and correct; 2. that I/the property owner meet(s) the qualifications under Texas law for the residence homestead exemption for which I am applying; and 3. that I/the property owner do(es) not claim an exemption on another residence homestead or claim a residence homestead exemption on a residence homestead outside Texas. Add the Date next to the Signature of Property Owner/Applicant or Authorized Representative.

Pursuant to Tax Code Section 11.431, you may file a late application for a residence homestead exemption after the deadline for filing has passed. The late application must be filed within two years after the delinquency date for the taxes on the homestead.

Return the completed form to Harris County Appraisal District Information & Assistance Division P.O. Box 922012 Houston TX 77292-2012.