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Form BOE-517-EXT Fillable Request for Extension of Time to File Property Statement
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)(ADDRESSEE'S ADDRESS (street city state and zip code)) (APPLICANT S SIGNATURE; DATE) (CLEAR) CLEAR (Comments) (CONTACT PERSON'S E MAIL ADDRESS) (CONTACT PERSON'S NAME) (CONTACT'S DAYTIME TELEPHONE NO ) (CONTACT'S DAYTIME TELEPHONE NO ; AREA CODE) (LIEN DATE (year)) (PRINT) PRINT (PROPERTY STATEMENT PARTS; Financial Schedules; EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Other requested information (describe below)) (PROPERTY STATEMENT PARTS; Other requested information (describe below)) (PROPERTY STATEMENT PARTS; Other requested information (describe below); EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Other requested information (describe below); EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Schedules of Leased Equipment; EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Statement of Land Changes; EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Studies and other voluntary information (specify)) (PROPERTY STATEMENT PARTS; Studies and other voluntary information (specify); EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Summary Control; EXTENSION DATE REQUESTED) (PROPERTY STATEMENT PARTS; Tangible Property List; EXTENSION DATE REQUESTED) (Reason for extension request (R & T Code section 830 1 requires a showing of good cause):) (SBE NO ) (SIGNATORY S PRINTED NAME) (STATE ASSESSED PROPERTIES DIVISION CHIEF S SIGNATURE; DATE) (Sticky Note comment SBE No (text) (TITLE) 12/16/2002 6:24:53 PM An extension is not automatically granted You will be notified by mail whether the extension is granted or denied If granted the notice APPLICANT S SIGNATURE APPROVAL OR DISAPPROVAL BY BOE STATE ASSESSED PROPERTIES DIVISION CHIEF Approved as noted ASSESSEE S ADDRESS (street city state and zip code) ASSESSEE S NAME SBE NO LIEN DATE (year) BOE 517 EXT REV 10 (2 11) STATE OF CALIFORNIAREQUEST FOR EXTENSION OF TIMEBOARD OF EQUALIZATIONTO FILE PROPERTY STATEMENT CERTIFICATION Comments: FOR OFFICIAL USE ONLY CONTACT PERSON S E MAIL ADDRESS CONTACT PERSON S NAME CONTACT S DAYTIME TELEPHONE NO Disapproved EXTENSION DATE FAXED REQUEST to fax number: 916 285 0132 (If request is faxed it must be followed by a hard copy through regular mail ) First Request for Extension Second Request for ExtensionFOR BOE USE ONLYPROPERTYSTATEMENTPARTSEXTENSION DATE FOR BOARD USE ONLY GRANTEDTangible Property ListSummary ControlStatement of Land ChangesFinancial SchedulesSchedules of Leased EquipmentStudies and other voluntary information (specify) I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information herein including accompanying statements or documents is true and correct and complete to the best of my knowledge and belief If Other requested information (describe below) Please enter your four digit SBE Number here If you do not know your SBE Number or wish to verify it refer to the State Assessed Property Program State Assessee SBE Number Listing that is located on this web site ) Reason for extension request (R & T Code section 830 1 requires a showing of good cause): REQUESTEDAPPROVED(yes/no) SIGNATORY S PRINTED NAME STATE ASSESSED PROPERTIES DIVISION CHIEF S SIGNATURE the owner is a corporation this document must be signed by an officer of the corporation TITLE will state the date to which the extension has been granted