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Orange: BOE-267-H-A

Orange: BOE-267-H-A for 2016

ELDERLY OR HANDICAPPED FAMILIES, FAMILY HOUSEHOLD INCOME REPORTING WORKSHEET

Section 214(f) of the Revenue and Taxation Code provides that property owned by nonprofit organizations providing housing for low- and moderate- income elderly or handicapped families can qualify for the welfare exemption from property taxes for those units whose family household income does not exceed the limits stated here.

Promptly complete, sign and return this statement to the manager of the organization that provides the housing so the organization will have time to complete the form that must be filed with the Assessor.




If more than one person is residing in a unit, do you consider yourselves a family?
Yes No

IfNO,report on line 1 below the number of persons in your family. Each non-family member must complete a separate statement.

1. Number of persons in family household:  

2. I certify (or declare) under penalty of perjury under the laws of the State of California that the family household income for the prior calendar year did not exceed $
(Enter the amount of the income limit shown for the number of persons in the family household.)


Please provide all required information

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This site is updated at least annually.

Forms for use in 2016 will be available starting January 1st, 2016.

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Cal Assessor e-Forms!

This is a California Counties and BOE website. The e-Forms Site provides specific and limited support to the filing of California property tax information.

Only property tax related forms are available at this site. No individual data or information is maintained at this site or can be accessed through this site.

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You can contact your County Assessor by using the counties link. The Assessor in the county where the property is located can provide the best and specific assistance.

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