BOE-305-AH (P1) REV. 08 (0-1)ASSESSMENT APPEAL APPLICATIONNAME OF APPLICANT (LAST, FIRST, MIDDLE INITIAL), BUSINESS, OR TRUST NAMEEMAIL ADDRESS DATETITLEMAILING ADDRESS OF APPLICANT (STREET ADDRESS OR P. O. BOX)CITYSTATEZIP CODEDAYTIME TELEPHONEALTERNATE TELEPHONEFAX TELEPHONE2.CONTACT INFORMATION - AGENT, ATTORNEY, OR RELATIVE OF APPLICANT if applicable - (REPRESENTATION IS OPTIONAL)3.PROPERTY IDENTIFICATION INFORMATIONAUTHORIZATION OF AGENT AUTHORIZATION ATTACHEDThe following information must be completed (or attached to this application - see instructions) unless the agent is a licensed California NAME OF AGENT, ATTORNEY, OR RELATIVE (LAST, FIRST, MIDDLE INITIAL) ASSESSOR222S PARCEL NUMBER FEE NUMBERSIGNATURE OF APPLICANT, OFFICER, OR AUTHORIZED EMPLOYEECOMPANY NAMEPROPERTY ADDRESS OR LOCATIONMAILING ADDRESS (STREET ADDRESS OR P. O. BOX)THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTIONThis form contains all of the requests for information Do not attach hearing evidence to this application. 1.APPLICANT INFORMATION - PLEASE PRINT ( )( )( ) CITYSTATEZIP CODEDAYTIME TELEPHONEALTERNATE TELEPHONEFAX TELEPHONE ( )( )( ) MANUFACTURED HOMEOTHER: PROPERTY TYPE 4.VALUEA. VALUE ON ROLLB. APPLICANT222S OPINION OF VALUEC. APPEALS BOARD USE ONLYLANDFIXTURESPERSONAL PROPERTY (see instructions)MINERAL RIGHTSTREES & VINESOTHERTOTALPENALTIES AIRCRAFT POSSESSORY INTEREST VACANT LAND Yes No CONTACT PERSON IF OTHER THAN ABOVE (LAST, FIRST, MIDDLE INITAL) ASSESSMENT NUMBER ENTER APPLICABLE NUMBER FROM YOUR NOTICE/TAX BILL ACCOUNT NUMBER TAX BILL NUMBER EMAIL ADDRESS AGRICULTURAL American LegalNet, Inc. www.FormsWorkFlow.com BOE-305-AH (P2) REV. 08 (0-1)5.TYPE OF ASSESSMENT BEING APPEALED6.REASON FOR FILING APPEAL (FACTS) 7. WRITTEN FINDINGS OF FACT 8.THIS APPLICATION IS DESIGNATED AS A CLAIM FOR REFUNDREGULAR ASSESSMENT 226 VALUE AS OF JANUARY 1 OF THE CURRENT YEARA. DECLINE IN VALUED. CALAMITY REASSESSMENTG. I. OTHERF. PENALTY ASSESSMENT SUPPLEMENTAL ASSESSMENT þ Are requested. Yes Are not requested. No ROLL CHANGE *DATE OF NOTICE: *DATE OF NOTICE: CERTIFICATIONI 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 taxes on that property 226 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 SIGNATURESIGNED AT (CITY, STATE)DATENAME (Please Print)FILING STATUS (IDENTIFY RELATIONSHIP TO APPLICANT NAMED IN SECTION 1) AGENTATTORNEYSPOUSEREGISTERED DOMESTIC PARTNERCHILDPARENTPERSON AFFECTED ROLL YEAR: ESCAPE ASSESSMENT CALAMITY REASSESSMENT PENALTY ASSESSMENT **ROLL YEAR: **Each roll year requires a separate application CORPORATE OFFICER OR DESIGNATED EMPLOYEE Yes No American LegalNet, Inc. www.FormsWorkFlow.com BOE-305-AH (P3) REV. 08 (0-1)INFORMATION AND INSTRUCTIONS FOR ASSESSMENT APPEAL APPLICATION30, Residential Property Assessment Appeals render a decision. or the courts. SECTION 1. APPLICANT INFORMATION SECTION 2. CONTACT INFORMATION - AGENT, ATTORNEY, OR RELATIVE OF APPLICANT þ AUTHORIZATION OF AGENT þ SECTION 3. PROPERTY IDENTIFICATION INFORMATION SECTION 4. VALUE If you do not state an opinion of value, it will result in the rejection of your application. þ SECTION 5. TYPE OF ASSESSMENT BEING APPEALED Regular Assessment American LegalNet, Inc. www.FormsWorkFlow.com BOE-305-AH (P4) REV. 08 (0-1)Regular Assessment Supplemental Assessment Supplemental Assessment withinRoll Change/Escape Assessment/Penalty AssessmentCalamity ReassessmentRoll Change/Escape Assessment/Calamity Reassessment Roll corrections For Supplemental and Roll Change/Escape Assessment/Calamity ReassessmentIt is required that you attach a copy of the supplemental or escape assessment notice or tax bill. SECTION 6. þ REASON FOR FILING APPEAL (FACTS) A Decline in Value Decline in Valuebase yearbase year valuebase year valueCalamity ReassessmentpenaltiesFor classification AllocationAppeal after an Audit must SECTION 7. þ WRITTEN FINDINGS OF FACT must SECTION 8. þ DESIGNATION AS CLAIM FOR REFUND CERTIFICATION - Check the box that best describes your status as the person filing the application.REQUESTS FOR EXCHANGE OF INFORMATIONmust SECTION . American LegalNet, Inc. www.FormsWorkFlow.com