Form 571-R - Apartment House Property Statement - 2006

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APARTMENT HOUSE PROPERTY STATEMENT
COUNTY OF LOS ANGELES • RICK AUERBACH, ASSESSOR
500 W. TEMPLE ST., ROOM 208, LOS ANGELES, CA 90012-2770
571-R
2006
Telephone: 213.974.7831 • Email: assessor@co.la.ca.us • Website: lacountyassessor .com • Si desea ayuda en Español, llame al número 213.974.321 1
(Declaration of costs and other related property information as of 12:01 A.M., January 1, 2006)
ASSESSOR’S USE ONL Y
ROUTING
SITUS
SUB
USE
TAX RATE
ASSESSOR’S IDENTIFICA TION NUMBER
FILE RETURN BY
APRIL 1, 2006.
141
INDEX
INDEX
TYPE
CODE
ACCT FORM
AREA
MAP BOOK
PAGE
PARCEL
8
ASSESSOR’S USE ONLY
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)
Local Telephone Number
Fax Number
2. Enter the total number of units for the location listed.
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, 2005 through December 31, 2005:
Enter name and telephone number of authorized person to contact at location of accounting records:
(a)
Did you own this real property?
Yes
No
(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 of
1.
If you no longer own this property as of January 1 of this year , show the name and mailing
a lease agreement for a period of 35 years or more
address of the new owner:
(including options)?
Yes
No
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
corporation or entity? (see instructions)
Yes
No
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 ef fects 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
6.
ENTER BELOW the number of fully furnished, partly furnished (e.g., stoves and refrigerators, not built-in), and unfurnished units. Also complete
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
. .
.
.
. .
. .
. .
FULLY FURNISHED
. .
. .
.
.
.
. .
. .
.
PARTLY FURNISHED
. .
. .
.
.
. .
. .
. .
. .
UNFURNISHED
.
.
.
.
. .
. .
. .
. .
TOTALS
.
.
.
.
. .
. .
. .
. .
7. Supplies
Cost
$
.
. .
. .
.
. .
. .
8. Furniture and appliances
.
.
Enter From Schedule A
$
.
. .
. .
.
. .
. .
9. Other furniture and equipment
.
.
Enter From Schedule B
$
.
. .
. .
.
. .
. .
10.
.
.
.
. .
. .
.
. .
. .
DECLARATION BY ASSESSEE
TOTAL FULL VALUE
.
.
. .
. .
. .
. .
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
PERSONAL PROPERTY
.
.
.
.
. .
. .
. .
. .
FIXTURES
.
.
.
.
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying schedules,
. .
. .
. .
. .
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
.
.
.
.
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, 2006.
. .
. .
. .
. .
LAND
.
.
.
.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
DATE
DEPUTY:
DA TE
OWNERSHIP
TYPE (
)
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
TITLE
ASSESSOR’S ESTIMA TE
Proprietorship
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 back for Declaration by Assessee instructions.
2006
THIS STATEMENT SUBJECT TO AUDIT
BOE-571-R (S1F) (S1B) REV . 8 (8-05) ASSR-524 (Rev. 08/05)
571RFF

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