Claim For Homeowners' Property Tax Exemption (Card) Form printable pdf download

Claim For Homeowners' Property Tax Exemption (Card) Form

BOE-266-CD (FRONT) REV. 9 (8-06)

ADDRESS OF DWELLING

PARCEL NUMBER

FOR ASSESSOR’S USE ONLY

Received

Approved

Denied, Reason

SEE INSTRUCTIONS BEFORE COMPLETING

If eligible, sign and file this card with the Assessor on or before

February 15, or on or before the 30th day following the Date of

CLAIM FOR HOMEOWNERS’ PROPERTY TAX EXEMPTION (CARD)

Notice of Supplemental Assessment, whichever comes first.

Print your social security number and name here:

NAME AND MAILING ADDRESS

–

SSN:

NAME:

(This area is located in a position for use in a window envelope. Telephone

Print co-owner’s or spouse’s social security number

number must not show through window envelope.)

and name when this property is also his/her principal

residence:

SSN:

–

Telephone No. (8 a.m. - 5 p.m.): ___________________________________

NAME:

(This exemption claim is not subject to public inspection.)

BOE-266-CD REV. 9 (8-06)

complete both sides

STATEMENTS — This claim may be used to file for the Homeowners’ Exemption for the Assessment Roll and the Supplemental Assessment

Roll. A new owner must file a claim even if the property is already receiving the homeowners' exemption. Please carefully read the information

and instructions before answering the questions listed below.

1. When did you acquire this property? ____________________________________________ .

(month/day/year)

2. Date you occupied this property as your principal residence: ________________________________________________________ .

(month/day/year)

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, correct, and complete to the best of my knowledge and belief.

SIGNATURE OF OWNER -OCCUPANT

DATE

SIGNATURE OF OCCUPANT’S SPOUSE, OR CO-OWNER-OCCUPANT

DATE

Only owners or their spouses who occupy the above-described property (including a purchaser under contract of sale) or his or her legal representative

may sign this claim. (If the property comprises more than one dwelling unit, other co-owner occupants may wish to file separate claims; however, only

one exemption will be allowed per dwelling unit.)

If you are buying this property under an unrecorded contract of sale and the Assessor does not have a copy of the contract, you must attach a

copy to this claim.

IF YOU DO NOT OCCUPY THIS PARCEL AS YOUR PRINCIPAL RESIDENCE, PLEASE DISCARD THIS CARD.

IF YOU OCCUPY THIS PARCEL AT A LATER DATE, CONTACT THE ASSESSOR AT THAT TIME.

BOE-266-CD REV. 9 (8-06)

BOE-266-CD

Claim For Homeowners' Property Tax Exemption (Card) Form

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