BOE-502-A (P1) REV. 12 (05-13) ASSR-70 (REV. 5-14) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property,inaccordancewithsection480.3oftheRevenueandTaxation Code.APreliminary Change of Ownership Reportmustbefiledwitheach conveyance in the County Recorder’s office for the county where the property is located. NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE (Make necessary correctionsto the printed name and mailing address) ASSESSOR'SPARCELNUMBER SELLER/TRANSFEROR BUYER’SDAYTIMETELEPHONENUMBER ( ) BUYER’SEMAILADDRESS STREETADDRESSORPHYSICALLOCATIONOFREALPROPERTY MAILPROPERTYTAXINFORMATIONTO(NAME) CITY ADDRESS YES STATE ZIPCODE NO Thispropertyisintendedasmyprincipalresidence.IfYES,pleaseindicatethedateofoccupancy MO DAY YEAR orintendedoccupancy. PART 1. TRANSFER INFORMATION Please complete all statements. Thissectioncontainspossibleexclusionsfromreassessmentforcertaintypesoftransfers. YES NO A. Thistransferissolelybetweenspouses(addition or removal of a spouse, death of a spouse, divorce settlement, etc.). B. ThistransferissolelybetweendomesticpartnerscurrentlyregisteredwiththeCaliforniaSecretaryofState(addition or removal of a partner, death of a partner, termination settlement, etc.). * C. Thisisatransfer: between parent(s) and child(ren) from grandparent(s) to grandchild(ren). * D. Thistransferistheresultofacotenant’sdeath.Dateofdeath___________________________ * E. This transaction is to replace a principal residence by a person 55 years of age or older. Withinthesamecounty? YES NO * F. ThistransactionistoreplaceaprincipalresidencebyapersonwhoisseverelydisabledasdefinedbyRevenueandTaxationCode section69.5.Withinthesamecounty? YES NO G. This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage). IfYES,pleaseexplain: H. Therecordeddocumentcreates,terminates,orreconveysalender'sinterestintheproperty. I. Thistransactionisrecordedonlyasarequirementforfinancingpurposesortocreate,terminate,orreconveyasecurityinterest (e.g., cosigner).IfYES,pleaseexplain: J. Therecordeddocumentsubstitutesatrusteeofatrust,mortgage,orothersimilardocument. K. Thisisatransferofproperty: 1. to/fromarevocabletrustthatmayberevokedbythetransferorandisforthebenefitof thetransferor,and/or thetransferor'sspouse registereddomesticpartner. 2. to/fromatrustthatmayberevokedbythecreator/grantor/trustorwhoisalsoajointtenant,andwhich namestheotherjointtenant(s)asbeneficiarieswhenthecreator/grantor/trustordies. 3. to/fromanirrevocabletrustforthebenefitofthe creator/grantor/trustorand/or grantor's/trustor’sspouse grantor’s/trustor’sregistereddomesticpartner. L. Thispropertyissubjecttoaleasewitharemainingleasetermof35yearsormoreincludingwrittenoptions. M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel beingtransferredremainexactlythesameafterthetransfer. N. Thisisatransfersubjecttosubsidizedlow-incomehousingrequirementswithgovernmentallyimposedrestrictions. * O.Thistransferistothefirstpurchaserofanewbuildingcontaininganactivesolarenergysystem. * PleaserefertotheinstructionsforPart1. Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION BOE-502-A (P2) REV. 12 (05-13) ASSR-70 (REV. 5-14) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Dateoftransfer,ifotherthanrecordingdate: B. Typeoftransfer: Purchase Foreclosure Gift Tradeorexchange Merger,stock,orpartnershipacquisition(FormBOE-100-B) Contractofsale.Dateofcontract: Sale/leaseback Inheritance.Dateofdeath: Creationofalease Assignment of a lease Terminationofalease.Dateleasebegan: Original term in years (including written options): Other.Pleaseexplain: C. Onlyapartialinterestinthepropertywastransferred. YES % IfYES,indicatethepercentagetransferred: NO PART 3. PURCHASE PRICE AND TERMS OF SALE Remaining term in years (including written options): Check and complete as applicable. A. Totalpurchaseprice $_______________ B. Cashdownpaymentorvalueoftradeorexchangeexcludingclosingcosts Amount$_______________ C. Firstdeedoftrust@______%interestfor______years.Monthlypayment$_____________ Amount$_______________ Cal-Vet FHA(___DiscountPoints) Bank/Savings&Loan/CreditUnion VA(___DiscountPoints) Variable rate Fixedrate Loancarriedbyseller Balloonpayment$_____________ Duedate:_____________ D. Seconddeedoftrust@______%interestfor______years.Monthlypayment$_____________ Fixedrate Variable rate Bank/Savings&Loan/CreditUnion Balloonpayment$_____________ Amount$_______________ Loancarriedbyseller Duedate:_____________ YES E. WasanImprovementBondorotherpublicfinancingassumedbythebuyer? NO Outstandingbalance$_______________ F. Amount,ifany,ofrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice G.Thepropertywaspurchased: Direct from seller Throughrealestatebroker.Brokername: $_______________ Phonenumber: ( ) From a family member-Relationship Other.Pleaseexplain: H. Pleaseexplainanyspecialterms,sellerconcessions,broker/agentfeeswaived,financing,andanyotherinformation(e.g.,buyerassumedthe existingloanbalance)thatwouldassisttheAssessorinthevaluationofyourproperty. PART 4. PROPERTY INFORMATION Check and complete as applicable. A. Type of property transferred Single-family residence B. Co-op/Own-your-own Manufacturedhome Multiple-familyresidence.Numberofunits: Condominium Unimprovedlot Other.Description:(i.e.,timber,mineral,waterrights,etc.) Timeshare Commercial/Industrial YES NO Personal/businessproperty,orincentives,providedbysellertobuyerareincludedinthepurchaseprice.Examplesofpersonal propertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships,etc.Attachlistifavailable. IfYES,enterthevalueofthepersonal/businessproperty: C. YES $ NO Amanufacturedhomeisincludedinthepurchaseprice. IfYES,enterthevalueattributedtothemanufacturedhome: D. Incentives $ $ YES NO Themanufacturedhomeissubjecttolocalpropertytax.IfNO,enterdecalnumber: YES NO Thepropertyproducesrentalorotherincome. IfYES,theincomeisfrom: Lease/rent Contract E. Theconditionofthepropertyatthetimeofsalewas: Good Mineral rights Average Other: Fair Poor Pleasedescribe:__________________________________________________________________________________________________ CERTIFICATION I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the best of my knowledge and belief. SIGNATUREOFBUYER/TRANSFEREEORCORPORATEOFFICER DATE t NAMEOFBUYER/TRANSFEREE/LEGALREPRESENTATIVE/CORPORATEOFFICER(PLEASEPRINT) TITLE TheAssessor’sofficemaycontactyouforadditionalinformationregardingthistransaction. TELEPHONE ( ) EMAILADDRESS BOE-502-A (P3) REV. 12 (05-13) ASSR-70 (REV. 5-14) ADDITIONALINFORMATION Pleaseanswerallquestionsineachsection,andsignandcompletethecertificationbeforefiling.Thisformmaybeusedinall58California counties.IfadocumentevidencingachangeinownershipispresentedtotheRecorderforrecordationwithouttheconcurrentfilingofa Preliminary Change of Ownership Report,theRecordermaychargeanadditionalrecordingfeeoftwentydollars($20). NOTICE:ThepropertywhichyouacquiredmaybesubjecttoasupplementalassessmentinanamounttobedeterminedbytheCounty Assessor.Supplementalassessmentsarenotpaidbythetitleorescrowcompanyatcloseofescrow,andarenotincludedinlender impoundaccounts.You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. NAMEAND MAILINGADDRESS OF BUYER: Please make necessary corrections to the printed name and mailing address. Enter Assessor’sParcelNumber,nameofseller,buyer’sdaytimetelephonenumber,buyer’semailaddress,andstreetaddressorphysical location of the real property. NOTE: Your telephone number and/or email address is very important. If there is a question or a problem, the Assessor needs to be able to contact you. MAILPROPERTYTAXINFORMATIONTO:Enterthename,address,city,state,andzipcodewherepropertytaxinformationshouldbe mailed.Thismustbeavalidmailingaddress. PRINCIPALRESIDENCE:Tohelpyoudetermineyourprincipalresidence,consider(1)whereyouareregisteredtovote,(2)thehome address on your automobile registration, and (3) where you normally return after work. If after considering these criteria you are still uncertain,choosetheplaceatwhichyouhavespentthemajorportionofyourtimethisyear.CheckYESifthepropertyisintendedas yourprincipalresidence,andindicatethedateofoccupancyorintendedoccupancy. PART 1: TRANSFER INFORMATION If you check YES to any of these statements, the Assessor may ask for supporting documentation. C,D,E, F:IfyoucheckedYEStoanyofthesestatements,youmayqualifyforapropertytaxreassessmentexclusion,whichmayallowyou tomaintainyourproperty’sprevioustaxbase. A claim form must be filed and all requirements met in order to obtain any of these exclusions. ContacttheAssessorforclaimforms.NOTE:Ifyougivesomeonemoneyorpropertyduringyourlife,youmaybesubject tofederalgifttax.Youmakeagiftifyougiveproperty(includingmoney),theuseofproperty,ortherighttoreceiveincomefromproperty withoutexpectingtoreceivesomethingofatleastequalvalueinreturn.Thetransferor(donor)mayberequiredtofileForm709,Federal GiftTaxReturn,withtheInternalRevenueServiceiftheymakegiftsinexcessoftheannualexclusionamount. G:CheckYESifthereasonforrecordingistocorrectanamealreadyontitle[e.g.,MaryJones,whoacquiredtitleasMaryJ.Smith,is grantingtoMaryJones].Thisisnotforusewhenanameisbeingremovedfromtitle. H:CheckYESifthechangeinvolvesalender,whoholdstitleforsecuritypurposesonaloan,andwhohasnootherbeneficialinterest in the property. "Beneficial interest" is the right to enjoy all the benefits of property ownership. Those benefits include the right to use, sell, mortgage,orleasethepropertytoanother.Abeneficialinterestcanbeheldbythebeneficiaryofatrust,whilelegalcontrolofthe trustisheldbythetrustee. I: A "cosigner"isathirdpartytoamortgage/loanwhoprovidesaguaranteethataloanwillberepaid.Thecosignersignsanagreement withthelenderstatingthatiftheborrowerfailstorepaytheloan,thecosignerwillassumelegalliabilityforit. M:Thisisprimarilyforusewhenthetransferisinto,outof,orbetweenlegalentitiessuchaspartnerships,corporations,orlimitedliability companies.CheckYESonlyiftheinterestheldineachandeveryparcelbeingtransferredremainsexactly the same. N: Check YES only if property is subject to subsidized low-income housing requirements with governmentally imposed restrictions; propertymayqualifyforarestrictedvaluationmethod(i.e.,mayresultinlowertaxes). O:IfyoucheckedYES,youmayqualifyforanewconstructionpropertytaxexclusion.A claim form must be filed and all requirements met in order to obtain the exclusion. Contact the Assessor for a claim form. PART 2: OTHER TRANSFER INFORMATION A:Thedateofrecordingisrebuttablypresumedtobethedateoftransfer.Ifyoubelievethedateoftransferwasadifferentdate(e.g.,the transferwasbyanunrecordedcontract,oraleaseidentifiesaspecificstartdate),putthedateyoubelieveisthecorrecttransferdate.If itisnotthedateofrecording,theAssessormayaskyouforsupportingdocumentation. B:Checktheboxthatcorrespondstothetypeoftransfer.IfOTHERischecked,pleaseprovideadetaileddescription.Attachaseparate sheet if necessary. BOE-502-A (P4) REV. 12 (05-13) ASSR-70 (REV. 5-14) PART 3: PURCHASE PRICE AND TERMS OF SALE Itisimportanttocompletethissectioncompletelyandaccurately.Thereportedpurchasepriceandtermsofsaleareimportantfactorsin determiningtheassessedvalueoftheproperty,whichisusedtocalculateyourpropertytaxbill.Yourfailuretoprovideanyrequiredor requestedinformationmayresultinaninaccurateassessmentofthepropertyandinanoverpaymentorunderpaymentoftaxes. A. Enterthetotalpurchaseprice,notincludingclosingcostsormortgageinsurance. “Mortgage insurance”isinsuranceprotectingalenderagainstlossfromamortgagor’sdefault,issuedbytheFHAoraprivate mortgageinsurer. B.Entertheamountofthedownpayment,whetherpaidincashorbyanexchange.Ifthroughanexchange,excludetheclosingcosts. “Closing costs”arefeesandexpenses,overandabovethepriceoftheproperty,incurredbythebuyerand/orseller,which includetitlesearches,lawyer’sfees,surveycharges,anddocumentrecordingfees. C.EntertheamountoftheFirstDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested. A “balloon payment”isthefinalinstallmentofaloantobepaidinanamountthatisdisproportionatelylargerthantheregular installment. D.EntertheamountoftheSecondDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested. E.Iftherewasanassumptionofanimprovementbondorotherpublicfinancingwitharemainingbalance,entertheoutstandingbalance, andmarktheapplicablebox. An “improvement bond or other public financing” is a lien against real property due to property-specific improvement financing,suchasgreenorsolarconstructionfinancing,assessmentdistrictbonds,Mello-Roos(aformoffinancingthatcanbe usedbycities,countiesandspecialdistrictstofinancemajorimprovementsandserviceswithintheparticulardistrict)orgeneral improvementbonds,etc.Amountsforrepaymentofcontractualassessmentsareincludedwiththeannualpropertytaxbill. F. Entertheamountofanyrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice. G.Ifthepropertywaspurchasedthrougharealestatebroker,checkthatboxandenterthebroker’snameandphonenumber.Ifthe propertywaspurchaseddirectlyfromtheseller(whoisnotafamilymemberofoneofthepartiespurchasingtheproperty),checkthe “Direct from seller”box.Ifthepropertywaspurchaseddirectlyfromamemberofyourfamily,orafamilymemberofoneofthepartieswho ispurchasingtheproperty,checkthe“From a family member”boxandindicatetherelationshipofthefamilymember(e.g.,father,aunt, cousin,etc.).Ifthepropertywaspurchasedbysomeothermeans(e.g.,overtheInternet,atauction,etc.),checkthe“OTHER”boxand provide a detailed description (attach a separate sheet if necessary). H.Describeanyspecialterms(e.g.,sellerretainsanunrecordedlifeestateinaportionoftheproperty,etc.),sellerconcessions(e.g., seller agrees to replace roof, seller agrees to certain interior finish work, etc.), broker/agent fees waived (e.g., fees waived by the broker/agentforeitherthebuyerorseller),financing,buyerpaidcommissions,andanyotherinformationthatwillassisttheAssessorin determiningthevalueoftheproperty. PART 4: PROPERTY INFORMATION A.Indicatethepropertytypeorpropertyrighttransferred.Propertyrightsmayincludewater,timber,mineralrights,etc. B.CheckYESifpersonal,businesspropertyorincentivesareincludedinthepurchasepriceinPart3.Examplesofpersonalorbusiness propertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships(golf,health,etc.),skilifttickets, homeowners’dues,etc.Attachalistofitemsandtheirpurchasepriceallocation.Anadjustmentwillnotbemadeifadetailedlistisnot provided. C.CheckYESifamanufacturedhomeorhomesareincludedinthepurchaseprice.Indicatethepurchasepricedirectlyattributable toeachofthemanufacturedhomes.IfthemanufacturedhomeisregisteredthroughtheDepartmentofMotorVehiclesinlieuofbeing subjecttopropertytaxes,checkNOandenterthedecalnumber. D.CheckYESifthepropertywaspurchasedoracquiredwiththeintenttorentorleaseitouttogenerateincome,andindicatethesource ofthatanticipatedincome.CheckNOifthepropertywillnotgenerateincome,orwaspurchasedwiththeintentofbeingowner-occupied. E.Provideyouropinionoftheconditionofthepropertyatthetimeofpurchase.Ifthepropertyisin“fair” or “poor”condition,includea brief description of repair needed. COUNTY OF LOS ANGELES • OFFICE OF THE ASSESSOR 500 WEST TEMPLE STREET, ROOM 225, LOS ANGELES, CA 90012-2770 Website: assessor.lacounty.gov • Email: helpdesk@assessor.lacounty.gov Telephone: 213.974.3441 • Si desea ayuda en Español, llame al número 213.974.3211
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