BOE-502-A (P1) REV. 12 (05-13)
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.
NAMEANDMAILINGADDRESSOFBUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address)
ASSESSOR'SPARCELNUMBER
SELLER/TRANSFEROR
BUYER’SDAYTIMETELEPHONENUMBER
(
)
BUYER’SEMAILADDRESS
STREETADDRESSORPHYSICALLOCATIONOFREALPROPERTY
MAILPROPERTYTAXINFORMATIONTO(NAME)
ADDRESS
CITY
STATE ZIPCODE
NO Thispropertyisintendedasmyprincipalresidence.IfYES,pleaseindicatethedateofoccupancy
YES
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/orthetransferor'sspouseregistereddomesticpartner.
2. to/fromatrustthatmayberevokedbythecreator/grantor/trustorwhoisalsoajointtenant,andwhich
namestheotherjointtenant(s)asbeneficiarieswhenthecreator/grantor/trustordies.
3.to/fromanirrevocabletrustforthebenefitofthe
creator/grantor/trustorand/orgrantor'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)
PART 2. OTHER TRANSFER INFORMATION
Check and complete as applicable.
A. Dateoftransfer,ifotherthanrecordingdate:
B. Typeoftransfer:
Purchase
Foreclosure
Gift
Contractofsale.Dateofcontract:
Sale/leaseback
Tradeorexchange
Merger,stock,orpartnershipacquisition(FormBOE-100-B)
Creationofalease
Inheritance.Dateofdeath:
Assignment of a lease
Terminationofalease.Dateleasebegan:
Original term in years (including written options):
Other.Pleaseexplain:
C. Onlyapartialinterestinthepropertywastransferred.
YES
PART 3. PURCHASE PRICE AND TERMS OF SALE
A. Totalpurchaseprice
Remaining term in years (including written options):
Check and complete as applicable.
B. Cashdownpaymentorvalueoftradeorexchangeexcludingclosingcosts
C. Firstdeedoftrust@______%interestfor______years.Monthlypayment$_____________
Cal-Vet
FHA(___DiscountPoints)
Bank/Savings&Loan/CreditUnion
VA(___DiscountPoints)
Variable rate
$_______________
Amount$_______________
Amount$_______________
Variable rate
Fixedrate
Loancarriedbyseller
Balloonpayment$_____________
Duedate:_____________
D. Seconddeedoftrust@______%interestfor______years.Monthlypayment$_____________
Fixedrate
%
IfYES,indicatethepercentagetransferred:
NO
Bank/Savings&Loan/CreditUnion
Balloonpayment$_____________
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)
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)
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.