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BOE- 502 -AH (P3) REV. 15 (05 -13) <br />IMPORTANT NOTICE <br />The law requires any transferee acquiring an interest in real property or manufactured home subject to local property taxation, and that is assessed by <br />the county assessor, to file a change in ownership statement with the county recorder or assessor. The change in ownership statement must be filed at <br />the time of recording or, if the transfer is not recorded, within 90 days of the date of the change in ownership, except that where the change in ownership <br />has occurred by reason of death the statement shall be filed within 150 days after the date of death or, if the estate is probated, shall be filed at the time <br />the inventory and appraisal is filed. The failure to file a change in ownership statement within 90 days from the date a written request is mailed by the <br />assessor results in a penalty of either: (1) one hundred dollars ($100), or (2) 10 percent of the taxes applicable to the new base year value reflecting the <br />change in ownership of the real property or manufactured home, whichever is greater, but not to exceed five thousand dollars ($5,000) if the property is <br />eligible for the homeowners' exemption or twenty thousand dollars ($20,000) if the property is not eligible for the homeowners' exemption if that failure <br />to file was not willful. The assessor is required to mail the request to file a change in ownership statement to the transferee at the address specified for <br />mailing tax information on either the recorded instrument, the document evidencing a transfer of an interest in real property or manufactured home, or <br />on the filed preliminary change in ownership report, or, if an address is not specified for mailing tax information, to any address reasonably known to the <br />assessor. This penalty will be added to the assessment roll and shall be collected like any other delinquent property taxes, and be subject to the same <br />penalties for nonpayment. <br />ADDITIONAL INFORMATION <br />NAME AND MAILING ADDRESS OF BUYER: Please make necessary corrections to the printed name and mailing address. Enter <br />Assessor's Parcel Number, name of seller, buyer's daytime telephone number, buyer's email address, and street address or physical <br />location of the real property. <br />NOTE: Your telephone number and/or email address is very important. If there is a question or a problem, the Assessor needs <br />to be able to contact you. <br />MAIL PROPERTY TAX INFORMATION TO: Enter the name, address, city, state, and zip code where property tax information should be <br />mailed. This must be a valid mailing address. <br />PRINCIPAL RESIDENCE: To help you determine your principal residence, consider (1) where you are registered to vote, (2) the home <br />address on your automobile registration, and (3) where you normally return after work. If after considering these criteria you are still <br />uncertain, choose the place at which you have spent the major portion of your time this year. Check YES if the property is intended as <br />your principal residence, and indicate the date of occupancy or intended occupancy. <br />PART 1: TRANSFER INFORMATION <br />If you check YES to any of these statements, the Assessor may ask for supporting documentation <br />C,D,E, F: If you checked YES to any of these statements, you may qualify for a property tax reassessment exclusion, which may allow you <br />to maintain your property's previous tax base. A claim form must be filed and all requirements met in order to obtain any of these <br />exclusions. Contact the Assessor for claim forms. NOTE: If you give someone money or property during your life, you may be subject to <br />federal gift tax. You make a gift if you give property (including money), the use of property, or the right to receive income from property, <br />without expecting to receive something of at least equal value in return. The transferor (donor) may be required to file Form 709, Federal <br />Gift Tax Return, with the Internal Revenue Service if they make gifts in excess of the annual exclusion amount. <br />G: Check YES if the reason for recording is to correct a name already on title [e.g., Mary Jones, who acquired title as Mary J. Smith, is <br />granting to Mary Jones]. This is not for use when a name is being removed from title. <br />H: Check YES if the change involves a lender, who holds title for security purposes on a loan, and who has no other beneficial interest <br />in the property. <br />"Beneficial interest" is the right to enjoy all the benefits of property ownership. Those benefits include the right to use, sell, <br />mortgage, or lease the property to another. A beneficial interest can be held by the beneficiary of a trust, while legal control of the <br />trust is held by the trustee. <br />I: A "cosigner" is a third party to a mortgage /loan who provides a guarantee that a loan will be repaid. The cosigner signs an agreement <br />with the lender stating that if the borrower fails to repay the loan, the cosigner will assume legal liability for it. <br />M: This is primarily for use when the transfer is into, out of, or between legal entities such as partnerships, corporations, or limited liability <br />companies. Check YES only if the interest held in each and every parcel being transferred remains exactly the same. <br />N: Check YES only if property is subject to subsidized low- income housing requirements with governmentally imposed restrictions. <br />property may qualify for a restricted valuation method (i.e., may result in lower taxes). <br />O: If you checked YES, you may qualify for a new construction property tax exclusion. A claim form must be filed and all requirements <br />met in order to obtain the exclusion. Contact the Assessor for a claim form. <br />PART 2: OTHER TRANSFER INFORMATION <br />A: The date of recording is rebuttably presumed to be the date of transfer. If you believe the date of transfer was a different date (e.g., the <br />transfer was by an unrecorded contract, or a lease identifies a specific start date), put the date you believe is the correct transfer date. If <br />it is not the date of recording, the Assessor may ask you for supporting documentation. <br />B: Check the box that corresponds to the type of transfer. If OTHER is checked, please provide a detailed description. Attach a separate <br />sheet if necessary. <br />Ann? ocn tom in 10i1 AN nnnnaa <br />