Fillable Form Boe-571-L - Business Property Statement (Page 4 of 7) in pdf

BOE-571-L (S3F) REV. 10 (8-05)

OFFICIAL REQUEST

DO NOT RETURN THESE INSTRUCTIONS

California law prescribes a yearly ad valorem tax based on property as it exists at 12:01 a.m. on January 1 (tax lien date). This

form constitutes an official request that you declare all assessable business property situated in this county which you owned,

claimed, possessed, controlled, or managed on the tax lien date, and that you sign (under penalty of perjury) and return the

statement to the Assessor’s Office by the date cited on the face of the form as required by law. Failure to file the statement

during the time provided in section 441 of the Revenue and Taxation Code will compel the Assessor to estimate the value of

your property from other information in the Assessor’s possession and add a penalty of 10 percent of the assessed value as

required by section 463 of the Code.

If you own taxable personal property in any other county whose aggregate cost is $100,000 or more for any assessment year,

you must file a property statement with the Assessor of that county whether or not you are requested to do so. Any person not

otherwise required to file a statement shall do so upon request of the Assessor regardless of aggregate cost of property. The

Assessor of the county will supply you with a form upon request.

Except for the “DECLARATION BY ASSESSEE” section, you may furnish attachments in lieu of entering the information on

this property statement. However, such attachments must contain all the information requested by the statement and these

instructions. The attachments must be in a format acceptable to the Assessor, and the property statement must contain

appropriate references to the attachments and must be properly signed. In all instances, you must return the original

form BOE-571-L.

THIS

THIS STATEMENT IS NOT

IF ANY SITUATION EXISTS WHICH

STATEMENT

A PUBLIC DOCUMENT. THE

NECESSITATES A DEVIATION FROM

IS SUBJECT

INFORMATION DECLARED WILL

TOTAL COST PER BOOKS AND RECORDS

TO AUDIT.

BE HELD SECRET BY THE ASSESSOR.

FULLY EXPLAIN ALL ADJUSTMENTS.

INSTRUCTIONS

(complete the statement as follows)

NAME. If the information has been preprinted by the Assessor, make necessary corrections. INDIVIDUALS, enter the last

name first, then the first name and middle initial. PARTNERSHIPS must enter at least two names, showing last name, first

name and middle initial for each partner. CORPORATIONS report the full corporate name. If the business operates under a

DBA (Doing Business As) or FICTITIOUS NAME, enter the DBA (Fictitious) name under which you are operating in this county

below the name of the sole owner, partnership, or corporation.

LOCATION OF THE PROPERTY. Enter the complete street address. Forms for additional business or warehouse locations

will be furnished upon request. A listing may be attached to a single property statement for your vending equipment leased or

rented to others, when any such properties are situated at many locations within this county.

Part I: GENERAL INFORMATION

[complete items (a) through (g)]

OWNERSHIP OF LAND — (c). Check either the YES or the NO box to indicate whether you own the land at the LOCATION

OF THE PROPERTY shown on this statement. If YES is checked, verify the official RECORDED NAME on your DEED. If it

agrees with the name shown on this statement, check the second YES box. If it does not agree, check the second NO box.

LOCATION OF RECORDS — (e and f). Enter the address or addresses at which your general ledger and all related

accounting records are maintained and available for audit. If you enter your tax agent or representative’s address, indicate

whether all or only part of the records are at that address, and the location of the remainder, if applicable.

PROPERTY TRANSFER — (g). A property transfer includes all transfers of property through grant, gift, devise, inheritance,

trust, contract of sale, addition or deletion of an owner, or any other means. A property transfer also includes the creation,

sublease, or assignment of a leasehold interest in real property for a term of 35 years or more including options. A transfer

also occurs when more than 50 percent of a corporation’s voting stock, or more than 50 percent of the ownership interest of a

partnership or other legal entity, is acquired, in a single transaction or cumulatively, by another person or legal entity. Not all

property transfers are considered changes in ownership requiring reappraisal. The information is solicited herein for discovery

purposes only.

Form Boe-571-L - Business Property Statement Page 4

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