PDF document
- 1 -

Enlarge image
                                                                                                                                            Form 50-114-A
Residence Homestead Exemption Affidavits
_____________________________________________________________________________   _______________________________
Appraisal District’s Name                                                                                             Appraisal District Account Number (if known)

GENERAL INSTRUCTIONS: This affidavit is for use when claiming residence homestead exemptions pursuant to Tax Code Sections 11.13, 11.131, 11.132, 11.133, 11.134 and 
11.432.  
FILING INSTRUCTIONS: Attach the completed and notarized affidavit to your Residence Homestead Exemption Application for filing with the appraisal district office in each county in 
which the property is located generally between Jan. 1 and April 30 of the year for which the exemption is requested. Do not file this document with the Texas Comptroller of Public 
Accounts. A directory with contact information for appraisal district offices is on the Comptroller’s website.

                          AFFIDAVIT FOR OWNER/APPLICANT WHO IS AGE 65 OR OLDER AND OWNERSHIP INTEREST NOT OF RECORD
STATE OF TEXAS
COUNTY OF         _________________________
Before me, the undersigned authority, personally appeared ____________________________________________________________, who, being by me 
duly sworn, deposed as follows:
“My name is __________________________________________________ and I am applying for a residence homestead exemption for property owners who are 
age 65 or older. I am 65 years of age or older; I am fully competent to make this affidavit; I have personal knowledge of the facts in this affidavit; and all of the facts in it are true 
and correct. I am an owner of the property identified in this application although I am not identified as an owner on a deed or other appropriate instrument recorded in the real 
property records of the county where my residence homestead is located.

Percent Ownership Interest: _________________________
Further, Affiant sayeth not.”                                                             SUBSCRIBED AND SWORN TO before me this, the
___________________________________________                                               ______ day of______________________ ,_________
Signature of Affiant
                                                                                          ___________________________________________
                                                                                          Notary Public in and for the State of Texas
                                                                                          My Commission expires: ___________________________
                    AFFIDAVIT FOR OWNER/APPLICANT WHO HAS QUALIFYING DISABILITY AND OWNERSHIP INTEREST NOT OF RECORD
STATE OF TEXAS
COUNTY OF         _________________________
Before me, the undersigned authority, personally appeared ____________________________________________________________, who, being by me 
duly sworn, deposed as follows:
“My name is __________________________________________________ and I am applying for a residence homestead exemption for property owners with 
qualifying disabilities. I am over 18 years of age; I am fully competent to make this affidavit; I have personal knowledge of the facts in this affidavit; and all of the facts in it are true 
and correct. I am an owner of the property identified in this application although I am not identified as an owner on a deed or other appropriate instrument recorded in the real 
property records of the county where my residence homestead is located.

Percent Ownership Interest: _________________________
Further, Affiant sayeth not.”                                                             SUBSCRIBED AND SWORN TO before me this, the
___________________________________________                                               ______ day of______________________ ,_________
Signature of Affiant
                                                                                          ___________________________________________
                                                                                          Notary Public in and for the State of Texas
                                                                                          My Commission expires: ___________________________
                          AFFIDAVIT FOR OWNER/APPLICANT WITHOUT WRITTEN OWNERSHIP DOCUMENT FOR MANUFACTURED HOME
STATE OF TEXAS
COUNTY OF         _________________________
Before me, the undersigned authority, personally appeared ____________________________________________________________, who, being by me 
duly sworn, deposed as follows:
“My name is __________________________________________________ and I am applying for a residence homestead exemption as an owner of a 
manufactured home. I am over 18 years of age; I am fully competent to make this affidavit; I have personal knowledge of the facts in this affidavit; and all of the facts in it are true 
and correct. I am the owner of the manufactured home identified in this application. The seller of the manufactured home did not provide me with the applicable contract or 
agreement and I could not locate the seller after making a good faith effort.
Further, Affiant sayeth not.”                                                             SUBSCRIBED AND SWORN TO before me this, the
___________________________________________                                               ______ day of______________________ ,_________
Signature of Affiant
                                                                                          ___________________________________________
                                                                                          Notary Public in and for the State of Texas
                                                                                          My Commission expires: ___________________________
Form developed by: Texas Comptroller of Public Accounts, Property Tax Assistance Division                     For additional copies, visit: comptroller.texas.gov/taxes/property-tax
                                                                                                                                            50-114-A • 11-19/1



- 2 -

Enlarge image
 Residence Homestead Exemption Affidavits                                                                                                                                   Form 50-114-A

                    AFFIDAVIT FOR  APPLICANT CLAIMING AN OWNERSHIP INTEREST OF PROPERTY, INCLUDING HEIR PROPERTY
                                          For Purpose of Residence Homestead Exemption Application Only

STATE OF TEXAS
COUNTY OF         _________________________
Before me, the undersigned authority, personally appeared ____________________________________________________________, who, being by me 
duly sworn, deposed as follows:
“My name is __________________________________________________ and I am applying for a residence homestead exemption. I am over 18 years of age; 
I am fully competent to make this affidavit; I have personal knowledge of the facts in this affidavit; and all of the facts in it are true and correct. I am an owner of the real property 
identified in this application. I acquired the ownership of the real property identified on this application by will, transfer on death deed or intestacy; and I am not identified as an 
owner on a deed or other appropriate instrument recorded in the real property records of the county where the property identified in this application is located.
Further, Affiant sayeth not.”                                           SUBSCRIBED AND SWORN TO before me this, the
___________________________________________                             ______ day of______________________ ,_________
Signature of Affiant
                                                                        ___________________________________________
                                                                        Notary Public in and for the State of Texas
                                                                        My Commission expires: ___________________________
                    AFFIDAVIT FOR OWNER OTHER THAN THE APPLICANT THAT OCCUPIES HEIR PROPERTY AS PRINCIPAL RESIDENCE
                                          For Purpose of Residence Homestead Exemption Application Only

STATE OF TEXAS
COUNTY OF         _________________________
Before me, the undersigned authority, personally appeared ____________________________________________________________, who, being by me 
duly sworn, deposed as follows:

“My name is __________________________________________________. I am over 18 years of age; I am fully competent to make this  
affidavit. I have personal knowledge of the facts in this affidavit; and all of the facts in it are true and correct. I am an owner of the real property identified in the  
application of __________________________________________________       and I occupy the property as my principal residence; I authorize  
__________________________________________________ to submit the residence homestead exemption application.
Further, Affiant sayeth not.”                                           SUBSCRIBED AND SWORN TO before me this, the
___________________________________________                             ______ day of______________________ ,_________
Signature of Affiant
                                                                        ___________________________________________
                                                                        Notary Public in and for the State of Texas
                                                                        My Commission expires: ___________________________

                                          For additional copies, visit: comptroller.texas.gov/taxes/property-tax                                                            Page 2






PDF file checksum: 3533625466

(Plugin #1/9.12/13.0)