ࡱ>  @ bjbj{{ 9 ::::bbbv8v+3$^">>>ET!L">2@2@2@2@2@2@2$O4R6d2b'oE''d2::>>12l/l/l/':>b>>2l/'>2l/l//Tb/> 4P*X/ 0420+3/+7*+7/vv::::+7b/$#$l//%%###d2d2vvdP/vv PRELIMINARY CHANGE OF OWNERSHIP REPORT  [To be completed by Transferee (buyer) prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation code.] A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's office for the county where the property is located; this particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. IF THIS TRANSFER OCCURS AFTER JANUARY 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY 1. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the  FORMTEXT       County Assessor. For further information on your supplemental roll obligation, please call the  FORMTEXT       County Assessor at  FORMTEXT      . PART I: TRANSFER INFORMATION Please answer all questions.Yes No  FORMCHECKBOX   FORMCHECKBOX A.Is this transfer solely between husband and wife (Addition of a spouse, death of a spouse, divorce settlement, etc.)?  FORMCHECKBOX   FORMCHECKBOX B.Is this transaction only a correction of the name(s) of the person(s) holding title to the property (For example, a name change upon  FORMCHECKBOX   FORMCHECKBOX C.marriage)? Is this document recorded to create, terminate, or reconvey a lender's interest in the property?  FORMCHECKBOX   FORMCHECKBOX D.Is this transaction recorded only to create, terminate, or reconvey a security interest (e.g. consigner)?  FORMCHECKBOX   FORMCHECKBOX E.Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document?  FORMCHECKBOX   FORMCHECKBOX F.Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants?  FORMCHECKBOX   FORMCHECKBOX G.Does this transfer return property to the person who created the joint tenancy (original transferor)?  FORMCHECKBOX   FORMCHECKBOX H.Is this transfer of property:1. to a trust for the benefit of the grantor, or grantor's spouse?2. to a trust revocable by the transferor?3. to a trust from which the property reverts to the grantor within 12 years?  FORMCHECKBOX   FORMCHECKBOX I.If this property is subject to a lease, is the remaining lease term 35 years or more including written options?  FORMCHECKBOX   FORMCHECKBOX *J.Is this transfer between parent(s) and child(ren)  FORMCHECKBOX  or from grandparent(s) to grandchild(ren)  FORMCHECKBOX  ?  FORMCHECKBOX   FORMCHECKBOX *K.Is this transaction to replace a principal residence by a person 55 years of age or older? Within the same county?  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX   FORMCHECKBOX *L.Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and TaxationCode Section 69.5? Within the same county?  FORMCHECKBOX  Yes  FORMCHECKBOX  No *If you checked yes to J, K, or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. Failure to file a claim results in the reassessment of the property. Please provide any other information that would help the Assessor to understand the nature of the transfer. IF YOU HAVE ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS EXCEPT J, K OR L, PLEASE SIGN AND DATE, OTHERWISE COMPLETE BALANCE OF THE FORM. PART II: OTHER TRANSFER INFORMATION A. Date of transfer if other than recording date:  FORMTEXT       B. Type of transfer. Please check appropriate box.  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uh%CJOJQJmH nH u&jh%CJOJQJUmH nH u!h%@CJOJQJmH nH u!h%@CJOJQJmH nH u6jh h%@CJOJQJUmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH u246PTrtνxaSx=,!h%@ CJOJQJmH nH u*jh%@ CJOJQJUmH nH ujh CJOJQJU,j= h%CJOJQJUmH nH uh%CJOJQJmH nH u&jh%CJOJQJUmH nH u!h%@CJOJQJmH nH u!h%@CJOJQJmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH u6jh h%@CJOJQJUmH nH uppppp p"p$p@pBpDppprppννΒ΃m\@m\m\6j!h h%@CJOJQJUmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH uh%CJOJQJmH nH ujh @ CJOJQJU0j'!h%@ CJOJQJUmH nH uU!h%@ CJOJQJmH nH u*jh%@ CJOJQJUmH nH u6j h h%@ CJOJQJUmH nH uORMTEXT        FORMCHECKBOX  Creation of Lease  FORMCHECKBOX  Assignment of a Lease  FORMCHECKBOX  Termination of a Lease  FORMCHECKBOX  Date lease began:  FORMTEXT        FORMCHECKBOX  Original term in years (including written options):  FORMTEXT        FORMCHECKBOX  Remaining term in years (including written options):  FORMTEXT       C. 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FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, indicate the percentage trppppppppppqq2q4q6q\q^qνziνMν9&jh%CJOJQJUmH nH u6j"h h%@CJOJQJUmH nH u!h%@CJOJQJmH nH u6j"h h%@CJOJQJUmH nH u*jh%@CJOJQJUmH nH u!h%@CJOJQJmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH u6j"h h%@CJOJQJUmH nH u^qrqtqvqqqqqqqqrr&r(r*r4r6r8r:rVrŷŦcLŷŦ,j_$h%CJOJQJUmH nH u6j#h h%@CJOJQJUmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH u!h%@CJOJQJmH nH ujh CJOJQJU&jh%CJOJQJUmH nH u,js#h%CJOJQJUmH nH uh%CJOJQJmH nH uVrXrZrrrrrrrrrrfshssνudS<)$h%@CJH*OJQJmH nH u-jh%@CJH*OJQJUmH nH u!h%@CJOJQJmH nH u!h%@CJOJQJmH nH ujh CJOJQJU,jK%h%CJOJQJUmH nH uh%CJOJQJmH nH u&jh%CJOJQJUmH nH u!h%@CJOJQJmH nH u*jh%@CJOJQJUmH nH u6j$h h%@CJOJQJUmH nH usssssssssst(*˸udbdN?(,j&h%CJOJQJUmH nH uh%CJOJQJmH nH u&jh%CJOJQJUmH nH uU!h%@CJOJQJmH nH u6j7&h h%@CJOJQJUmH nH u*jh%@CJOJQJUmH nH u!h%@CJOJQJmH nH u$h%@CJH*OJQJmH nH u-jh%@CJH*OJQJUmH nH u9j%h h%@CJH*OJQJUmH nH urs@BހBDJLNPRT dH 9  &#$+D^   H 9  &#$+D]H  9  &#$+D   -,&#$+Di   -,&#$+Di ansferred FORMTEXT       %. 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