This affidavit is required under the provisions of section 251 of the Revenue and Taxation Code for those organizations filing BOE-236, Exemptions of Leased Property Used Exclusively for Low-Income Housing.
This affidavit supplements the claim for exemption and must be filed with the Assessor. If you do not complete and file this form, it is grounds for denial of the exemption.
(name of person making affidavit)
(title, such as president, etc.)
(corporate or organization name)
(complete address including zip code)
(address of property, including zip code)
(Example: a person filing a timely claim in February 2011 would enter "2011-2012.")
ELIGIBILITY BASED ON FAMILY HOUSEHOLD INCOME
Section 236 of the California Revenue and Taxation Code provides that property used exclusively for providing housing for lower-income households can qualify for an exemption from property taxes to the extent that incomes of households residing therein do not exceed amounts listed below:
Note: If a dollar amount is not entered for each number of persons, contact the Assessor. The amounts are different for each county and they change annually.
In order to qualify all or a portion of the total property for the exemption, you must have: (1) a signed statement for each household that qualifies (you keep the statement in case of further audit); and (2) you must complete the report on the reverse of this form.
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.
