Read REQUEST FOR STATEMENT text version

TRAVIS COUNTY TAX ASSESSOR/COLLECTORS OFFICE REQUEST FOR STATEMENT TO BE ELIGIBLE TO PURCHASE REAL PROPERTY AT A TAX SALE

[PLEASE PRINT]

Date requested: ______ /______/ 20____. Request & fee must be received at least 5 business days

mm / dd

prior to the tax sale.

I, __________________________________________________________________________

Check one:

Bidder's name or name of corporation, partnership, etc. Successful bidder's deed will be issued under this name.

own do not own formerly owned property in Travis County, or school district or municipality having territory in Travis County under the following name(s) and address(es):

1- Name:______________________________________________________________________ Property Address:_________________________________________________________ 2- Name:______________________________________________________________________ Property Address:_________________________________________________________ 3-Name:______________________________________________________________________ Property Address:_________________________________________________________ 4-Name:______________________________________________________________________ Property Address:_________________________________________________________ 5-Name:______________________________________________________________________ Property Address:_________________________________________________________

For Tax Office Use Only: Taxing jurisdictions not collected by Travis County

:_______________________________________

I CERTIFY THE ABOVE INFORMATION IS TRUE AND CORRECT. _______________________________________Telephone #___________________________ Requestor's Signature Requestor's address:______________________________________________________

Sec.34.0445 (e) A person who knowingly violates this section commits an offense. Sec. 34.015 (j) An offense under this subsection is a class B misdemeanor.

Rev. 01/12

Fee $10.00

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REQUEST FOR STATEMENT

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