| BOE-502-A (P3) REV. 15 (02-21) 
<br />ADDITIONAL INFORMATION 
<br />Please answer all questions in each section, and sign and complete the certification before fling. This form may be used in all 58 
<br />California counties. If a document evidencing a change in ownership is presented to the Recorder for recordation without the concurrent 
<br />filing of a 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 
<br />be 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 />DISABLED VETERAN: If you checked YES, you may qualify for a property tax exemption. A claim form must be filed and all 
<br />requirements met in order to obtain the exemption. Please contact the Assessor for a claim form. 
<br />PART I: TRANSFER INFORMATION 
<br />If you check YES to any of these statements, the Assessor may ask for supporting documentation. 
<br />C, D, E, F, G: If you checked YES to any of these statements, you may qualify for a property tax reassessment exclusion, which may 
<br />allow you to maintain your property's previous tax base. A claim form must be filed and all requirements met in order to obtain 
<br />any of these exclusions. Contact the Assessor for claim forms. NOTE: If you give someone money or property during your life, you 
<br />may be subject to federal gift tax. You make a gift if you give property (including money), the use of property, or the right to receive 
<br />income from property without expecting to receive something of at least equal value in return. The transferor (donor) may be required to 
<br />file Form 709, Federal Gift Tax Return, with the Internal Revenue Service if they make gifts in excess of the annual exclusion amount. 
<br />H: 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 />I: Check YES if the change involves a lender, who holds title for security purposes on a loan, and who has no other beneficial interest in 
<br />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 
<br />the trust is held by the trustee. 
<br />J! A "cosigner" is a third party to a mortgage/loan who provides a guarantee that a loan will be repaid. The cosigner signs an 
<br />agreement with the lender stating that if the borrower fails to repay the loan, the cosigner will assume legal liability for it. 
<br />N: This is primarily for use when the transfer is into, out of, or between legal entities such as partnerships, corporations, or limited 
<br />liability companies. Check YES only if the individuals and the interest held by each remains exactly the same in each and every parcel 
<br />being transferred. 
<br />O: Check YES only if this property is subject to a government or nonprofit affordable housing program that imposes restrictions. 
<br />Property may qualify for a restricted valuation method (i.e., may result in lower taxes). 
<br />P: If you checked YES, you may qualify for a new construction property tax exclusion. A claim form must be filed and all 
<br />requirements 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., 
<br />the transfer was by an unrecorded contract, or a lease identifies a specific start date), put the date you believe is the correct transfer 
<br />date. If 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 
<br />separate sheet if necessary. 
<br />C. If this transfer was the result of an inheritance following the death of the property owner, please complete a Change in Ownership 
<br />Statement, Death of Real Property Owner, form BOE-502-D, if not already filed with the Assessor's office. 
<br />SFRM0017 (DSI Rev. 02118121) 
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