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Orange: BOE-65-PT

Orange: BOE-65-PT for 2016

CLAIM FOR INTERCOUNTY TRANSFER OF BASE YEAR VALUE TO REPLACEMENT PROPERTY FROM PRINCIPAL RESIDENCE DAMAGED OR DESTROYED IN A GOVERNOR - DECLARED DISASTER

  • A. REPLACEMENT PROPERTY
    Is this property your principal place of residence?
    Yes No

  • B. ORIGINAL (FORMER) PROPERTY
    Was this property your principal place of residence?
    Yes No

    Note: You must attach a copy of the original property’s latest tax bill and any supplemental tax bill(s) issued before the date of the disaster.

    Was there any new construction to the original property between the date of those tax bill(s) and the date of disaster?
    Yes No

  • C. CLAIMANT INFORMATION
    I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing, and all information hereon, is true, correct, and complete to the best of my knowledge and belief.
    All information provided on this claim is subject to verification. If you have any questions about this form, please contact the Assessor’s office.