Form PTL11 "Property Tax Lender Exemption Request - Five or Fewer Loans" - Texas

Form PTL11 or the "Property Tax Lender Exemption Request - Five Or Fewer Loans" is a form issued by the Texas Office of Consumer Credit Commissioner.

Download a PDF version of the Form PTL11 down below or find it on the Texas Office of Consumer Credit Commissioner Forms website.

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Download Form PTL11 "Property Tax Lender Exemption Request - Five or Fewer Loans" - Texas

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Property Tax Lender
Exemption Request
Five or Fewer Loans
AFFIDAVIT FOR PROPERTY TAX LENDER APPLICATION FOR EXEMPTION FOR FIVE OR
FEWER LOANS UNDER SECTION 351.051(c)(2) OF THE TEXAS FINANCE CODE.
Name
SSN
Mailing Address
Zip Code
City
State
On or about
, I anticipate making a property tax loan to pay delinquent taxes on real property, the legal
description of which is as follows:
(Insert Date)
Legal Description of Property:
Street Address of Property:
(If Any)
Texas
City
State
Zip Code
County
Using my own funds, I have made or received by sale,
My other property tax loans within this consecutive 12-month period are as follows:
transfer, assignment, or release five or fewer property tax
Attach additional sheets if necessary
loans during the consecutive 12-month period beginning
Date of Property Tax Loan
Repeat the information to
on __________, and ending on ___________.
the left for every property
tax loan within the
Legal Description of Property:
This loan number is
of five.
consecutive 12-month
period. If this application is
for the first property tax
(Insert the number of
Street Address of Property:
loan within the period,
loans within consecutive
then you may check the
12-month period)
Texas
Texas
box below.
City
Zip Code
State
Not Applicable
§
STATE OF TEXAS
§
COUNTY OF
As witnessed by the notary public listed below, I have signed my name to this affidavit on this
day of
,20
.
I affirm that the information provided in this affidavit is true and correct to the best of my knowledge.
SUBSCRIBED AND SWORN TO BEFORE ME on this
day of
Signature of Applicant
, 20
, to certify which witness my hand and official
seal.
Printed Name of Applicant
Notary Public, State of Texas
[SEAL]
Printed Name of Notary
Office of Consumer Credit Commissioner Licensing-512-936-7605 or licensing@occc.texas.gov
Page 1 of 1
Form PTL11 (Rev 7/16)
Print Form
Print Form
Property Tax Lender
Exemption Request
Five or Fewer Loans
AFFIDAVIT FOR PROPERTY TAX LENDER APPLICATION FOR EXEMPTION FOR FIVE OR
FEWER LOANS UNDER SECTION 351.051(c)(2) OF THE TEXAS FINANCE CODE.
Name
SSN
Mailing Address
Zip Code
City
State
On or about
, I anticipate making a property tax loan to pay delinquent taxes on real property, the legal
description of which is as follows:
(Insert Date)
Legal Description of Property:
Street Address of Property:
(If Any)
Texas
City
State
Zip Code
County
Using my own funds, I have made or received by sale,
My other property tax loans within this consecutive 12-month period are as follows:
transfer, assignment, or release five or fewer property tax
Attach additional sheets if necessary
loans during the consecutive 12-month period beginning
Date of Property Tax Loan
Repeat the information to
on __________, and ending on ___________.
the left for every property
tax loan within the
Legal Description of Property:
This loan number is
of five.
consecutive 12-month
period. If this application is
for the first property tax
(Insert the number of
Street Address of Property:
loan within the period,
loans within consecutive
then you may check the
12-month period)
Texas
Texas
box below.
City
Zip Code
State
Not Applicable
§
STATE OF TEXAS
§
COUNTY OF
As witnessed by the notary public listed below, I have signed my name to this affidavit on this
day of
,20
.
I affirm that the information provided in this affidavit is true and correct to the best of my knowledge.
SUBSCRIBED AND SWORN TO BEFORE ME on this
day of
Signature of Applicant
, 20
, to certify which witness my hand and official
seal.
Printed Name of Applicant
Notary Public, State of Texas
[SEAL]
Printed Name of Notary
Office of Consumer Credit Commissioner Licensing-512-936-7605 or licensing@occc.texas.gov
Page 1 of 1
Form PTL11 (Rev 7/16)
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