Enter Property ID Number*

Request for electronic delivery of any notice required, or permitted, to be delivered by the Chief Appraiser. Must provide valid email address.Revoke permission to send electronic delivery of any notice required, or permitted, to be delivered by the Chief Appraiser.

Owner's Name*

Mailing Address*

Email Address*

Phone Number*

Agent Name/Company

Mailing Address

Email Address

Phone Number

Signature*

Date*

Any person who makes a false statement could be found guilty of a class A misdemeanor or a state jail felony under the Texas Penal Code Section 37.10