Form Boe-100-B (S1) - Statement Of Change In Control And Ownership Of Legal Entities Page 8

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BOE-100-B (S3F) REV. 21 (1-12)
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
SCHEDULE B: CHANGE IN OWNERSHIP OF A LEGAL ENTITY
Cumulative Transfers of Original Co-owners' Interests
(Pursuant to section 64(d) of the California Revenue and Taxation Code (R&TC))
If you answered "yes" to both parts of question 3 on page 1 (S1), complete this schedule; however,
If you answered "yes" to both parts of questions 2 and 3 on page 1 (S1), you are required to
complete Schedule A and B.
Please answer ALL of the items below.
1. Creation of Original Co-owner Status:
Provide the date(s) and a description of the transaction(s) in which the interest(s) in California real property(ies) was transferred
into the
filing
legal entity that was previously excluded from reassessment, under R&TC section 62(a)(2), which created the
Original Co-owners' status.
DATE(S) OF TRANSFER(S)
DESCRIPTION OF TRANSFER(S)
2. Real Property Schedule:
Please list all interests in California real property that were previously excluded from reassessment pursuant to R&TC
section 62(a)(2).
a. Property Owned by Legal Entity
LOCATION
ASSESSOR'S PARCEL NO.
CO.
NAME OF OWNER
(STREET ADDRESS/CITY)
NO.
b. Property Leased by Legal Entity
TYPE OF LEASE
(CHECK ALL THAT APPLY)
LOCATION
ASSESSOR'S
CO.
NAME OF LESSEE
PUBLIC ENTITY
LEASED 35+ YEARS
(STREET ADDRESS/CITY)
PARCEL NO.
NO.
(POSSESSORY
(REMAINING TERM
INTEREST)
INCLUDING OPTIONS)
COUNTY IDENTIFICATION NUMBERS
01 Alameda
13 Imperial
25 Modoc
37 San Diego
49 Sonoma
02 Alpine
14 Inyo
26 Mono
38 San Francisco
50 Stanislaus
03 Amador
15 Kern
39 San Joaquin
51 Sutter
27 Monterey
04 Butte
16 Kings
40 San Luis Obispo
52 Tehama
28 Napa
05 Calaveras
17 Lake
41 San Mateo
53 Trinity
29 Nevada
06 Colusa
18 Lassen
42 Santa Barbara
54 Tulare
30 Orange
07 Contra Costa
19 Los Angeles
43 Santa Clara
55 Tuolumne
31 Placer
08 Del Norte
20 Madera
44 Santa Cruz
56 Ventura
32 Plumas
09 El Dorado
21 Marin
45 Shasta
57 Yolo
33 Riverside
10 Fresno
22 Mariposa
46 Sierra
58 Yuba
34 Sacramento
11 Glenn
23 Mendocino
47 Siskiyou
35 San Benito
12 Humboldt
24 Merced
48 Solano
36 San Bernardino
(Continued on reverse)

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