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HomeMy WebLinkAboutHCAD SPLIT COMBINE FORMHarris County Appraisal District REQUEST ` O SPLIT OUT OR C®V11HIME P.O.Box Information &Assistance Division REAL PROPERTY ACCOUNT(S) P.O. Box 920975 Houston TX 77292-0975 Acct. No.: f' (. d- ! P,n/r)l� i'7 Next Tax Year: 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 Correction ❑ Pick up improvements 0 23 ❑ If a combination of parcels, list accounts to be combined � � prc 01 1010 ! � 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 BMWN TO SCALE Aid®WING THE DESIRED CHANCES & WHERE THE IMPROVEMENTS (BUILDINGS) GO. -- —` Owners Name f ,,ACLYA CL AI � n � � � G� T 2 LL ® of Mailing Address f to o City State Zip Code Daytime Telephone (area code and number) Evening Telephone (area code and number) � Z� c r�go--7 Legal Description(1) &�( Legal Description (2) b " Ia 23 1 . �t la 5 g �F r bo—ry �CaA h� J © C y V Gt �-CN hai�P U Prop1erty, Location Address Property Location Address ® -704 htl 9 l - 7 - City State Zip Code City State Zip Code I am owner of the property describe above an quest the Harris County Appraisal District to correct its ® records to reflec(t/ `fie in#ormati Its a above. l l Signatur) re "L Date oc-;� 6 Printed Name Title Any person who makes a false entry upon the foregoing record may be subject 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 facility; 3) imprisonment of not more than 10 years andlor