Request for Confidentiality Under Tax Code Section 25

_____Print Name of Property Owner or Authorized Representative _____ _____Signature of Property Owner or Authorized Representative DateForm 50-284 Request for Confidentiality Under Tax Code Section Year _____ _____Appraisal District s Name Appraisal District Account Number (if known)GENERAL INFORMATION: This form is used for qualified property owners to make an election to restrict public access to their home address information pursuant to Tax Code Section INSTRUCTIONS: This form must be filed with the appraisal district office in each county in which the property is located. Do not file this document with the Texas comptroller of Public 1: Name and Address_____ _____ _____Name of Person Requesting Confidentiality Name of Property Owner (if different)_____Primary Phone Number (area code and number) Email Address**_____Home Address (number and street), City, State, ZIP CodeSECTION 2: Qualification Address Confidentiality Program Armed Forces Attorney General Employee Commissioned Security Officer Community Supervision and Corrections Department County Jailer District, Criminal District, Cou

found on the Comptroller’s website. QUALIFICATIONS Address Confidentiality Program A participant in the Office of the Attorney General’s address confidentiality program administered under Code of Criminal Procedure, Chapter 56, Subchapter C.

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