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 CodeSE

A directory with contact information for appraisal district offices may be 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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