1. That as
(officer)
2. of the
(name of tribe or tribally designated housing entity)
3. the mailing address of which is
(give complete mailing address)
4. the location of the property for which exemption is claimed is
(give complete address)
5. That this claim for exemption is made for the 20
- 20
fiscal year on the leased property described above.
6. That at least 30% of the housing are used for rental housing and related facilities for tenants who are persons of low income as defined
in section 50079.5 of the Health and Safety Code or applicable federal, state, or local financial assistance agreements and the rents
charged do not exceed the limits provided in section 50053 of the Health and Safety Code or applicable federal, state, or local financial
assistance agreements. An affidavit by the claimant affirming that the tenants’ incomes and rents do not exceed those limits is attached.
The exemption cannot be allowed without the income affidavit.
7. That the property is owned and operated by an
Owner
Operator
Owner/Operator
8. That there is a deed restriction, agreement, or other legally binding document requiring that at least 30% of the housing units are
occupied by or held for occupancy by qualifying low-income tenants.
9. BOE-237-A, Supplemental Affidavit for BOE-237, Housing — Lower-Income Households, is also required to be filed with the Assessor
under the provisions of sections 251 and 254 of the Revenue and Taxation Code for those tribes or tribally designated housing entities
filing BOE-237, Exemption of Low-Income Tribal Housing.
