50-133 (12-91) [41.66 (12/89)]
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AFFIDAVIT FOR PROTEST HEARING
Appraisal district name Address Description of property Phone (area code and number)
STATE OF TEXAS COUNTY OF __________________________________________________ Before me, the undersigned authority, on this day personally appeared ____________________________________________________________ , who, being by me duly sworn, on oath deposed and said: "I have not communicated with another person about the evidence, argument, facts, merits or any other matters related to the property owner's protest, nor have I communicated with another person about the property that is the subject of this protest, excluding cases where the property was used as part of a sample or compared with other properties in another proceeding before the board, and excluding instances in which I was expressly permitted under the Tax Code, Chapter 41, to communicate with the board or another person about the property owner's protest or the property under protest." Witness my hand, this the ______ day of __________________ , _______ . ______________________________________________
Member, Appraisal Review Board
SUBSCRIBED AND SWORN TO before me this the __________ day of _______________________________ , ____________ . _____________________________
Officer
_____________________________
Title