Form B0e-502-A - Preliminary Change Of Ownership

B0E-502-A (FRONT) REV. 10 (8-07)

FOR RECORDER'S USE ONLY

WEBSTER J. GUILLORY

ORANGE COUNTY ASSESSOR

(714) 834-5031

PRELIMINARY CHANGE OF OWNERSHIP REPORT

To be completed by transferee [buyer] prior to transfer of subject property in accordance with section

[

480.3 of the Revenue and Taxation Code.] A Preliminary Change of Ownership Report must be

ﬁ led with each conveyance in the County Recorder’s ofﬁ ce for the county where the property

is located; this particular form may be used in all 58 counties of California.

THIS REPORT IS NOT A PUBLIC DOCUMENT

SELLER/TRANSFEROR:

BUYER/TRANSFEREE:

ASSESSOR'S PARCEL NUMBER(S):

PROPERTY ADDRESS OR LOCATION:

MAIL TAX INFORMATION TO:

Name

Address

NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following ﬁ scal year, July 1 through June

30. One-half of these taxes is due November 1, and one-half is due February 1. The ﬁ rst installment becomes delinquent on December 10, and the second

installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. You may be responsible for the current

or upcoming property taxes even if you do not receive the tax bill.

The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Orange County Assessor. For

further information on your supplemental roll obligation, please call the Orange County Assessor at (714) 834-2727.

PART I: TRANSFER INFORMATION (please answer all questions)

YES

Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)?

Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name

change upon marriage)? Please explain

___________________________________________________________________

Is this document recorded to create, terminate, or reconvey a lender's interest in the property?

Is this transaction recorded only as a requirement for ﬁ nancing purposes or to create, terminate, or reconvey a security

interest (e.g., cosigner)? Please explain_

__________________________________________________________________

Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document?

Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants?

Does this transfer return property to the person who created the joint tenancy (original transferor)?

Is this a transfer of property

1. to a revocable trust that may be revoked by the transferor and is for the beneﬁ t of the

transferor

transferor’s spouse?

2. to a trust that may be revoked by the Creator/Grantor who is also a joint tenant, and which names the other joint tenant(s

)

as beneﬁ ciaries when the Creator/Grantor dies?

3. to an irrevocable trust for the beneﬁ t of the

Creator/Grantor and/or

Grantor’s spouse?

4. to an irrevocable trust from which the property reverts to the Creator/Grantor within 12 years?

I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options?

J. Is this a transfer between

parent(s) and child(ren)?

or from grandparent(s) to grandchild(ren)?

K. Is this transaction to replace a principal residence by a person 55 years of age or older?

Within the same county?

Yes

Is this transaction to replace a principal residence by a person who is severely disabled as deﬁ ned by Revenue and

* L.

Taxation Code section 69.5? Within the same county?

Yes

M. Is this transfer solely between domestic partners currently registered with the California Secretary of State?

*If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you do

not ﬁ le a claim, your property will be reassessed.

Please provide any other information that will help the Assessor to understand the nature of the transfer.

If the conveying document constitutes an exclusion from a change in ownership as deﬁ ned in section 62 of the Revenue and Taxation Code for any

reason other than those listed above, set forth the speciﬁ c exclusions claimed:

____________________________________________________________.

Please answer all questions in each section. If a question does not apply, indicate with “N/A.” Sign and date at bottom of second page

PART II: OTHER TRANSFER INFORMATION

Date of transfer if other than recording date _______________________________

Type of transfer (please check appropriate box) :

Purchase

Foreclosure

Gift