Statement Of Death Of Real Property Owner Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Death Of Real Property Owner Form. This is a California form and can be use in San Francisco Local County.
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Tags: Statement Of Death Of Real Property Owner, California Local County, San Francisco
City and County of San Francisco
City Hall, Room 190
1 Dr. Carlton B. Goodlett Place
San Francisco, CA 94120
STATEMENT OF DEATH OF REAL PROPERTY OWNER
IMPORTANT NOTICE
Section 480(b) of the Revenue and Taxation Code requires that the personal representative file this statement with the Assessor in
each county where the decedent owned real property at the time of death. File a separate statement for each parcel of real property
owned by the decedent in the City and County of San Francisco.
This notice is a written request from the Office of the Assessor for a Change in Ownership Statement. Failure to file this statement
results in the assessment of a penalty. This statement will be held secret as required by Section 481 of the Revenue and Taxation
Code.
The property may be subject to a supplemental assessment in an amount to be determined by the City and County of San Francisco
Assessor - Recorder Office. For further information please call the Real Property Division at (415) 554-5596.
Estate of:
Deceased
Probate No.:
1.
2. Date of Death:
3.
Address of Real Property:
4.
Heirs/Devisees of Subject Property and Relationship to the Decedent:
Name
Relationship
5.
If any additional Property taxes are due, they will be billed to the Heirs/Devisees at:
Percentage of Property
Each Will Receive
Name:
Address:
City:
State:
6. Is this property to be sold out of the estate?
Zip Code:
(
) Yes
(
) No
The office of the Assessor may contact you for additional information regarding this transaction.
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.
Signature of (
Date:
) Executor/Administrator (
)Attorney
Please Print Name
Day time telephone number:
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