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F-502-A-R12-051 -3001 06-3 <br />BOE-502-A (P3) REV. 12 (05-13) <br />ADDITIONAL INFORMATION <br />Please answer all questions in each section, and sign and complete the certification before filing. This form may be used in all 58 California <br />counties. If a document evidencing a change in ownership is presented to the Recorder for recordation without the concurrent filing of a <br />Preliminary Change of Ownership Report, the Recorder may charge an additional recording fee of twenty dollars ($20). <br />NOTICE: The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County <br />Assessor. Supplemental assessments are not paid by the title or escrow company at close of escrow, and are not included in lender <br />impound accounts. You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. <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 qualifyfor 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 <br />to 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 />EFiV1gg120511'LO111"6 <br />