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Orange: BOE-60-AH

Orange: BOE-60-AH for 2016

CLAIM OF PERSON(S) AT LEAST 55 YEARS OF AGE FOR TRANSFER OF BASE YEAR VALUE TO REPLACEMENT DWELLING

  • A. REPLACEMENT DWELLING
    Is the new construction described performed on a replacement dwelling which has already been granted the benefit under section 69.5 within the past two years?
    Yes No

  • B. ORIGINAL (FORMER) PROPERTY
    Was this property your principal place of residence?
    Yes No
    Did this property transfer to your parent(s), child(ren) or grandchild(ren)?
    Yes No
    Note: When applicable, if the property is located in a different county from that of the replacement property, you must attach a copy of the original property’s latest tax bill and any supplemental tax bill(s) issued before the date of sale. Also, was there any new construction to this property since the last tax bill(s) and before the date of sale?
    Yes No
    Was this property substantially damaged or destroyed by misfortune or calamity (not a Governor-declared disaster) and sold in its damaged state?
    Yes No

  • C. CLAIMANT INFORMATION (please print)
    At least age 55?
    Yes No

    At least age 55?
    Yes No
    Have either you or your spouse previously been granted relief under section 69.5 because of disability?
    Yes No

  • D. CERTIFICATION
    I/we certify (or declare) under penalty of perjury under the laws of the State of California that: (1) as a claimant/occupant I/we occupy the replacement dwelling described above as my/our principal place of residence; (2) as a claimant I/we were at least 55 years of age at the time of the sale of our original residence; and (3) the foregoing, and all information hereon, is true, correct, and complete to the best of my/our knowledge and belief.