HomeMy WebLinkAbout20190311164921597Harris County Appraisal District
Information & Assistance Division
P.O. Box 920975
Houston TX 77292-0975 Acct. No,,
�0%1 Next Tax Year:
Instructions
You may use this form to ask the Harris County Appraisal District to split out property that hds been sold from an existing
parcel, or to request that two or more parcels be combined into one. After completing the form mall it back to the Harris
County Appraisal District at the address above. If you are delivering this form bring it to our Information & Assistance
Division located at 13013 Northwest Fwy. If you have any ,questions, please call (713) 957-7800.
Please Print or Type all Information. .
If -you need additional space forlisting owners, legal descriptions, or account numbers, please attach additional pages
Split parcel into 2 or more new parcels ❑ Acreage Correction ❑ Pickup Improvements
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CL s ❑ If a combination of parcels, list accounts to be combined
COPY OF DEED MUST BE PROVIDED, INCLUDING THE SURVEYOR'S METES AND BOUNDS DESCRIPTION OF THE
PROPERTY(IES) INVOLVED. YOU MUST ALSO PROVIDE EITHER A SURVEY MAP OR A MAP DRAWN- TO SCALE
SHOWING THE DESIRED CHANGES & WHERE THE IMPROVEMENTS (BUILDINGS) GO.
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® Mailing Address
7/l5 RoTomd Clow 92 HOui TON Tit 77072
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City State Zip Code
Daytime Telephone (area code and number) Evening Telephone (area code and number)
Biz 53 5 8o �5Z, C: 916m
Legal
Description(1)
Legal Description (2)
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Property Location Address
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City
State
Zip Code
City State
Zip Code
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� I am owner of the property lescribed above and request the Harris County Appraisal District to correct its
® records to reflect the info ion listed above.
E Signature nn Date
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►IIQ�GIr2Q �Drt fp Printed Name `/d Title
Any person who makes a false entry upon the foregoing record may be subject to one of the following penalties;
9) confinement in jail for a term up to 9 year or a fine not to exceed $3,000 or both such fine and imprisonment;
2J confinement of up to 9 year in a community correctional facility,• 3) imprisonment of not more than 90 years and/or
a fine of not more than $10,000 or both such fine and imprisonment as set forth in Section 37.10, Penal Code.