ERNEST J. DRONENBURG, JR. SAN DIEGO COUNTY ASSESSOR 1600 PACIFIC HIGHWAY, SUITE 103 SAN DIEGO, CALIFORNIA 92101 TELEPHONE: (858) 505-6262 APPLICATION #___________________ APPLICATION FOR REASSESSMENT OF PROPERTY DAMAGED BY MISFORTUNE OR CALAMITY California law (Revenue & Taxation Code Section 170) provides property tax relief for taxpayers whose property was damaged or destroyed as a result of a misfortune or calamity. This property tax relief is available to owners of real property, business equipment and fixtures, and to owners of boats and aircraft. Damage to personal property such as furniture or to growing crops is not eligible since it is not assessed for property tax purposes. This program requires reassessment of the property to reflect its damaged condition, and the subsequent reduction or partial refund of the current year's taxes. After the property is fully repaired, owners will retain their previous taxable value if the property is rebuilt in a like or similar manner. Property suffering a gradual deterioration over a long period of time does not qualify. Eligibility requirements for this program are shown below: 1. The damage must be equal to or greater than $10,000 (Market Value). 2. Caused by a sudden misfortune or calamity and not the fault of the property owner. 3. The application must be submitted to the Assessor's Office within 12 months from the date the damage occurred. NAME(S) ON TITLE EXACTLY AS THEY APPEAR ON DEED OR ATTACH A COPY OF THE DEED MAILING ADDRESS (STREET NUMBER, STREET NAME, CITY, ZIP) PROPERTY ADDRESS (STREET NUMBER, STREET NAME, CITY, ZIP) ASSESSOR'S PARCEL NUMBER OR BILL NUMBER LIST ITEMS DAMAGED (HOUSE, GARAGE, BUSINESS EQUIP., ETC.) DATE DAMAGE OCCURRED (MONTH/DAY/YEAR) MARKET VALUE (Use insurance estimates or contract cost) VALUE PRIOR VALUE AFTER DAMAGE OR TO DAMAGE DAMAGE LOSS (Col. # 1) $ $ (Col. # 2) $ (#1 less #2) DESCRIBE EXTENT OF DAMAGE LOSS (FULL/PARTIAL) (CAUSE OF DAMAGE SUCH AS FIRE, FLOOD, WIND ETC.) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. __________________________________________ SIGNATURE appclmty (rev 11/09) __________________ HOME PHONE ________________ WORK PHONE _________________ DATE American LegalNet, Inc. www.FormsWorkFlow.com