APPLICATION FOR DEDUCTION OF VEHICLES’ LICENSE FEES FROM PROPERTY TAX
NOTE: READ THE INSTRUCTIONS ON THE REVERSE SIDE BEFORE COMPLETING THIS FORM
FOR THE FISCAL YEAR 20______ - 20______
In accordance with the provisions of Section 994 of the Revenue and Taxation Code, the undersigned hereby applies for deduction of the amount of vehicle license fees paid on the rubber-tired
equipment from the amount of property tax levied against the equipment itemized below, and certifies that the vehicle license fees were paid prior to the January 1 lien date in which the annual
license fees apply. The undersigned applicant understands that the deduction of vehicle license fee or tax credit allowed per vehicle shall not exceed the amount of property tax levied to such
vehicle, and shall exclude any other fees paid to the Department of Motor Vehicles.
ASSESSMENT NUMBER: _______________________________ TAX RATE AREA: ___________________ SECURED
UNSECURED
APPLICANT
AUDITOR’S USE ONLY
ASSESSOR’S USE ONLY
ENTER FROM VEHICLE REGISTRATION CARD
(7)
(1)
(14)
(9)
(10)
(11)
(12)
(13)
DATE FEE
(8)
(5)
(6)
(2)
(3)
(4)
VEHICLES
TAX
TAX
REG.
WGT.
LIC.
TAX
1
2
WAS PAID
UNLADEN
TOTAL
ASSESSED VALUE
LICENSE NO.
AX.
W.C.
YEAR OF
REDUCTION
RATE
FEE
FEE
FEE
COST
DESCRIPTION
WEIGHT
FEE
MO.
DAY
YR.
ACQ.
CERTIFICATION
To the best of my knowledge
(15) GROSS TAX FROM TAX BILL
$ _________________
I certify under penalty of perjury under the laws of the State of California that the information declared on this application is true,
and belief, the vehicles identified
correct, and complete to the best of my knowledge and belief, and certify further that the fees claimed as reduction in the amount
by the applicant are assessed
of property tax apply only to vehicle equipment reported on the Business Property Statement for this location.
(16) LESS TOTAL DEDUCTION
$ _________________
as indicated above.
This declaration is binding on each and every co-owner and/or partner.
(17) NET TAX DUE
$ _________________
NAME OF APPLICANT (typed or printed)
Date ___________
PROPERTY ADDRESS (typed or printed)
I certify that the computation of the “Net Tax Due” shown
County Assessor
above is correct. John Naimo, Auditor-Controller.
MAILING ADDRESS (typed or printed)
By ____________
SIGNATURE OF APPLICANT
DATE
TELEPHONE NUMBER
(
)
Date __________________ By ____________________________
1 - Axles
COUNTY OF LOS ANGELES • JEFFREY PRANG, ASSESSOR • 500 W. TEMPLE STREET • LOS ANGELES, CA 90012-2770
2 - Weight Code
“Valuing People and Property”
PP-38 (FRONT) (10/15)