Form Boe-400-Ta - Statement Of Boundary Change
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1BOE-400-TA (P1) REV. 02 (10-09)
STATE OF CALIFORNIA
STATEMENT OF BOUNDARY CHANGE
BOARD OF EQUALIZATION
Please mail to: State Board of Equalization, Tax Area Services Section,
450 N Street, MIC:59, P.O. Box 942879, Sacramento, CA 94279-0059.
BOE File No.:
_________________________
COUNTY
COUNTY NUMBER
ACREAGE
FEE
Res./Ord. NUMBER
CONDUCTING AUTHORITY
LAFCo. RES.
SHORT FORM DESIGNATION
EFFECTIVE DATE
SECTION 1: TYPE OF ACTION (CHECK ONE ONLY)
City - Annexation (02)
District - Formation (09)
District - Name Change (11)
School District - Transfer of Territory (13)
City - Detachment (14)
Redevelopment - New Project (15)
District - Annexation (01)
City - Incorporation (04)
Redevelopment - Amendment to Project (10)
District - Detachment (07)
Consolidation of TRA’s (06)
School District - Merger (17)
School District - Unification (18)
District - Consolidation (05)
County Boundary Change (16)
District - Dissolution/Removal from Board Roll (08)
School District - Thompson Unified (19)
SECTION 2: PRINCIPAL CITY/DISTRICT(S) AFFECTED BY ACTION [ENTER DISTRICT NAME(S)]
SECTION 3: AFFECTED TERRITORY
Will be taxed for existing bonded indebtedness or contractual obligations as set forth by
Inhabited
Developed
the terms and conditions as stated in the resolution.
Uninhabited
Undeveloped
Will not be taxed for existing bonded indebtedness or contractual obligations.
Number of Areas: ___________
SECTION 4: ELECTION
An election authorizing this action was held on ____________________ (mm/dd/yyyy)
date
This action is exempt from election.
SECTION 5: ENCLOSED ARE THE FOLLOWING ITEMS REQUIRED AT THE TIME OF FILING
Fees
Certificate of Completion (LAFCo. only)
County auditor’s letter of TRA
assignment (consolidated counties
Legal description
Map(s) and supporting documents
only)
Resolution of conducting authority
Assessor parcel number(s) of affected territory
SECTION 6: CITY BOUNDARY CHANGES ONLY
Map of limiting addresses (2 copies)
Alphabetical list of all streets within the affected area to include beginning and ending
street numbers
Vicinity maps (2 copies)
Total assessed value of all property in subject territory: _____________________
Estimated Population: ___________________
REQUIRED: According to section 54902 of the Government Code, copies of these documents must be filed with the
county auditor and county assessor.
BOE USE ONLY
Board of Equalization will acknowledge receipt of filing to:
NAME
chk #:
TITLE
AGENCY
STREET
amt:
CITY
ZIP CODE
TELEPHONE NUMBER (include area code)
FAX NUMBER (include area code)
ltr #:
E-MAIL ADDRESS
SIGNATURE OF AGENCY OFFICER
DATE
t
THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION
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