(Provide copy of certificate with this claim if first filing).
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(Provide copy of certificate with this claim if first filing).
As to the low-income housing property for which this claim is made, the applicant certifies that (check all applicable boxes):
C. At least one of the following criteria is applicable (check one):
Section 214(g) of the California Revenue and Taxation Code provides that property owned by a nonprofit organization or eligible limited liability company providing housing for lower income households can qualify for the welfare exemption from property taxes to the extent that the income of the households residing therein do not exceed amounts listed below:
Note: If a dollar amount is not entered for each number of persons, contact the County Assessor for the figures. The amounts are different for each county and change annually. In order to qualify all or a portion of the property for the exemption, you must have: (1) a signed statement for each household that qualifies (you should keep the statement for future audits); and (2) you must complete the report below.
Attach a list showing desired information for only those households that qualify. Also, please identify the vacant units reserved for low-income households. Provide the following information: address/unit number, number of persons in household, maximum income for household.
Note: Under section 214(g), the exemption percentage is the number of "units serving lower income households" divided by the total number of residential units. This percentage is applied to the entire property including "related facilities".
This limitation on the amount of the exemption applies solely to low-income housing properties owned by nonprofit organizations or eligible limited liability companies that are not financed by government loans, as specified in section 214(g)(1)(A) or do not receive low-income housing tax credits, as provided in section 214(g)(1)(B). Claimants with properties qualifying for exemption under 214(g)(1)(C) must list all the counties in which such properties are located; use additional sheets if necessary.
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information contained herein, includingany accompanying statements or documents, is true, correct, and complete to the best of my knowledge and belief.
This site is updated at least annually.
Forms for use in 2016 will be available starting January 1st, 2016.
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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.
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.