Form Boe-571-L - Business Property Statement - 2016 Page 5
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9BOE-571-L (P4) REV. 21 (05-15)
OFFICIAL REQUEST
DO NOT RETURN THESE INSTRUCTIONS
California law prescribes a yearly ad valorem tax based on property as it exists at 12:01 a.m. on January 1 (tax lien date). This form
constitutes an official request that you declare all assessable business property situated in this county which you owned, claimed,
possessed, controlled, or managed on the tax lien date, and that you sign (under penalty of perjury) and return the statement to the
Assessor’s Office by the date cited on the face of the form as required by law. Failure to file the statement during the time provided in
section 441 of the Revenue and Taxation Code will compel the Assessor to estimate the value of your property from other information in
the Assessor’s possession and add a penalty of 10 percent of the assessed value as required by section 463 of the Code.
If you own taxable personal property in any other county whose aggregate cost is $100,000 or more for any assessment year, you must
file a property statement with the Assessor of that county whether or not you are requested to do so. Any person not otherwise required
to file a statement shall do so upon request of the Assessor regardless of aggregate cost of property. The Assessor of the county will
supply you with a form upon request.
Except for the "DECLARATION BY ASSESSEE" section, you may furnish attachments in lieu of entering the
information on this property statement. However, such attachments must contain all the information requested by the
statement and these instructions. The attachments must be in a format acceptable to the Assessor, and the property statement must
contain appropriate references to the attachments and must be properly signed. In all instances, you must return the original
BOE-571-L.
THIS
THIS STATEMENT IS NOT
IF ANY SITUATION EXISTS WHICH
STATEMENT
A PUBLIC DOCUMENT. THE
NECESSITATES A DEVIATION FROM
IS SUBJECT
INFORMATION DECLARED WILL
TOTAL COST PER BOOKS AND RECORDS,
TO AUDIT.
BE HELD SECRET BY THE ASSESSOR.
FULLY EXPLAIN ALL ADJUSTMENTS.
INSTRUCTIONS
(complete the statement as follows)
NAME. If the information has been preprinted by the Assessor, make necessary corrections. INDIVIDUALS, enter the last name first, then
the first name and middle initial. PARTNERSHIPS must enter at least two names, showing last name, first name and middle initial for each
partner. CORPORATIONS report the full corporate name. If the business operates under a DBA (Doing Business As) or FICTITIOUS
NAME, enter the DBA (Fictitious) name under which you are operating in this county below the name of the sole owner, partnership, or
corporation.
LOCATION OF THE PROPERTY. Enter the complete street address. Forms for additional business or warehouse locations will be
furnished upon request. A listing may be attached to a single property statement for your vending equipment leased or rented to others,
when any such properties are situated at many locations within this county.
USE TAX INFORMATION
California use tax is imposed on consumers of tangible personal property that is used, consumed, given away or stored in this state.
Businesses must report and pay use tax on items purchased from out-of-state vendors not required to collect California tax on their
sales. If your business is not required to have a seller’s permit with the State Board of Equalization, the use tax may be reported and
paid on your California State Income Tax Return or directly to the State Board of Equalization using our pay use tax on one-time
purchase option available online. Obtain additional use tax information by calling the State Board of Equalization Information
Center at 1-800-400-7115 or from the website -
Part I: GENERAL INFORMATION
[complete items (a) through (g)]
OWNERSHIP OF LAND — (c). Check either the YES or the NO box to indicate whether you own the land at the LOCATION OF THE
PROPERTY shown on this statement. If YES is checked, verify the official RECORDED NAME on your DEED. If it agrees with the name
shown on this statement, check the second YES box. If it does not agree, check the second NO box.
LOCATION OF RECORDS — (e and f). Enter the address or addresses at which your general ledger and all related accounting records
are maintained and available for audit. If you enter your tax agent or representative’s address, indicate whether all or only part of the
records are at that address, and the location of the remainder, if applicable.
PROPERTY TRANSFER — (g).
Real Property – For purposes of reporting a change in control, real property includes land, structures, or fixtures owned or held under
lease from (1) a private owner if the remaining term of the lease exceeds 35 years, including written renewal options, (2) a public owner
(any arm or agency of local, state, or federal government) for any term or (3) mineral rights owned or held on lease for any term, whether
in production or not.
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