Form 571-R - Apartment House Property Statement - 2007

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APARTMENT HOUSE PROPERTY STATEMENT
571-R
2007
COUNTY OF LOS ANGELES • RICK AUERBACH, ASSESSOR
500 W. TEMPLE ST., ROOM 208, LOS ANGELES, CA 90012-2770
Telephone: 1.213.974.7831 • Email: helpdesk@assessor.lacounty.gov • Website: assessor.lacounty.gov • Si desea ayuda en Español, llame al número 1.213.974.3211
(Declaration of costs and other related property information as of 12:01 A.M., January 1, 2007)
ROUTING
SITUS
SUB
USE
ASSESSOR’S USE ONLY
FILE RETURN BY
TAX RATE
ASSESSOR’S IDENTIFICATION NUMBER
APRIL 1, 2007.
141
AREA
MAP BOOK
PAGE
PARCEL
INDEX
INDEX
TYPE
CODE
ACCT FORM
ASSESSOR’S USE ONLY
8
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED.
0
1
NAME AND MAILING ADDRESS
COMPANY NUMBER
(Make necessary corrections to the printed name and mailing address.)
LOCATION OF THE PROPERTY
(street, city)
(file a separate statement for each location)
(21
3)
(21
3)
2. Enter the total number of units for the location listed.
Local Telephone Number
Fax Number
163
E-Mail Address (optional)
Enter location of general ledger and all related accounting records (include zip code):
Yes
No
Do you live in one of the units?
Yes
No
STREET
If yes, enter the unit number
CITY
STATE
ZIP
3. During the period of January 1, 2006 through December 31, 2006:
Enter name and telephone number of authorized person to contact at location of accounting records:
(a)
Yes
No
Did you own this real property?
(21
3)
(b)
Has all or part of this real property been subject to a
Yes
No
change in ownership?
CAREFULLY READ AND FOLLOW THE ACCOMPANYING INSTRUCTIONS.
(c)
If you leased this real property, has it been the subject
1.
If you no longer own this property as of January 1 of this year, show the name and mailing
of a lease agreement for a period of 35 years or more
address of the new owner:
Yes
No
(including options)?
Name
(d)
Did you acquire “control” of a legal entity which owns
Yes
No
real property in this county?
Mailing Address
(e)
Did another person or entity acquire “control” of this
Yes
No
corporation or entity? (see instructions)
City and State
Zip code
4.
Do any other individuals, partnerships or corporations do business or own personal property (other than household furniture and personal effects of your tenants) located on your
premises?
Yes
No
If yes, list below.
NAME AND ADDRESS OF OWNER OF SUCH PROPERTY
NATURE OF THE BUSINESS OR PROPERTY
5.
Do you hold furniture or equipment belonging to others on a loan, rental or lease basis?
Yes
No
If yes, list below.
NAME AND ADDRESS OF OWNER OF SUCH PROPERTY
QUANTITY AND DESCRIPTION
ENTER BELOW the number of fully furnished, partly furnished (e.g., stoves and refrigerators, not built-in), and unfurnished units. Also complete
6.
ASSESSOR’S
Schedule A on the back. Do not include, either here or in Schedule A, any unit in which you live.
USE ONLY
SLP. ROOM
STUDIO
3 BEDRM.
1 BEDRM.
2 BEDRM.
LARGER
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.
.
FULLY FURNISHED
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PARTLY FURNISHED
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UNFURNISHED
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TOTALS
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$
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7. Supplies
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Cost
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$
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. .
8. Furniture and appliances
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Enter From Schedule A
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$
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9. Other furniture and equipment
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Enter From Schedule B
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10.
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DECLARATION BY ASSESSEE
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TOTAL FULL VALUE
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Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
PERSONAL PROPERTY
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FIXTURES
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I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying schedules,
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statements or other attachments, and to the best of my knowledge and belief it is true, correct, and complete and includes all property required to be reported
OTHER IMPROVEMENTS
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which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2007.
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LAND
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
DEPUTY:
DATE
DATE
OWNERSHIP
TYPE ( )
Proprietorship
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
TITLE
ASSESSOR’S ESTIMATE
APPROVED BY:
DATE
Partnership
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
FEDERAL EMPLOYER ID NUMBER
Corporation
BATCH NUMBER
TXN
PREPARER’S NAME AND ADDRESS (typed or printed)
TELEPHONE NUMBER
TITLE
Other _______
(21
3)
*Agent: See S2 for Declaration by Assessee instructions.
2007
THIS STATEMENT SUBJECT TO AUDIT
BOE-571-R (S1F) (S1B) REV. 9 (8-06) ASSR-524 (Rev. 08/06)
571RFF

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