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20201019162823808
Harris County Appraisal District REQUEST TO SPLIT OUT OR COMBINE Information & Assistance Division P.O. Box920975 REAL PROPERTY ACCOUNT(S) Houston TX 77292-0975 Acct. No.: 09942MOON10 Next Tax Year: 2021 Instructions You may use this form to ask the Harris County Appraisal District to split out property that has been sold from an existing parcel, or to request that two or more parcels be combined into one. After completing the form mail 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 for listing owners, legal descriptions, or account numbers, please attach additional pages Split parcel Into 2 or more new parcels ❑Acreage Correct on ❑Pick up Improvements o m T F r El 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 MA A MAP DRAWN TO SCALE SHOWING THE DESIRED CHANGES & WHERE THE IMPROVEMENTS (BUILDINGS) G� Owner's Name Jose A. Garcia 0. o Mailing Address '0 N R 2002 Lama Ln. N C G City State Zip Code O C Le Porte TX 77571 Daytime Telephone (area code and number) Evening Telephone (area code and number) 032-347-6033 632-W-6033 Legal Description(1) Legal Description (2) y Pine Grove Valley, Hams County (BLK 2) LOT 10, 11 A 12 C �0 70 Q.'a 1.37-0 U ri � N Property Location Address Property Location Address %�P D.. Q 0Sunset Ridge v cA City State Zip Code City State Zip Code La Pode TX 77571 o I am owner of the propeLy described above and request the Harris County Appraisal District to correct Its records to re}Ig t the in o matio list2d above. 0 d E Signature 6 r/ \ Z%ti -" Date l f� 1 a Printed Naft Title ©pi pt iz - Any person who makes a false entry upon the foregoing record maybe subJecf to one of the following penalties; 1) confinement In jail for a term up to 1 year or a fine not to exceed $3,000 or both such fine and imprisonment; 2) confinement of up to 1 year in a community correctional facllfty; 3) imprisonment of not more than 10 years and/or a fine of not more than $10,000 orboth such fine and imprisonment as set forth in Section 37.10, Penal Code.