Property Tax Postponement Claim - California State Controller - 2001

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2001
PROPERTY TAX POSTPONEMENT CLAIM
A
01-02
1. SOCIAL SECURITY NUMBER
2. FIRST NAME
INITIAL
LAST NAME
This Space for
Controller’s Use
Only
3. YOUR DATE OF BIRTH
APN
19_ _
day
year
PLEASE PLACE PREADDRESSED LABEL HERE, IF AVAILABLE
month
4. IN CARE OF NAME (IF APPLICABLE)
County Code
5. MAILING ADDRRESS
(NUMBER AND STREET)
6. (CITY)
(COUNTY)
(STATE)
(ZIP CODE)
Letter Code
7. SPOUSE’S SOCIAL SECURITY NUMBER
SPOUSE’S AGE
SPOUSE’S NAME
Percent No.
8. ADDRESS OF RESIDENTIAL DWELLING
(NUMBER AND STREET)
9. (CITY)
(COUNTY)
(STATE)
(ZIP CODE)
Timely Code
FILING REQUIREMENTS:
Multi Pcl.
10. If you will be 62 or older on December 31, 2001 check this box.
62 or older
Income
11. If you will be under 62 on December 31, 2001 and are BLIND
Blind
OR DISABLED, check the appropriate box.
Proof of disability is required each year.
Disabled
12. As of Dec. 31, 2000, have you and all other recorded owners, except spouse and direct-
line relatives, owned and occupied as your principal place of residence
the property for which taxes are to be postponed?
YES
NO TRANSFER
13. Enter the date you purchased your home:
____________
First-time filers, if you purchased your home after December 31, 2000,
STOP. You do not qualify to postpone your property taxes this year.
14. Enter, to the best of your knowledge, the total amount of liens, deeds of trust, mortgages or
other encumbrances recorded against your home.
$_____________
15. Is your property held in a trust?
NO
YES
16. List name(s) and relationship(s) of all owners of your property. Anyone listed below who
IS NOT a spouse or direct-line relative must also submit proof of eligibility.
NAME
RELATIONSHIP
SOCIAL SECURITY NUMBER
AGE

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