I entered and/or changed business information above which may not currently be reflected on TAD records.

Sale Date: Buyer's Name: Buyer's Phone:

Buyer's Street Address: City: State: Zip:

DISCONTINUED Date: Comments:

sign Signature Printed Name Date

here

Company Title Phone Number TAD Agent Number (if applicable)

Subscribed and sworn before me this: notarysealday of , 20 .

CONFIDENTIAL JANUARY 1, 2021 LEASED, LOANED, OR OWNED

ASSETS RENDITION

4. SIGNATURE AND AFFIRMATION

TOTAL NUMBER OF

ITEMS RENDERED

TOTAL GOOD FAITH

ESTIMATE

2. STATUS - OPTIONAL

If you entered and/or changed any info above or if the business was sold or discontinued prior to January 1, darken the appropriate bubble and provide the requested info.

SOLD

FORM 1301 (REV 12-18)

3. PROPERTY DESCRIPTION & MARKET VALUE INFO

TRNDVX.FRM

Notary Public, State of Texas

TAD USE ONLY - RECEIPT STAMP HERE

Complete and return by April 15th to: TARRANT APPRAISAL DISTRICT BPP RENDITION PROCESSING 2500 HANDLEY-EDERVILLE ROAD FORT WORTH, TEXAS 76118

(817) 284-9101

varx@tad.org

Please code each item below with one of the following "Asset Type" descriptions. If necessary, use this as a cover page when attaching additional sheets.

FF = Furniture & Fixtures ME = Machinery & Equipment OE = Office Equipment CE = Computer Equipment AT = Auto, Truck, Trailer OA = Other Assets

TOTAL NUMBER OF

SHEETS ATTACHED

ITEM

1

2

3

4

5

6

7

LESSEE LOCATION ADDRESSASSET

TYPECITY, STATE, ZIP CODE

ACQ

YEARHISTORICAL COST

GOOD FAITH ESTIMATE

OF MARKET VALUE

Yes No

Yes No

TOTAL HISTORICAL

COST YOUR CONTACT PHONE NUMBER

AND/OR EMAIL ADDRESS

1. READ THIS

$ $

The attachments to this rendition form contain important information regarding filing requirements, property appraisal terminology , and the guidelines

that TAD uses to classify, depreciate, and value the assets that you render. Please read all of the attachments in their entirety before proceeding.

ACCT NO:

A. Are you the property owner, an employee of the property owner, or an employee of an affiliated company acting on behalf of the property owner?

B. 2020, submitted for January 1, 2019, for the same Tarrant Appraisal District account number as this continues to be complete and accurate, in accordance withTexas Property Tax Code Section 22.01".

C. This form must be signed and dated. By doing so, you attest that the information contained on it is true and correct to the best of your knowledge andbelief. If you answered "Yes" at Step A above, you need only provide your Signature, Printed Name, and the Date below-no notarization is required. Ifyou answered "No" at Step A above, you must complete all of the following(including notarization) as the owner's agent: "I swear that the informationprovided on this form is true and correct to the best of my knowledge and belief".

RobinTypewritten Text

RobinTypewritten Text

RobinTypewritten TextSPCL:

Barcode: CtSt: SPCL: Bnam: Ownr: Careof: Adrs: Pin8: CurrentYear1: 2021PriorYear: 2020