Form Boe-267-R (P1) - Welfare Exemption Supplemental Affidavit, Rehabilitation - Living Quarters (Yearly Filing)

Download a blank fillable Form Boe-267-R (P1) - Welfare Exemption Supplemental Affidavit, Rehabilitation - Living Quarters (Yearly Filing) in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Boe-267-R (P1) - Welfare Exemption Supplemental Affidavit, Rehabilitation - Living Quarters (Yearly Filing) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

COUNTY OF LOS ANGELES • OFFICE OF THE ASSESSOR
BOE-267-R (P1) REV. 05 (03-08) EXM-421 (REV. 8-08)
500 WEST TEMPLE STREET, ROOM 227
WELFARE EXEMPTION SUPPLEMENTAL AFFIDAVIT,
LOS ANGELES, CA 90012-2770 • Telephone 213.974.3481
REHABILITATION — LIVING QUARTERS (Yearly Filing)
Email: exempt@assessor.lacounty.gov
A separate affidavit must be filed for each location.
RICK AUERBACH
Website: assessor.lacounty.gov
ASSESSOR
Si desea ayuda en Español, llame al número 213.974.3211
NAME AND MAILING ADDRESS
(make corrections as necessary)
This affidavit is required under the provisions of sections 251 and 254.5 of the Revenue and Taxation Code for those organizations
where the use of the property involves rehabilitation of persons and/or living quarters.
The affidavit must accompany the claim for welfare exemption and be filed with the Assessor, by February 15. If you do not complete
and file this form, your exemption may be denied.
_______________________________________________________________________________________________ states:
(name of person making affidavit)
1.
He/She is
(title, such as President, etc.)
2.
of the,
(corporate or organization name)
3.
the address of which is;
(give complete address including zip code)
4.
for the property located at
(give complete address including zip code)
5.
that he or she makes this affidavit on behalf of this organization in support of a claim for exemption for the 20____ -20____
fiscal year.
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon,
including any accompanying statements or documents, is true, correct, and complete to the best of my knowledge and belief.
SIGNATURE OF PERSON MAKING AFFIDAVIT
TITLE
DATE
t
E-MAIL ADDRESS
THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Boe-267-r - Welfare Exemption Supplemental Affidavit, Rehabilitation - Living Quarters - 2011 Form Boe-267-r - Welfare Exemption Supplemental Affidavit, Rehabilitation - Living Quarters - 2011 Financial
Form Boe-267 - Claim For Welfare Exemption (first Filing) Form Boe-267 - Claim For Welfare Exemption (first Filing) Financial
Form Boe-267-h - Welfare Exemption Supplemental Affidavit Form, Housing - Elderly Or Handicapped Families Eligibility Based On Family Household Income Form Boe-267-h - Welfare Exemption Supplemental Affidavit Form, Housing - Elderly Or Handicapped Families Eligibility Based On Family Household Income Financial
Form Boe-267-h - Welfare Exemption Supplemental Affidavit, Housing - Elderly Or Handicapped Families - 2011 Form Boe-267-h - Welfare Exemption Supplemental Affidavit, Housing - Elderly Or Handicapped Families - 2011 Financial
Form Boe-267-l - Welfare Exemption Supplemental Affidavit, Housing - Lower Income Households Form Boe-267-l - Welfare Exemption Supplemental Affidavit, Housing - Lower Income Households Financial
Form Boe-267 - Instructions For Claim For Welfare Exemption (first Filing) Form Boe-267 - Instructions For Claim For Welfare Exemption (first Filing) Financial
Form Boe-261-gnt (p1) - Disabled Veterans' Exemption Change Of Eligibility Report May 2014 Form Boe-261-gnt (p1) - Disabled Veterans' Exemption Change Of Eligibility Report May 2014 Legal
Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2015 Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2015 Financial
Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2010 Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2010 Financial
Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2009 Form Boe-261-g (p1) - Claim For Disabled Veterans' Property Tax Exemption - 2009 Legal

Related Categories

Parent category: Legal
Download
Go
Page of 3