Application For Property Tax Relief For Military Personnel

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RIVERSIDE COUNTY TREASURER-TAX COLLECTOR
Date Received: _______________
4080 LEMON STREET / P.O. BOX 12005
ATTN: MILITARY RELIEF DESK
RIVERSIDE, CA 92502
951-955-3900
APPLICATION FOR PROPERTY TAX RELIEF FOR MILITARY PERSONNEL
(Pursuant to the Soldiers' and Sailors' Relief Act of 1940)
Military personnel on active DEPLOYMENT may be eligible to have penalties and interest waived upon
payment of their taxes under the provisions of the Soldiers' and Sailors' Civil Relief Act. Instead of the
penalties, costs and fees imposed under California law, the unpaid taxes are subject only to interest at
the rate of six percent (6%) per annum (Riverside County is waiving this interest provision as well). This
application form may be completed by the military serviceperson, his/her adult dependent, or any other
individual authorized by the serviceperson to act on his/her behalf (Proper documentation [i.e. Power of
Attorney] is required by any person signing this application on behalf of the service member). Please
attach a copy of your Military Orders and / or a letter from your Commanding Officer along with
your application.
Name: __________________________________________________________________________
Address: _______________________________________________________________________
City: ____________________ County: ____________________ State: ____________ Zip: ________
Telephone: ____________________ Fax: ____________________
Branch of Military Service: ________________________________Status: _____________________
Date of Entry into Military Service: _____________________
Serial Number: _________________
Stationed at: ______________________________________________________________________
Date of Deployment: ___________________ Date of Expected Return: ______________________
PROPERTY DESCRIPTION:
Address: _______________________________________________________________________
City: ____________________ County: ____________________ State: ____________ Zip: ________
Assessor’s Parcel Number: ____________________
________ Personal Residence ________ Business / Profession
________ Agricultural
________ Other (Specify): ____________________________________________________________
Is the property occupied and owned by the applicant and / or dependents? ______ Yes ______ No
Are your taxes currently being paid from an impound account? ______ Yes ______ No
Please state the reason for your inability to pay the current taxes due: ________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I hereby declare under penalty of perjury that, to the best of my knowledge and belief, the foregoing is true
and correct. I further acknowledge that the signing and submission of this application does not constitute
approval until written confirmation from the Tax Collector’s Office is received.
_______________________________________
_______________________________________
Signature of Applicant
Date
TREASURER-TAX COLLECTOR USE ONLY
________________________________
Executed in Riverside County on:
________________________________
Treasurer-Tax Collector Deputy:
Military Relief Desk Form (Apr. 2010)

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