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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
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