Statement Of Boundary Change
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1BOE-400-TA REV. 4 (12-16)
STATE OF CALIFORNIA
STATEMENT OF BOUNDARY CHANGE
BOARD OF EQUALIZATION
Please mail to: California 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
1. TYPE OF ACTION
City - Annexation (02)
District - Formation (09)
District - Name Change (11)
School District - Unification (18)
City - Detachment (14)
District - Annexation (01)
Reorganization (12)
School District - Thompson Unified (19)
City - Incorporation (04)
District - Detachment (07)
School District - Transfer of Territory (13)
Consolidation of TRA's (06)
District - Consolidation (05)
School District - Merger (17)
County Boundary Change (16)
District - Dissolution/Removal from Board Roll (08)
2. PRINCIPAL CITY/DISTRICT(S) AFFECTED BY ACTION [ENTER DISTRICT NAME(S)]
3. AFFECTED TERRITORY
Inhabited
Developed
Will be taxed for existing bonded indebtedness or contractual obligations as set forth by the
terms and conditions as stated in the resolution.
Uninhabited
Undeveloped
Number of Areas: _______________________
Will not be taxed for existing bonded indebtedness or contractual obligations.
4. ELECTION
An election authorizing this action was held on
(mm/dd/yyyy).
This action is exempt from election.
5. ENCLOSED ARE THE FOLLOWING ITEMS REQUIRED AT THE TIME OF FILING
Fees
Resolution of conducting authority
Written geographic description
Certificate of Completion (LAFCo. Only)
County auditor's letter of TRA assignment
Map(s) and supporting documents
(consolidated counties only)
6. CITY BOUNDARY CHANGES ONLY
Map of limiting addresses
Alphabetical list of all streets within the affected area to include beginning and ending street numbers
Estimated Population:
Total assessed value of all property in subject territory:
REQUIRED: According to section 54902 of the Government Code, copies of these documents must be filed with the county
auditor and county assessor.
The California State Board of Equalization will acknowledge receipt of filing to:
BOE USE ONLY
NAME
TITLE
CHK #:
AGENCY
AMT:
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER (include area code)
FAX NUMBER (include area code)
INT:
EMAIL ADDRESS
SIGNATURE OF AGENCY OFFICER
DATE
DIGITAL CONTENT:
THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION
CLEAR
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