Form Boe-551-Pi - Possessory Interest Lease Report
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1BOE-551-PI (12-11)
STATE OF CALIFORNIA
POSSESSORY INTEREST LEASE REPORT
BOARD OF EQUALIZATION
Use one form per tenant (State Assessee). Please provide a copy of any new lease agreement/amendment.
A. AGENCY INFORMATION
REPORTABLE INTEREST
yes
No
REPORTINg AgENCy
CONTACT NAmE
ADDRESS (street, city, state, zip code)
TELEPhONE NUmBER
FAx NUmBER
EmAIL ADDRESS
DATE
B. POSSESSORY INTEREST PROPERTY INFORMATION
PROPERTy ADDRESS (street, city, state, zip code)
COUNTy
BASE RENT (enter dollar amount and check one)
$
monthly
Semiannually
Annually
RENT INCREASES
DATE
AmOUNT
yes
No
$
ANNUAL OPERATINg ExPENSES TO LANDLORD (enter amounts below)
mANAgEmENT
INSURANCE
mAINTENANCE
$
$
$
UTILITIES
OThER
$
$
ARE ThE ImPROvEmENTS OwNED By ThE TENANT?
yes
No
ImPROvEmENT DESCRIPTION
ImPROvEmENT COST
PAID By
$
Landlord
Tenant
ImPROvEmENTS TO REvERT BACk TO ThE LANDLORD AT ThE END OF ThE LEASE
yes
No
COmmENTS
Please return the completed form to:
If you have any questions please contact the
State-Assessed Properties Division at:
State Board of Equalization
State-Assessed Properties Division
Telephone (916) 274-3270
PO Box 942879
Fax: (916) 274-0132
Sacramento, CA 94279-0061
CLEAR
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Parent category: Financial