Form Boe-100-B - Statement Of Change In Control And Ownership Of Legal Entities Page 6

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BOE-100-B (S4) REV. 18 (6-08)
SCHEDULE C: TRANSFER OF ENTITY'S OWNERSHIP INTEREST
Complete this schedule if you answered YES to question 3 on page 1 (S1)
(If more than one transaction, attach an additional sheet for each.)
Please answer the following, as applicable.
1.
Was the transfer between spouses or registered domestic partners?
Yes
No
If NO, proceed to question 2. If YES, attach an
explanation.
If you answered YES to question 2 and 3 on page 1 (S1) and the transfer date for question 2 and 3 are the same, check here
. If applicable
2.
you do not need to complete the remainder of Schedule C. If not applicable, proceed to items 3, 4, and 5.
3.
List all interests in California real property that were excluded from reappraisal pursuant to section 62, subdivision (a)(2) of the California
Revenue and Taxation Code.
Date when cumulatively more than 50% of the original co-owners interested transferred:
NAME
LOCATION
ASSESSOR'S PARCEL
COUNTY
(OWNER/LESSEE)
(STREET ADDRESS/CITY)
NO.
NO.
COUNTY IDENTIFICATION NUMBERS
13 Imperial
37 San Diego
49 Sonoma
25 Modoc
14 Inyo
38 San Francisco
50 Stanislaus
26 Mono
15 Kern
39 San Joaquin
51 Sutter
27 Monterey
16 Kings
40 San Luis Obispo
52 Tehama
28 Napa
17 Lake
41 San Mateo
53 Trinity
29 Nevada
18 Lassen
42 Santa Barbara
54 Tulare
30 Orange
19 Los Angeles
43 Santa Clara
55 Tuolumne
31 Placer
20 Madera
44 Santa Cruz
56 Ventura
32 Plumas
21 Marin
45 Shasta
57 Yolo
33 Riverside
22 Mariposa
46 Sierra
58 Yuba
34 Sacramento
23 Mendocino
47 Siskiyou
35 San Benito
24 Merced
48 Solano
36 San Bernardino
4. List the original co-owners and the percentage of ownership interest held by each at the time of the transaction excluded from reassessment
under Revenue and Taxation Code section 62, subdivision (a)(2). (Attach additional sheets if necessary.)
PERCENTAGE OF
ORIGINAL CO-OWNER(S)
OWNERSHIP
INTEREST HELD
5. List the current owner(s) and the percentage of ownership interest held at the time when cumulatively more the 50% of the original co-owners
interest transferred.
PERCENTAGE OF
CURRENT OWNER(S)
OWNERSHIP
INTEREST HELD
CLEAR
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