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Homeowners Exemption Termination Notice ACR 217 - California
| Homeowners Exemption Termination Notice Form. This is a California form and can be used in Assessor Assessor County Clerk Recorder Riverside Local County . |
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ASSESSOR-COUNTY CLERK-RECORDER LARRY W. WARD COUNTY OF RIVERSIDE COUNTY ADMINISTRATIVE CENTER 4080 Lemon Street, 1st Floor P.O. Box 12004 Riverside, CA 92502-2204 (951) 955-6200 HOMEOWNERS' EXEMPTION TERMINATION NOTICE ATTENTION: Owner name: Street address: City/State/Zip: Parcel number: Please indicate your new mailing address: Riverside County Assessor Please be advised that the undersigned has vacated the property mentioned above and, accordingly, is no longer entitled to the Homeowners' Exemption with respect to that property as of / / . Month Day Year If the spouse or co-owner occupied the property and is no longer residing there please enter his/her social security number(s) below. Owner Social Security Number Owner Signature Spouse/Co-Owner Social Security Number Spouse/Co-Owner Signature Date Date ACR 217P-AS4PS0 (Rev. 09/2006) Available in Alternate Formats American LegalNet, Inc. www.FormsWorkflow.com
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