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HomeMy WebLinkAboutParcel CombinationHarris County Appraisal District I REQUEST TO SPLIT OUT OR COMBINE Information & Assistance Division REAL PROPERTY ACCOUNT(S) P.O. Box 920975 Houston TX 77292-0975 1 Acct. No.: ,,�_. „ , _ MM w 1 ,.n T _ .. m� . s,,,, n 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 O d T' rL or hQ If a combination of parcels, list accounts to be combined � W W3-)(01-000 -0010 COPY OF DEED MUST BE PROVIDED, INCLUDING THE SURVEYORS METES AND BOUNDS DESCKn'IwN Ur IHt PROPERTY(IES) INVOLVED. YOU MUST ALSO PROVIDE EITHER A SURVEY MAP OR A MAP DRAWN TO SCALE SNOWING THE DESIRED CHANGES & WHERE THE IMPROVEMENTS (BUILDINGS) GO. Owner's Named "' -a -2-- EL Mailing Address yr � ZLF ti N c City State Zip Code O 0 — 1 7-7• 1 Daytime Telephone (area code and number) Evening Telephone (area code and number) Legal Description(1) Legal Description (2) Atork -7 c 1 o o y>, L "'a (h Q 2 Property Location Address Property Location Address IL i T I r 7" City State Zip Code City State Zip Code a I am owner of the property described above and request the Harris County Appraisa ist to correct its records to reflect the information listed above. Signature �� C Da Q Printed Name /l/f�fQr/ zt:SaYY/�v2, Oinr�c �GhC`(1eZ Titl�'}�' Any person who makes a false entry upon the foregoing record may be subject to one of the following p-dnslfL; 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 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.