(address (street city state zip code))
(appraiser name)
(area code)
(assessee's name)
(CLEAR) CLEAR
(county assessor's parcel number of subject property)
(county name)
(current rental)
(date completed)
(date of lease)
(date of termination)
(date)
(effective date)
(email address)
(escape year 1)
(escape year 2)
(escape year 3)
(escape year 4)
(grantor grantee lessor lessee (circle one))
(inprovements at time of purchase consist of)
(instrument)
(lien date)
(map)
(map)
(map)
(map)
(monthly annual rental at start of lease)
(name)
(parcel)
(parcel)
(parcel)
(parcel)
(phone number)
(preparer's name (please print))
(PRINT) PRINT
(property taxes to be paid by)
(purchase price)
(recording date)
(recording reference)
(remarks)
(renewal options)
(rental increase by year/term (including all renewals))
(sale price)
(SBE number)
(size (ac or sq ft ))
(size (ac or sq ft ))
(size)
(size)
(subject property address (street city state zip code))
(tax rate area)
(tax rate area)
(tax rate area)
(tax rate area)
*Check Box for qualified electric utility property as described in Revenue and Taxation (R&T;) code section 100 95 (see publication 67GE for specific instructions) orfor railroad qualified property as described in R&T; code section 100 11 (see publication 67RR for specific instructions)
ADDRESS (street city state zip code)
Appraiser Name:
ASSESSEE S NAME LIEN DATE COUNTY NAME SBE NO
BOE 551 REV 12 (12 11) STATE OF CALIFORNIA
COUNTY ASSESSOR S PARCEL NO OF SUBJECT PROPERTY
CURRENT RENTAL
DATE OF LEASE New Renewal
DATE OF TERMINATION
EFFECTIVE DATE
Following data to be supplied for each transaction
FOR OFFICIAL USE ONLYEscape Year:
GRANTOR GRANTEE LESSOR LESSEE (circle one)
IMPROVEMENTS AT TIME OF PURCHASE CONSIST OF
INSTRUMENT
Lease Reparcelling Other (remarks)
Lease ReparcellingOther (remarks)Purchase
MONTHLY/ANNUAL RENTAL AT START OF LEASE$
Name address and telephone number of person to whom correspondence regarding the Statement of Land Changes should be addressed:
NAMEADDRESS (street city state zip code)EMAIL ADDRESS TELEPHONE NO
OMITTED THIS YEAR
PREPARER S NAME (please print)
PREPARER S SIGNATURE DATE
Property State AssessedYes No: Date Completed
PROPERTY TAXES TO BE PAID BYLessorLessee
PURCHASE PRICE
QUALIFIEDPROPERTY*
RECORDING DATE
RECORDING REFERENCE
REMARKS
RENEWAL OPTIONS
RENTAL INCREASE BY YEAR/TERM (including all renewals)
REPORTED FIRST TIME THIS YEAR
SALE PRICE
STATEMENT OF LAND CHANGESBOARD OF EQUALIZATION
SUBJECT PROPERTY ADDRESS (street city state zip code)
TAX RATE AREA MAP PARCEL SIZE (AC OR SQ FT )TAX RATE AREA MAP PARCEL SIZE (AC OR SQ FT )
This year s Property Statement differs from last year s with respect to the following land map and parcel(s) (Use a separate sheet for each land map except in cases of reparcelling )