Skip to main content

Orange: BOE-576-D

Orange: BOE-576-D for 2016

VESSEL PROPERTY STATEMENT

Declaration of costs and other related property information as of 12:01 a.m., January 1, 2016.

   

  • SECTION I: MUST BE COMPLETED ANNUALLY

  • SECTION II: COMPLETE IF FIRST TIME FILING OR IF ANY CHANGE WITHIN THE LAST CALENDAR YEAR

    1. PURCHASE INFORMATION

    with Engine with Trailer

    2. SALE INFORMATION

    with Engine with Trailer

    3. REMOVAL INFORMATION

    Vessel permanently removed from county

    4. POWER BOAT TYPE

    Sedan Cruiser
    F/B Convertible
    F/B Sportfisher
    Houseboat
    Motor Yacht
    Trawler
    Runabout
    Bowrider
    Cuddy
    Ski Boat
    Jet Ski
    Bass Boat
    Center Console
    Inflatable

    5. SAILBOAT TYPE/RIG

    Catamaran
    Catboat
    Cutter
    Ketch
    Schooner
    Sloop
    Trimaran
    Yawl

    6. HULL TYPE

    Cathedral
    Deep Vee
    Displacement
    Flat Bottom
    Round Bottom
    Semi Vee
    Tunnel Hull

    7. HULL MATERIAL

    Aluminum
    Cement
    Fiberglass
    Fiberglass Composite
    Fiberglass/Wood
    Plywood
    Planked Wood
    Steel

    8. CONDITION WHEN PURCHASED

    New/Bristol
    Above Average
    Average
    Good
    Fair
    Poor

    9. CURRENT VESSEL CONDITION

    New/Bristol
    Above Average
    Average
    Good
    Fair
    Poor

    10. INTENDED USE

    Pleasure
    Commercial Fishing
    Oceanographic Research
    Commercial Passenger Fishing
    Principal place of residence

    11. PROPULSION

    Auxiliary and Sail
    Hand/Oar Propelled
    Inboard
    Jet
    Inboard/Outboard
    Outboard
    Sail Only
    Vee drive

    12. ENGINE FUEL

    Diesel Gas Electric

  • SECTION III: LOSS
    Explain exact nature of loss and include all supporting documentation, i.e., accident report, police report, Coast Guard report or insurance report.

    Note:  If repossessed, include a copy of the original repossession notification from the lending institution.

  • DECLARATION BY ASSESSEE

    OWNERSHIP TYPE

    Proprietorship
    Partnership
    Corporation

    Note:  The following declaration must be completed and signed. If you do not do so, it may result in penalties.

    I certify (or declare) under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying schedules, statements or other attachments, and to the best of my knowledge and belief it is true, correct, and complete and includes all property required to be reported which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2016.