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Orange: CAA-FC02

Orange: CAA-FC02 for 2016

Homeowners Exemption Termination

You must notify the Assessor whenever a property you own is no longer eligible for a Homeowners’ Exemption. To avoid potential penalties, this must be done by December 10th of the year in which the change occurs.

You are entitled to a Homeowners’ Exemption on one property in California. A property is eligible for a Homeowners’ Exemption if you own and occupy it as your primary residence on January 1st. A property is not eligible for an exemption if it is rented, unoccupied, or used as a vacation or secondary home. Failure to notify the Assessor may result in escapeassessments and/or penalties and interest for the exempted taxes.

I do not qualify for the Homeowners’ Exemption on the property located at:

Property Owner


Please check the appropriate box below

I/we do not occupy the property as a principal residence as of (date):
This property is a rental, vacation or secondary home as of (date):
This property is vacant or unoccupied as of (date):
I/we no longer own the property as of (date):
The property owner is deceased. The date of death is (date):
I/we have an exemption on another property in California (address):
Other reason and date of change:

CURRENT MAILING ADDRESS

This is my new primary residence.