Own-48 - Los Angeles County Assessor Property Owner'S Declaration Page 2

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N.
Other Situation (please specify)
I.
Transfer Between Co-Owners
J.
Parent-Child Transfer (Prop.58)
K.
Grandparent - Grandchild (Prop. 193)
L.
Senior Citizen Transfer (Prop. 60)
Claimant 55 years or older
M.
Eminent Domain/Condemnation (Prop. 3)
Displacement by government agencies
3. REMARKS - State the problem and your intentions upon entering into this transaction. Outline the sequence of events
which led to the current situation and provide the names of all persons involved. Attach additional pages if needed.
The Assessor can audit this statement for completeness and accuracy and will contact you as required. False statements willfully
made will subject declarant to Civil and/or Penal penalties. Fraudulent underassessments or escapes shall, when discovered, be
corrected and added to the current and all five (5) preceding assessment rolls as required. (Revenue and Taxation Code Sections
441, 461, 503, 531, 532,) Penal Code Sections 118, 126).
4. DECLARATION:
I declare under penalty of perjury under the laws of the state of California that the foregoing and any accompanying
or attached statements, records and/or schedules are true and correct.
SIGNATURE OF OWNER OR AGENT
DATE
TITLE (If agent)
STREET ADDRESS OF OWNER OR AGENT*
CITY
STATE
ZIP CODE
PHONE (8 a.m.-5 p.m.)
*If agent, is Tax Agent Authorization form filled?
Yes
No
OWN-48 (BACK) (REV. 1/15)

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