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Application For Changed Assessment BOE-305-AH - California
| Application For Changed Assessment Form. This is a California form and can be used in County Assessor Local County . |
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MAIL COMPLETED FORM TO: COUNTY OF ________________________ BOE-305-AH (S1) REV.9 (4/1/09) APPLICATION FOR CHANGED ASSESSMENT: This form contains all the _________________________________, CA ____________ (___) ___-____ DO NOT WRITE IN THIS SPACE - FOR OFFICE USE ONLY requests for information that are required for filing an application for Changed Assessment. Failure to complete this application may result in rejection of the APPLICATION # application and/or denial of the appeal. Applicants should be prepared to YEAR/ROLL NSA DATE DIV/OFFICE USE CODE submit additional information if requested by the Assessor or at the time of the hearing. Failure to provide information the Appeals Board considers necessary INITIALS OF CLERK DATE RECEIVED TIMELY? YES NO may result in the continuance of the hearing. PLEASE TYPE OR PRINT IN DARK INK. SEE INSTRUCTIONS FOR FURTHER INFORMATION. 1. APPLICANT'S NAME (last, first, middle initial) STREET ADDRESS/P.O. BOX NUMBER (MUST be applicant's mailing address) 3. PROPERTY IDENTIFICATION INFORMATION Please complete ASSESSMENT, SUPPLEMENTAL, ESCAPE OR CORRECTED NUMBERS (circle one) _____ _____ _____ - _____ _____ _____ - _____ _____ _____ - ______ CITY DAYTIME PHONE STATE ALTERNATE PHONE ZIP CODE PARCEL NUMBER (If different from above) FAX NUMBER _____ _____ _____ - _____ _____ _____ - _____ _____ _____ - ______ PROPERTY ADDRESS AND/OR LOCATION: ( ) ( ) ( ) E-MAIL ADDRESS 2. AGENT OR ATTORNEY FOR APPLICANT STREET ADDRESS/P.O. BOX NUMBER CITY DAYTIME PHONE STATE ALTERNATE PHONE ZIP CODE FAX NUMBER PROPERTY TYPE: Single-Family Residence/Condo/Townhouse Apartments (Number of Units ___________ ) Commercial/Industrial Vacant Land Agricultural Other ___________________________________ Business Personal Property/Fixtures Is this property an owner-occupied single-family dwelling? Yes No 4. VALUE A. VALUE B. APPLICANT'S ON ROLL OPINION OF VALUE ( ) ( ) ( ) LAND IMPROVEMENT / STRUCTURES E-MAIL ADDRESS AGENT'S AUTHORIZATION If the applicant is a corporation, the agent's authorization must be signed by an officer or authorized employee of the business entity. If the agent is not an attorney licensed in California or a spouse, child, or parent of the person affected, the following must be completed (or attached to this applicationsee instructions). PRINT NAME OF AGENT AND AGENCY FIXTURES BUS. / PERSONAL PROPERTY TREES & VINES MINERAL RIGHTS PENALTY (571L FILING ONLY) NET TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ is hereby authorized to act as my agent in this application and may inspect assessor's records, enter into stipulations, and otherwise settle issues relating to this application. SIGNATURE OF APPLICANT/OFFICER/AUTHORIZED EMPLOYEE TITLE DATE 5. TYPE OF ASSESSMENT BEING APPEALED (check ONLY one) IMPORTANT -- SEE INSTRUCTIONS FOR FILING PERIODS Regular Assessment -- Value as of January 1 of the current year Supplemental Assessment TAX YEAR Attach 1 copy of Supplemental Notice or Tax Bill Date of mailing of Supplemental Notice _________________ Roll Change Escape Assessment Calamity Reassessment TAX YEAR Attach 1 copy of Notice of Enrollment of Escape Assessment, Roll Correction or Tax Bill Date of mailing of notice or tax bill _________________ PLEASE SEE INSTRUCTIONS BEFORE COMPLETING THIS SECTION. 6. THE FACTS THAT I RELY UPON TO SUPPORT REQUESTED CHANGES IN VALUE ARE AS FOLLOWS: You may check all that apply. A. Decline in Value: The assessor's roll value exceeds the market value as of January 1 of the current year. B. Change in Ownership: 1. No change in ownership or other reassessable event occurred on the date of ____________________________________________________. 2. Base year value for the change in ownership established on the date of ___________________________________________ is incorrect. C. New Construction: 1. No new construction or other reassessable event occurred on the date of ____________________________________________________. 2. Base year value for the new construction established on the date of ______________________________________________ is incorrect. D. Calamity Reassessment: Assessor's reduced value is incorrect for property damaged by misfortune or calamity. E. Personal Property/Fixtures: Assessor's value of personal property and/or fixtures exceeds market value. 1. All personal property/fixtures. 2. Only a portion of the personal property/fixtures. Attach description of those items. F. Penalty Assessment: Penalty (451L) assessment is not justified. G. Classification: Assessor's classification and/or allocation of value of property is incorrect. H. Appeal after an Audit: MUST include description of each property, issues being appealed, and your opinion of value. Please refer to instructions. 1. Amount of escape assessment is incorrect. 2. Assessment of other property of the assessee at the location is incorrect. I. Other: Attach explanation. 7. WRITTEN FINDINGS OF FACT ($256.00 per PARCEL) (DO NOT send payment with application). 8. Do you want to designate this application as a claim for refund? Please refer to instructions first 9. HEARING OFFICER: I request that my application be heard before a Hearing Officer (residential appeals only). CERTIFICATION Are requested Yes YES Are not requested . No NO (Refer to Instructions) I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any accompanying statements or documents, is true, correct, and complete to the best of my knowledge and belief and that I am (1) the owner of the property or the person affected (i.e., a person having a direct economic interest in the payment of the taxes on that property--"The Applicant"), (2) an agent authorized by the applicant under Item 2 of this application, or (3) an attorney licensed to practice law in the State of California, State Bar No. __________________, who has been retained by the applicant and has been authorized by that person to file this application. SIGNATURE SIGNED AT: CITY STATE DATE NAME AND TITLE (please type or print) Owner Agent Attorney Spouse Registered Domestic Partner Child Parent Person Affected American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION AND INSTRUCTIONS FOR APPLICATION FOR CHANGED ASSESSMENT The State Board of Equalization has prepared a pamphlet to assist you in completing this application. You may download a copy of Publication 30, Residential Property Assessment Appeals, at www.boe.ca.gov or contact the clerk of your
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