BOE-502-A (P1) REV. 13 (06-17)

F. ThistransactionistoreplaceaprincipalresidencebyapersonwhoisseverelydisabledasdefinedbyRevenueandTaxationCodesection69.5.Withinthesamecounty?

E. This transaction is to replace a principal residence owned by a person 55 years of age or older.Withinthesamecounty?

STREETADDRESSORPHYSICALLOCATIONOFREALPROPERTY

MAILPROPERTYTAXINFORMATIONTO(ADDRESS)

SELLER/TRANSFEROR

STATECITY ZIPCODE

ASSESSOR'SPARCELNUMBER

BUYER’SEMAILADDRESS

YES

YES

YES

NO

NO

NO

A. Thistransferissolelybetweenspouses(addition or removal of a spouse, death of a spouse, divorce settlement, etc.).

B. ThistransferissolelybetweendomesticpartnerscurrentlyregisteredwiththeCaliforniaSecretaryofState(addition or removal ofa partner, death of a partner, termination settlement, etc.).

N.Thisisatransfersubjecttosubsidizedlow-incomehousingrequirementswithgovernmentallyimposedrestrictions,orrestrictionsimposedbyspecifiednonprofitcorporations.

O. Thistransferistothefirstpurchaserofanewbuildingcontaininganactivesolarenergysystem.

H. Therecordeddocumentcreates,terminates,orreconveysalender'sinterestintheproperty.

J. Therecordeddocumentsubstitutesatrusteeofatrust,mortgage,orothersimilardocument.

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:

I. Thistransactionisrecordedonlyasarequirementforfinancingpurposesortocreate,terminate,orreconveyasecurityinterest(e.g., cosigner).IfYES,pleaseexplain:

C. Thisisatransfer: between parent(s) and child(ren) from grandparent(s) to grandchild(ren).

BUYER’SDAYTIMETELEPHONENUMBER

( )

1. to/fromarevocabletrustthatmayberevokedbythetransferorandisforthebenefitofthetransferor,and/orthetransferor'sspouse registereddomesticpartner.

2. to/fromanirrevocabletrustforthebenefitofthecreator/grantor/trustorand/orgrantor's/trustor’sspouse grantor’s/trustor’sregistereddomesticpartner.

L. Thispropertyissubjecttoaleasewitharemainingleasetermof35yearsormoreincludingwrittenoptions.

K. Thisisatransferofproperty:

*

*

*

*

YES NO Thispropertyisintendedasmyprincipalresidence.IfYES,pleaseindicatethedateofoccupancyorintendedoccupancy.

MO DAY YEAR

M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcelbeingtransferredremainexactlythesameafterthetransfer.

PRELIMINARY CHANGE OF OWNERSHIP REPORTTobecompletedby the transferee (buyer)prior toa transferofsubjectproperty,inaccordancewithsection480.3oftheRevenueandTaxationCode. APreliminary Change of Ownership Report must be filed with each conveyance in the County Recorder’s office for the county where the property is located.

D.Thistransferistheresultofacotenant’sdeath.Dateofdeath___________________________*

YES NO Areyouadisabledveteranoraunmarriedsurvivingspouseofadisabledveteranwhowascompensatedat100%bytheDepartmentofVeteransAffairs?

P. Other.Thistransferisto____________________________________________________________

MAILPROPERTYTAXINFORMATIONTO(NAME)

FORASSESSOR’SUSEONLY

PART 1. TRANSFER INFORMATION Please complete all statements.Thissectioncontainspossibleexclusionsfromreassessmentforcertaintypesoftransfers.

* 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. 13 (06-17)

Remaining term in years (including written options):

PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable.A. Dateoftransfer,ifotherthanrecordingdate:

C. Onlyapartialinterestinthepropertywastransferred.

B. Cashdownpaymentorvalueoftradeorexchangeexcludingclosingcosts Amount$_______________C. Firstdeedoftrust@______%interestfor______years.Monthlypayment$_____________ Amount$_______________

D. Seconddeedoftrust@______%interestfor______years.Monthlypayment$_____________ Amount$_______________

E. WasanImprovementBondorotherpublicfinancingassumedbythebuyer? Outstandingbalance$_______________

IfYES,indicatethepercentagetransferred:

B. Typeoftransfer:Purchase

Contractofsale.Dateofcontract:

Sale/leaseback

Fixedrate

Fixedrate

Balloonpayment$_____________

Duedate:_____________

Duedate:_____________

Creationofalease

Variable rate

Variable rate

Other.Pleaseexplain:Original term in years (including written options):

Assignment of a lease

Loancarriedbyseller

Loancarriedbyseller

Bank/Savings&Loan/CreditUnion

Bank/Savings&Loan/CreditUnion

Inheritance.Dateofdeath:

Terminationofalease.Dateleasebegan:

Foreclosure Gift Tradeorexchange Merger,stock,orpartnershipacquisition(FormBOE-100-B)

YES NO %

PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.

$

$

PART 4. PROPERTY INFORMATION Check and complete as applicable.A. Type of property transferred

Single-family residence

Lease/rent

Multiple-familyresidence.Numberofunits:Co-op/Own-your-own

Contract

ManufacturedhomeCondominiumTimeshare Commercial/Industrial

Mineral rights Other:

UnimprovedlotOther.Description:(i.e.,timber,mineral,waterrights,etc.)

B.

C.

D.

E.

YES

YES

YES

YES

YES

Good Average Fair Poor

NO

NO

NO

NO

NO

IfYES,enterthevalueofthepersonal/businessproperty:

IfYES,enterthevalueattributedtothemanufacturedhome:

IfYES,theincomeisfrom:

Personal/businessproperty,orincentives,providedbysellertobuyerareincludedinthepurchaseprice.Examplesofpersonalpropertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships,etc.Attachlistifavailable.

Amanufacturedhomeisincludedinthepurchaseprice.

Themanufacturedhomeissubjecttolocalpropertytax.IfNO,enterdecalnumber:

Thepropertyproducesrentalorotherincome.

Theconditionofthepropertyatthetimeofsalewas:Pleasedescribe:__________________________________________________________________________________________________

It

CERTIFICATION certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to he best of my knowledge and belief.

SIGNATUREOFBUYER/TRANSFEREEORCORPORATEOFFICER

NAMEOFBUYER/TRANSFEREE/PERSONALREPRESENTATIVE/CORPORATEOFFICER(PLEASEPRINT)

TELEPHONE

EMAILADDRESSTITLE

DATE

TheAssessor’sofficemaycontactyouforadditionalinformationregardingthistransaction.

t

Phonenumber:G. Thepropertywaspurchased:

ain:Other.Pleaseexpl

Throughrealestatebroker.Brokername:

Direct from seller From a family member-Relationship

( )

H. Pleaseexplainanyspecialterms,sellerconcessions,broker/agentfeeswaived,financing,andanyotherinformation(e.g.,buyerassumedtheexistingloanbalance)thatwouldassisttheAssessorinthevaluationofyourproperty.

( )

Incentives $

F. Amount,ifany,ofrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice $_______________

A. Totalpurchaseprice $_______________

FHA(___DiscountPoints) Cal-Vet VA(___DiscountPoints)

Balloonpayment$_____________

BOE-502-A (P3) REV. 13 (06-17)

ADDITIONALINFORMATION

Pleaseanswerallquestionsineachsection,andsignandcompletethecertificationbeforefiling.Thisformmaybeusedinall58Californiacounties.IfadocumentevidencingachangeinownershipispresentedtotheRecorderforrecordationwithouttheconcurrentfilingofaPreliminary Change of Ownership Report,theRecordermaychargeanadditionalrecordingfeeoftwentydollars($20).

NOTICE:ThepropertywhichyouacquiredmaybesubjecttoasupplementalassessmentinanamounttobedeterminedbytheCountyAssessor.Supplementalassessmentsarenotpaidbythetitleorescrowcompanyatcloseofescrow,andarenot includedin lenderimpoundaccounts.You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill.

NAMEANDMAILINGADDRESSOFBUYER:Pleasemake necessary corrections to the printed nameandmailing address.EnterAssessor’sParcelNumber,nameofseller,buyer’sdaytimetelephonenumber,buyer’semailaddress,andstreetaddressorphysicallocation 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,andzipcodewherepropertytaxinformationshouldbemailed.Thismustbeavalidmailingaddress.

PRINCIPALRESIDENCE:Tohelpyoudetermineyourprincipalresidence,consider(1)whereyouareregisteredtovote,(2)thehomeaddressonyourautomobile registration,and(3)whereyounormally returnafterwork. Ifafterconsidering thesecriteriayouarestilluncertain,choosetheplaceatwhichyouhavespentthemajorportionofyourtimethisyear.CheckYESifthepropertyisintendedasyourprincipalresidence,andindicatethedateofoccupancyorintendedoccupancy.

DISABLED VETERAN: If you checked YES, you may qualify for a property tax exemption.A claim form must be filed and all requirements met in order to obtain the exemption. Please contact the Assessor for a claim form.

PART 1: TRANSFER INFORMATIONIf you check YES to any of these statements, the Assessor may ask for supporting documentation.C, D, E, F:IfyoucheckedYEStoanyofthesestatements,youmayqualifyforapropertytaxreassessmentexclusion,whichmayallowyoutomaintainyourproperty’sprevioustaxbase. A claim form must be filed and all requirements met in order to obtain any of these exclusions. ContacttheAssessorforclaimforms.NOTE:Ifyougivesomeonemoneyorpropertyduringyourlife,youmaybesubjecttofederalgifttax.Youmakeagiftifyougiveproperty(includingmoney),theuseofproperty,ortherighttoreceiveincomefrompropertywithoutexpectingtoreceivesomethingofatleastequalvalueinreturn.Thetransferor(donor)mayberequiredtofileForm709,FederalGiftTaxReturn,withtheInternalRevenueServiceiftheymakegiftsinexcessoftheannualexclusionamount.

G:CheckYESifthereasonforrecordingistocorrectanamealreadyontitle[e.g.,MaryJones,whoacquiredtitleasMaryJ.Smith,isgrantingtoMaryJones].Thisisnotforusewhenanameisbeingremovedfromtitle.

H: Check YES if the change involves a lender, who holds title for security purposes on a loan, and who has no other beneficialinterestin 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,whilelegalcontrolofthetrustisheldbythetrustee.

I: A "cosigner"isathirdpartytoamortgage/loanwhoprovidesaguaranteethataloanwillberepaid.Thecosignersignsanagreementwiththelenderstatingthatiftheborrowerfailstorepaytheloan,thecosignerwillassumelegalliabilityforit.M:Thisisprimarilyforusewhenthetransferisinto,outof,orbetweenlegalentitiessuchaspartnerships,corporations,orlimitedliabilitycompanies.CheckYESonlyiftheinterestheldineachandeveryparcelbeingtransferredremainsexactly the same.

N: Check YES only if this property is subject to a government or nonprofit affordable housing program that imposes 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 INFORMATIONA:Thedateofrecordingisrebuttablypresumedtobethedateoftransfer.Ifyoubelievethedateoftransferwasadifferentdate(e.g.,thetransferwasbyanunrecordedcontract,oraleaseidentifiesaspecificstartdate),putthedateyoubelieveisthecorrecttransferdate.Ifitisnotthedateofrecording,theAssessormayaskyouforsupportingdocumentation.

B:Checktheboxthatcorrespondstothetypeoftransfer.IfOTHERischecked,pleaseprovideadetaileddescription.Attachaseparatesheet if necessary.C. Ifthistransferwastheresultofaninheritancefollowingthedeathofthepropertyowner,pleasecompleteaChange in Ownership Statement, Death of Real Property Owner, formBOE-502-D,ifnotalreadyfiledwiththeAssessor’soffice.

PART 3: PURCHASE PRICE AND TERMS OF SALE

Itisimportanttocompletethissectioncompletelyandaccurately.Thereportedpurchasepriceandtermsofsaleareimportantfactorsindeterminingtheassessedvalueoftheproperty,whichisusedtocalculateyourpropertytaxbill.Yourfailuretoprovideanyrequiredorrequestedinformationmayresultinaninaccurateassessmentofthepropertyandinanoverpaymentorunderpaymentoftaxes.

A. Enterthetotalpurchaseprice,notincludingclosingcostsormortgageinsurance.“Mortgage insurance”isinsuranceprotectingalenderagainstlossfromamortgagor’sdefault,issuedbytheFHAoraprivatemortgageinsurer.

B.Entertheamountofthedownpayment,whetherpaidincashorbyanexchange.Ifthroughanexchange,excludetheclosingcosts.“Closing costs”arefeesandexpenses,overandabovethepriceoftheproperty,incurredbythebuyerand/orseller,whichincludetitlesearches,lawyer’sfees,surveycharges,anddocumentrecordingfees.

C.EntertheamountoftheFirstDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested.A “balloon payment”isthefinalinstallmentofaloantobepaidinanamountthatisdisproportionatelylargerthantheregularinstallment.

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 improvementfinancing,suchasgreenorsolarconstructionfinancing,assessmentdistrictbonds,Mello-Roos(aformoffinancingthatcanbeusedbycities,countiesandspecialdistrictstofinancemajorimprovementsandserviceswithintheparticulardistrict)orgeneralimprovementbonds,etc.Amountsforrepaymentofcontractualassessmentsareincludedwiththeannualpropertytaxbill.

F. Entertheamountofanyrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice.

G.Ifthepropertywaspurchasedthrougharealestatebroker,checkthatboxandenterthebroker’snameandphonenumber.Ifthepropertywaspurchaseddirectlyfromtheseller(whoisnotafamilymemberofoneofthepartiespurchasingtheproperty),checkthe“Direct from seller”box.Ifthepropertywaspurchaseddirectlyfromamemberofyourfamily,orafamilymemberofoneofthepartieswhoispurchasingtheproperty,checkthe“From a family member”boxandindicatetherelationshipofthefamilymember(e.g.,father,aunt,cousin,etc.).Ifthepropertywaspurchasedbysomeothermeans(e.g.,overtheInternet,atauction,etc.),checkthe“OTHER”boxandprovide 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 finishwork, etc.), broker/agent feeswaived (e.g., feeswaived by thebroker/agentforeitherthebuyerorseller),financing,buyerpaidcommissions,andanyotherinformationthatwillassisttheAssessorindeterminingthevalueoftheproperty.

PART 4: PROPERTY INFORMATION

A.Indicatethepropertytypeorpropertyrighttransferred.Propertyrightsmayincludewater,timber,mineralrights,etc.

B.CheckYESifpersonal,businesspropertyorincentivesareincludedinthepurchasepriceinPart3.Examplesofpersonalorbusinesspropertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships(golf,health,etc.),skilifttickets,homeowners’dues,etc.Attachalistofitemsandtheirpurchasepriceallocation.Anadjustmentwillnotbemadeifadetailedlistisnotprovided.

C.CheckYESifamanufacturedhomeorhomesare included inthepurchaseprice. Indicatethepurchasepricedirectlyattributabletoeachofthemanufacturedhomes.IfthemanufacturedhomeisregisteredthroughtheDepartmentofMotorVehiclesinlieuofbeingsubjecttopropertytaxes,checkNOandenterthedecalnumber.

D.CheckYESifthepropertywaspurchasedoracquiredwiththeintenttorentorleaseitouttogenerateincome,andindicatethesourceofthatanticipatedincome.CheckNOifthepropertywillnotgenerateincome,orwaspurchasedwiththeintentofbeingowner-occupied.

E.Provideyouropinionoftheconditionofthepropertyatthetimeofpurchase.Ifthepropertyisin“fair” or “poor”condition,includeabrief description of repair needed.

BOE-502-A(P4)REV.13(06-17)