BOE-551 REV. 12 (12-11)
STATE OF CALIFORNIA
STATEMENT OF LAND CHANGES
BOARD OF EQUALIZATION
ASSESSEE’S NAME
LIEN DATE
COUNTY NAME
SBE NO.
Name, address, and telephone number of person to whom correspondence regarding the Statement of Land Changes should be addressed:
NAME
ADDRESS (street, city, state, zip code)
EMAIL ADDRESS
TELEPHONE NO.
(
)
This year’s Property Statement differs from last year’s with respect to the following land map and parcel(s). (Use a separate sheet for each land map, except in cases of reparcelling.)
OMITTED THIS YEAR
REPORTED FIRST TIME THIS YEAR
QUALIFIED
PROPERTY*
Sale
Lease
Reparcelling
Other (remarks)
Purchase
Lease
Reparcelling
Other (remarks)
TAX-RATE AREA
MAP
PARCEL
SIZE
TAX-RATE AREA
MAP
PARCEL
SIZE
(AC. OR SQ. FT.)
(AC. OR SQ. FT.)
*Check Box for qualified electric utility property as described in Revenue and Taxation (R&T) code section 100.95 (see publication 67GE for specific instructions), or
for railroad qualified property as described in R&T code section 100.11 (see publication 67RR for specific instructions).
Following data to be supplied for leased property being leased from another entity
Following data to be supplied for each transaction
and r eported for the first time or for lease renewal
GRANTOR, GRANTEE, LESSOR, LESSEE (circle one)
DATE OF LEASE
DATE OF TERMINATION
New
Renewal
ADDRESS (street, city, state, zip code)
RENEWAL OPTIONS
INSTRUMENT
DATE
PROPERTY TAXES TO BE PAID BY
Lessor
RECORDING REFERENCE
RECORDING DATE
IMPROVEMENTS AT TIME OF PURCHASE CONSIST OF
Lessee
PURCHASE PRICE
SALE PRICE
MONTHLY/ANNUAL RENTAL AT START OF LEASE
RENTAL INCREASE BY YEAR/TERM (including all renewals)
$
$
$
CURRENT RENTAL
EFFECTIVE DATE
COUNTY ASSESSOR’S PARCEL NO. OF SUBJECT PROPERTY
PREPARER’S NAME (please print)
$
SUBJECT PROPERTY ADDRESS (street, city, state, zip code)
PREPARER’S SIGNATURE
DATE
REMARKS
FOR OFFICIAL USE ONLY
Escape Year:
Appraiser Name:
Property State Assessed
Yes
No
Date Completed
:
CLEAR
PRINT