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. 3. PROPERTY IDENTIFICATION INFORMATION – Please complete 1. APPLICANT’S NAME (last, first, middle initial) ASSESSMENT, SUPPLEMENTAL, ESCAPE OR CORRECTED NUMBERS (circle one) STREET ADDRESS/P.O. BOX NUMBER (MUST be applicant’s mailing address) _____ _____ _____ - _____ _____ _____ - _____ _____ _____ - ______ CITY STATE ZIP CODE PARCEL NUMBER (If different from above) DAYTIME PHONE ALTERNATE PHONE FAX NUMBER ( ( ( ) ) _____ _____ _____ - _____ _____ _____ - _____ _____ _____ - ______ ) PROPERTY ADDRESS AND/OR LOCATION: E-MAIL ADDRESS 2. AGENT OR ATTORNEY FOR APPLICANT 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 STREET ADDRESS/P.O. BOX NUMBER CITY STATE ZIP CODE DAYTIME PHONE ALTERNATE PHONE FAX NUMBER ( ( ( ) ) ) ON ROLL E-MAIL ADDRESS LAND IMPROVEMENT / STRUCTURES AGENT’S AUTHORIZATION FIXTURES 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 application–see instructions). BUS. / PERSONAL PROPERTY TREES & VINES MINERAL RIGHTS PENALTY (571L FILING ONLY) PRINT NAME OF AGENT AND AGENCY 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 OPINION OF VALUE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 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). Are requested Are not requested 8. Do you want to designate this application as a claim for refund? Please refer to instructions first Yes No 9. HEARING OFFICER: I request that my application be heard before a Hearing Officer (residential appeals only). YES NO (Refer to Instructions) . CERTIFICATION 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 local board for a copy. Filing this application for reduced assessment does not relieve the applicant from the obligation to pay the taxes on the subject property on or before the applicable due date shown on the tax bill. If a reduction is granted, a proportionate refund of taxes paid will be made by the county. Based on the evidence, the appeals board can increase as well as decrease an assessment. The decision of the appeals board upon this application is final; the appeals board may not reconsider or rehear any application. However, either the applicant or the assessor may bring timely action in superior court for review of an adverse action. An application may be amended until 5:00 p.m. on the last day upon which the application might have been timely filed. After the filing period, an invalid or incomplete application may be corrected at the request of the clerk or amendments may be made at the discretion of the board. Contact the clerk for information regarding correcting or amending an application. The appeals board can hear matters concerning an assessor’s allocation of exempt values. However, it cannot hear matters relating to a person’s or organization’s eligibility for a property tax exemption. Appeals regarding the denial of exemptions are under the jurisdiction of the assessor and/or the courts. The following numbered instructions apply to the corresponding numbers on the application form. Please type or print in dark ink all information on the application form. Box 1. Enter the name and mailing address of the applicant. If the applicant is other than the assessee (e.g., leased property), attach an explanation. NOTE: An agent’s address may not be substituted for that of the applicant. Box 2. Provide the name and mailing address of the agent or attorney, if applicable. If the agent is not a California-licensed attorney, you must also complete the agent’s authorization section, or an agent’s authorization may be attached to this application. An attached authorization must contain all of the following information. • The date the authorization is executed. • A statement that the agent is authorized to sign and file applications in the calendar year of the application. • The specific parcel(s) or assessment(s) covered by the authorization, or a statement that the agent is authorized to represent the applicant on all parcels and assessments located within the county that the application is being filed. • The name, address, and telephone number of the agent. • The applicant’s signature and title. • A statement that the agent will provide the applicant with a copy of the application. Box 3. If this application is for an assessment on secured property, enter the Assessor’s Parcel Number from your assessment notice or from your tax bill. If the property is unsecured (e.g., an aircraft or boat), enter the account/tax bill number and assessment number from your tax bill. Enter a brief description of the property location, such as street address, city, and zip code, sufficient to identify the property and assessment being appealed. For a single-family dwelling, indicate if the dwelling is owner-occupied. Box 4. Column A: Enter the figures shown on your assessment notice or tax bill for the year being appealed. If you are appealing a current year assessment (base year or decline in value) and have not received an assessment notice, or are unsure of the values to enter in this section, please contact the assessor’s office. If you are appealing a calamity reassessment or an assessment related to a change in ownership, new construction, roll change, or escape assessment, refer to the reassessment notice you received. Column B: Enter your opinion of the dollar value for each of the applicable categories. If you do not provide an opinion of value of the property under appeal, it may result in the rejection of your application. Box 5. CHECK ONLY ONE ITEM PER APPLICATION. Check the item that best describes the assessment that you are appealing. th Regular Assessment filing dates are: July 2 through November 30 . Check the Regular Assessment box for: • Decline in value appeals (Prop 8) • Change in ownership and new construction appeals filed after 60 days of the mailing of the supplemental assessment notice or supplemental tax bill Supplemental Assessment filing dates are within 60 days after the mailing date printed on the supplemental notice, or the postmark date of the notice, whichever is later. Check the Supplemental Assessment box for: • Change in ownership and new construction appeals filed within 60 days of the mailing date printed on the supplemental assessment notice, or the postmark date of the notice, whichever is later. Exception: An application for changed assessment may be filed within 60 days of the mailing date printed on the supplemental tax bill, or the postmark date of the American LegalNet, Inc. www.FormsWorkFlow.com bill, whichever is later, if the Assessor did not mail a notice of supplemental assessment to the owner of record. Attach (1) copy of the Notice of Supplemental Assessment to the application before filing. Roll Change filing dates are within 60 days after the mailing date printed on the assessment notice, or the postmark date of the notice, whichever is later. Check the Roll Change box for: • Roll corrections. Attach a copy of the tax bill to the application before filing. Escape Assessment filing dates are within 60 days after the mailing date printed on the Notice of Enrollment, or the postmark date of the notice, whichever is later. Check the Escape Assessment box for: • Escape assessments, including those discovered upon audit. Attach a copy of the Notice of Enrollment of Escape Assessment to the application before filing. Calamity Reassessment filing dates are within six months after the mailing of the calamity reassessment notice. Check the Calamity Reassessment box for: • Property damaged by misfortune or calamity. Attach a copy of the notice of Calamity reassessment to the application before filing. For appeals involving a Roll Change, Escape Assessment or Calamity Reassessment, indicate the roll year and provide the date of the assessment notice. Typically, the roll year is the fiscal year that begins on July 1 of the year in which you file your appeal, or the year in which an escape assessment was enrolled, or the year in which a calamity reassessment was enrolled. Box 6. Please mark the item or items describing your reason(s) for filing this application. If you prefer, you may attach one copy of a brief explanation. Do not provide evidence with this application. If you selected DECLINE IN VALUE, be advised that the application will only be effective for the one year appealed. Subsequent years will normally require additional filings. In general, base year is either the year your real property changed ownership or the year of completion of new construction on your property; base year value is the value established at that time. The base year value may be appealed during the regular filing period for the year it was placed on the roll or during the regular filing period in the subsequent three years. CALAMITY REASSESSMENT includes damage due to unforeseen occurrences such as fire, earthquake, and flood, and does not include damages that occur gradually due to ordinary natural forces. A penalty assessed by the tax collector for nonpayment of taxes cannot be removed by the appeals board. Indicate whether you are appealing an item, category, or class of property or a portion thereof. If you are appealing only an item, category, or class of property, please attach a separate sheet identifying what property will be the subject of this appeal. APPEAL AFTER AN AUDIT must include a complete description of each property being appealed, and the reason for the appeal. Contact the clerk to determine what documents must be submitted. If you do not submit the required information timely, it will result in the denial of your application. Box 7. Written findings of facts are explanations of the appeals board’s decision and will be necessary if you intend to seek judicial review of an adverse appeals board decision. Findings may be requested in writing at any time prior to the commencement of the hearing. Requests for a tape recording or transcript must be made no later than 60 days after the final determination by the appeals board. You may contact the clerk to determine the fee for these items; do not send payment with your application. Box 8. Indicate whether you want to designate this application as a claim for refund. If action in superior court is anticipated, designating this application as a claim for refund may affect the time period in which you can file suit. NOTE: If for any reason you decide to withdraw this application, that action will also constitute withdrawal of your claim for refund. Box 9. If your property is a single family dwelling, condominium, townhouse, multi-family dwelling of four units or less units or the roll value of your appeal is less than $500,000, you may request a hearing officer consider your appeal. It should be noted that Findings of Facts are not available when your appeal is heard before a hearing officer. As well, when you request a hearing before a hearing officer, every attempt will be made to accommodate your request, but your request cannot be assured. A hearing officer’s decision is final and cannot be brought back before the Appeals Board. If the assessed value of the property exceeds $100,000, the assessor may initiate an “exchange of information” (Revenue and Taxation Code section 1606). You may also request an “exchange of information” between yourself and the assessor regardless of the assessed value of the property. Such a request may be filed with this application or may be filed any time prior to 30 days before the commencement of the hearing on this application. The request must contain the basis of your opinion of value. Please include, with your exchange of information request, comparable sales, cost, and income data where appropriate to support the value. In some counties, a list of property transfers may be inspected at the assessor’s office for a fee not to exceed $10. The list contains transfers that have occurred within the county over the last two years. CERTIFICATION: Original signatures are required for each application. Check the box that best describes your status as the person filing this application. A separate application must be filed for each assessment number under appeal, unless the property under appeal is an economic unit with contiguous parcels. Form COB-305-AH-MP must be submitted with the application for economic units with contiguous parcels. DO NOT SUBMIT ANY EVIDENCE OR COMPARABLE SALES WITH THIS APPLICATION, ALL EVIDENCE MUST BE SUBMITTED TO THE APPEALS BOARD AT THE HEARING! THE APPLICATION FOR CHANGED ASSESSMENT FORM MUST BE MAILED OR PERSONALLY DELIVERED TO THE CLERK OF THE BOARD; THE APPLICATION WILL NOT BE ACCEPTED BY FACSIMILE OR ANY OTHER ELECTRONIC MEANS. BOE-305-AH (S2F&B) REV. 9 (4/1/09) American LegalNet, Inc. www.FormsWorkFlow.com