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Application For Reassessment Property Damaged Or Destroyed By Misfortune Or Calamity ADS-820 - California

Application For Reassessment Property Damaged Or Destroyed By Misfortune Or Calamity Form. This is a California form and can be used in Assessor Office Los Angeles Local County .
 Fillable pdf Last Modified 10/26/2009
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Application for Reassessment Property Damaged or Destroyed by Misfortune or Calamity IMPORTANT Applications will not be accepted more than 12 months after the date of damage. In accordance with Section 170 of the Revenue and Taxation Code of the State of California, I hereby apply for reassessment of the following property which was damaged or destroyed through no fault of my own. The damage was at least $10,000. 1. Address of Damaged Property Number/Street/City/ZIP 2. Type of Damaged Property Real Property 3. Tax Bill Information (if available) Secured Tax Bill Unsecured Tax Bill Unsecured Tax Bill Boat or Aircraft Business Personal Property Manufactured Home Map Book _____________Page _______________Parcel _______________ Boat or Aircraft Registration No. Assessment No. Index No. Bill No. 4b. Date Repaired 4a. Date on which the Damage Occurred 5. Cause of the Damage 6. Describe the Damage (use reverse side for additional information or remarks) 7a. Amount of the Damage to Real Property 7b. Amount of the Damage to Taxable Personal Property (Do not include household furnishings or personal effects) $ $ DATE OF FILING: ASSESSOR'S USE ONLY Please attach copies of repair bills or estimates. (This does NOT extend the 12 month filing requirement.) If bills or estimates are acquired after filing this application, mail copies to the address below. We strongly recommend that you include photographs of the damaged property with this application. IMPORTANT I declare under penalty of perjury that all of the foregoing statements are, to the best of my knowledge, true and correct. If my property is reassessed, and taxes have been paid, this application shall constitute a claim for refund. Applicant Name T.R.A. Mailing Address Number/Street MAP BOOK City or Town, State and ZIP Code Email Address Telephone Number (including area code) ( ) Date Applicant Signature PAGE MAIL TO: Los Angeles County Assessor 500 West Temple Street, MCU Room 286, Los Angeles, CA 90012-2770 Rick Auerbach, Assessor · 213.974.3211 · Website: assessor.lacounty.gov "To Enrich Lives Through Effective and Caring Service" PARCEL ADS-820 (Rev. 09/09) American LegalNet, Inc. www.FormsWorkFlow.com
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