Boe-58-Ah - Claim For Reassessment Exclusion For Transfer Between Parent And Child Page 2

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BOE-58-AH (P2) REV. 16 (05-14) OWN-88 (REV. 11-14)

TRANSFEREE(S) / BUYER(S) (additional transferees please complete “C” below)

1. Print full name(s) of transferee(s)

2. Family relationship(s) to transferor(s)

If adopted, age at time of adoption

If stepparent/stepchild relationship is involved, was parent still married to or in a registered domestic partnership (registered means

registered with the California Secretary of State) with stepparent on the date of purchase or transfer?

Yes

If no, was the marriage or registered domestic partnership terminated by:

Death

Divorce/Termination of partnership

If terminated by death, had the surviving stepparent remarried or entered into a registered domestic partnership as of the date of purchase

or transfer?

Yes

If in-law relationship is involved, was the son-in-law or daughter-in-law still married to or in a registered domestic partnership with the

Yes

daughter or son on the date of purchase or transfer?

If no, was the marriage or registered domestic partnership terminated by:

Death

Divorce/Termination of partnership

If terminated by death, had the surviving son-in-law or daughter-in-law remarried or entered into a registered domestic partnership as of

the date of purchase or transfer?

Yes

3. ALLOCATION OF ExCLUSION (If the full cash value of the real property transferred exceeds the one million dollar value exclusion, the

transferee must specify on an attachment to this claim the amount and allocation of the exclusion that is being sought.)

CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any

accompanying statements or documents, is true and correct to the best of my knowledge and that I am the parent or child (or transferee’s legal

representative) of the transferors listed in Section B; and that all of the transferees are eligible transferees within the meaning of section 63.1 of

the Revenue and Taxation Code.

SIGNATURE OF TRANSFEREE OR LEGAL REPRESENTATIVE

DATE

SIGNATURE OF TRANSFEREE OR LEGAL REPRESENTATIVE

DATE

MAILING ADDRESS

DAYTIME PHONE NUMBER

(

)

CITY, STATE, ZIP

EMAIL ADDRESS

Note: The Assessor may contact you for additional information