Texas Code § 1087.251

IMPOSITION OF AD VALOREM TAX
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Sec. 1087.251. IMPOSITION OF AD VALOREM TAX. (a) On final approval of the annual budget, the board shall impose a tax on all property in the district subject to district taxation.
(b) The board shall impose the tax to:
(1) pay the interest on and create a sinking fund for bonds issued or assumed by the district for hospital purposes as provided by this chapter;
(2) provide for the operation and maintenance of the hospital or hospital system;
(3) make improvements and additions to the district's hospital system; and
(4) acquire necessary sites for improvements or additions by purchase, lease, or condemnation.

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