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Orange: BOE-62

Orange: BOE-62 for 2016

DISABLED PERSONS CLAIM FOR TRANSFER OF BASE YEAR VALUE TO REPLACEMENT DWELLING

  • A. REPLACEMENT DWELLING
    Is the new construction described above the result of new construction 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
    Have either you or your spouse previously been granted relief under section 69.5 because of age?
    Yes No

  • 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; and (2) the foregoing, and all information hereon, is true, correct, and complete to the best of my/our knowledge and belief.