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REQUEST
FOR WRITTEN STATEMENT REGARDING
DELINQUENT PROPERTY TAXES IN __________________COUNTY, TEXAS PURSUANT
TO §34.015, TEXAS TAX CODE |
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NAME OF REQUESTOR (Print Name of Requesting
Person/Company) |
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MAILING ADDRESS |
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PHONE NUMBER |
FAX NUMBER |
EMAIL ADDRESS |
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LIST ALL PROPERTY CURRENTLY OR FORMERLY OWNED BY
REQUESTOR
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Item No. |
Tax Acct. No. |
Legal Desc. |
Property Address |
Date Acquired |
Date Sold |
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I HEREBY REQUEST THAT THE COUNTY TAX
ASSESSOR-COLLECTOR DELIVER TO ME AT THE ADDRESS SHOWN ABOVE A WRITTEN
STATEMENT UNDER TEX. TAX CODE §34.015 STATING WHETHER THERE ARE ANY
DELINQUENT TAXES OWED BY ME TO THE COUNTY OR TO ANY SCHOOL DISTRICT OR
MUNICIPALITY HAVING TERRITORY IN THE COUNTY.
THE INFORMATION FURNISHED BY ME ON THE FORM ABOVE IS WITHIN MY
PERSONAL KNOWLEDGE AND IS TRUE AND CORRECT. |
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___________________________________________ (Requestor Signature) SWORN TO AND SUBSCRIBED BEFORE ME, THE UNDERSIGNED
AUTHORITY, ON THIS _____________ THE DAY ________, 20____, TO CERTIFY WHICH WITNESS
MY HAND AND SEAL OF OFFICE. __________________________________________________ Notary Public, State of Texas |
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County Tax
Assessor-Collector’s inquiry for Information Regarding
Delinquent Taxes PURSUANT TO
§34.015, TEXAS TAX CODE |
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DATE |
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TO |
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TAX COLLECTOR |
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FAX NUMBER |
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FROM |
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TAX COLLECTOR |
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TELE. NO. |
FAX NO. |
E-MAIL |
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Our
office has received a Request for Written Statement Regarding Delinquent
Taxes, a copy of which is attached. This Inquiry for Delinquent Tax
Information is made pursuant to §34.015, Texas Tax Code. If you have any
questions regarding our Inquiry, please contact our office at the telephone
number listed above. Please respond to this request by completing the information below and returning this document, along with delinquent tax statements, to our office at the address shown above no later than _____ days after the date shown above. |
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WRITTEN
STATEMENT OF PROPERTY TAX STATUS
ISSUED
PURSUANT TO TEXAS TAX CODE §34.015
State
of Texas
County of ___________________
NAME
OF REQUESTOR:
____________________________________________
PART A
Pursuant
to the provisions of the Texas Tax Code §34.015, except as reflected in Part B
below, I have determined that the REQUESTOR named above does not owe any
delinquent property taxes to The County, or to any school district or
municipality with territory in this county, or in the alternative, there were
no delinquent ad valorem taxes reported due to any school district or
municipality with territory in this county.
This Written Statement of Property Tax Status expires the 90th
day after the date of issuance reflected below.
PART B
Delinquent
Property Taxes Are Owed By Requestor To The Following Taxing Units:
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Name of Taxing Unit |
Tax Assessor-Collector Tax Office Address |
Total Amount of Delinquent Taxes, Penalties and Interest Owed |
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Issued on this day ________of _____________________,
20_____.
____________________________
County
Tax Assessor-Collector
County
of ___________________
By: ________________________
Deputy
This
Written Statement of Property Tax Status was acknowledged and sworn to before
me, the undersigned authority, on this the __________ day of _________________,
20 ____, to certify which witness my hand and seal of the office.
_____________________________
Notary
Public, State of Texas