Property Tax Claim For Refund
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1
2C O U N T Y O F L O S A N G E L E S
DEPARTMENT OF AUDITOR-CONTROLLER
KENNETH HAHN HALL OF ADMINISTRATION
500 WEST TEMPLE STREET, ROOM 525
LOS ANGELES, CALIFORNIA 90012-3873
PHONE: (213) 974-8361 FAX: (213) 617-0592
JOHN NAIMO
ADDRESS ALL CORRESPONDENCE TO:
AUDITOR-CONTROLLER
PROPERTY TAX SERVICES DIVISION
500 W. TEMPLE ST., ROOM 153
LOS ANGELES, CA 90012-2713
LOS ANGELES COUNTY PROPERTY TAX CLAIM FOR REFUND
Requestor's name
Tax Agent Registration #
Step 1:
Requestor's name and
address
Present mailing address (number and street)
(If requestor is an
agent, please provide Tax
Agent Registration #)
City, town or post office, state, ZIP code
Phone (area code and number)
Owner's name
Step 2:
Describe the property
Assessor's Identification Number (Mapbook - Page - Parcel)
Unsecured Bill Number
Year
Sequence
Tax Rate Area
Situs address (number and street)
City, town or post office, state, ZIP code
If yes, what is the assessment appeal
Filing date
Did you receive a Notice of
If yes, when?
Step 3:
NOTE: If you designated your
application number?
Board Action?
Did you file an appeal
Assessment Appeal Application as a
Yes
No
with the Assessment
Claim for Refund there is no need to
Appeals Board?
file this application.
Step 4:
Reason:
Describe reason for
property tax refund
Attach additional
documents if
necessary
Step 5:
Tax amount
Penalty amount
Redemption penalty amount
Cost amount
Total refund amount
Amount of property
tax refund
Fee amount
Step 6:
I hereby certify and declare under penalty of perjury that the foregoing is true and correct that the tax amount sought to be refunded was
Sign the application
paid within four years prior to filing this demand; that the amounts herein claimed are correct and no part thereof has heretofore been
refunded to this claimant or to any other person for his benefit; and, if acting on behalf of a corporation, that I am duly authorized to act
on their behalf, and that the title shown is true and correct.
Signature
Date
sign
here
Title (If applicable)
If this claim is for a company, the person signing must state their title.
Los Angeles County Auditor-Controller
Step 7:
Property Tax Services Division
Mail application to:
Kenneth Hahn Hall of Administration
500 West Temple Street, Room 153
Los Angeles, CA 90012-3552
Contact Numbers
Customer Service: (213) 974-8368
FAX: (213) 617-0592
Toll free number if calling within Los Angeles County (888) 807-2111
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Parent category: Financial