BOE-261-G (P1) REV. 30 (05-20)
2021 CLAIM FOR DISABLED VETERANS'
PROPERTY TAX EXEMPTION
Filing deadlines vary depending upon the event which a claimant is ling.
Please see instructions on page 3 for ling deadlines.
CLAIMANT NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address)
FOR ASSESSOR’S USE ONLY
DATE RECEIVED
APPROVED DENIED
REASON FOR DENIAL
ASSESSOR’S PARCEL NUMBER
CLAIMANT'S NAME SOCIAL SECURITY NUMBER
SPOUSE’S NAME SOCIAL SECURITY NUMBER
STREET ADDRESS OF DWELLING (IF DIFFERENT FROM MAILING ADDRESS) CITY
ZIP CODE
IF THE CLAIMANT IS AN UNMARRIED SURVIVING SPOUSE, ENTER THE NAME OF THE VETERAN AS SHOWN ON THE DISCHARGE DOCUMENTS
SOCIAL SECURITY NUMBER
Article XIII of the California Constitution, section 4(a), and Revenue and Taxation Code section 205.5 provide an exemption for property which
constitutes the home of a veteran, or the home of the unmarried surviving spouse of a veteran, who, because of injury or disease incurred in military
service, is blind in both eyes, has lost the use of two or more limbs, or is totally disabled. There are two exemption levels - a basic exemption and
one for low-income household claimants, both of which are adjusted annually for ination*. The exemption does not apply to direct levies or special
taxes. Once granted, the Basic Exemption remains in eect without annual ling until terminated. Annual ling is required for any year in which a
Low-Income Exemption is claimed. Please refer to the attached schedule for the current amount and household income limits.
Totally disabled means that the United States Veterans Administration or the military service from which discharged has rated the disability at 100
percent or has rated the disability compensation at 100 percent by reason of being unable to secure or follow a substantially gainful occupation.
The Disabled Veterans' Property Tax Exemption is also available to the unmarried surviving spouse of a veteran who, as a result of service-
connected injury or disease: 1) died either while on active duty in the military service or after being discharged in other than dishonorable conditions
and 2) served either in time of war or in time of peace in a campaign or expedition for which a medal has been issued by Congress. This law
provides that the Veterans Administration shall determine whether an injury or disease is service-connected.
The Disabled Veterans' Property Tax Exemption provides for the cancellation or refund of taxes paid 1) when property becomes eligible after the
lien date (new acquisition or occupancy of a previously owned property) or 2) upon a veteran's disability rating or death. This further provides for
the termination of the exemption on the date of sale or transfer of a property to a third party who is not eligible for the exemption or on the date a
person previously eligible for the exemption becomes ineligible.
* As provided by Revenue and Taxation Code section 205.5, the exemption amount and the household income limit shall be compounded annually
by an ination factor tied to the California Consumer Price Index.
ThIS DOCUMENT IS NOT SUBjECT TO PUBLIC INSPECTION
BOE-261-G (P2) REV. 30 (05-20)
STATEMENTS
This claim is for:
First time claimants for the Disabled Veterans' Exemption; or
Annual claimants for the Low-Income Exemption. Separate claims are required for each scal year when ling the Low-Income Exemption.
If you received the Disabled Veterans’ Exemption last year and are ling this form solely to claim the Low-Income Exemption, check here
1. a. When did you acquire this property?
and
proceed directly to item 4.
(month/day/year)
b. Date you occupied or intend to occupy this property as your principal residence:
(month/day/year)
______________________________________
______________________________________.
other residence__________________
Yes No Date Moved/Sold/Transferred from the
c. Have you claimed the Disabled Veterans’ Exemption on another residence?
If yes, see Question 1d below.
d. What is the address of the home where you previously claimed the Disabled Veterans’ Exemption, including the city and county where the
home is located?
Address: _______________________________________________________________________________________________
City: _____________________________________________ County: ______________________________________________
2. a. Eective date of 100% disability or unemployability rating from the USDVA*: _______________________
b. Date of notice from USDVA* of the 100% rating (must include proof of rating): _______________________
*United States Department of Veterans Aairs
3. The basis for this claim is (please check the appropriate boxes):
a.
Blind in both eyes (blind means having a visual acuity of 5/200 or less, or concentric contraction of the visual eld to 5 degrees or less;
proof is attached);
b. Disabled because of loss of use of 2 or more limbs (loss of the use of a limb means that the limb has been amputated, or its use has
been lost by reason of ankylosis, progressive muscular dystrophies, or paralysis; proof is attached);
c. Totally disabled as a result of a service-connected injury or disease (totally disabled means that the United States Veterans
Administration or the military service from which discharged has rated the disability at 100 percent or has rated the disability
compensation at 100 percent by reason of being unable to secure or follow a substantially gainful occupation);
d. Unmarried surviving spouse of a deceased veteran who during their lifetime qualied for this exemption or who would have
qualied for this exemption under the laws eective on January 1, 1977 (January 1, 1979, for disease) except that the veteran died
prior to January 1, 1977 (January 1, 1979, for disease). Disability: blindness; loss of use of two or more limbs; total
disability because of injury; or total disability because of disease (check applicable box; proof of disability, copy of mar riage
certicate, and copy of death certicate must be submitted to the Assessor).
My spouse died on: _____________________________________.
(month/day/year)
e. Unmarried surviving spouse of a person who, as a result of service-connected injury or disease, died while on active duty in the military
service or after being discharged in other than dishonorable conditions (copy of marriage certicate, proof that the cause of death was
service-connected, dates of service, and copy of death certicate or report of casualty must be submitted to the Assessor).
My spouse died on: _____________________________________.
(month/day/year)
4. To be completed only by claimants for the Low-Income Exemption:
Total annual household income for all persons in your household, including veterans’ benets (see the instructions) for prior calendar year was
$ . If the amount entered does not exceed the indexed low-income limit for the year you are claiming, the Low-Income-Exemption
shall applly. If you entered an amount greater than the limit, or you do not enter an amount, the Assessor will only allow the Basic Exemption.
See attached schedule for income limits
SIGNATURE OF PERSON MAKING CLAIM
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon,
including any accompanying statements or documents, is true, correct and complete to the best of my knowledge and belief.
t
DATE
TELEPHONE NO. (8 A.M. - 5 P.M.)
EMAIL ADDRESS
( )
BOE-261-G (P3) REV. 30 (05-20)
GENERAL INFORMATION
There are a number of alternatives by which a Disabled Veterans' Property Tax Exemption may be granted:
Alternative 1: The exemption is available to an eligible owner or the veteran spouse of an owner of a dwelling that is occupied as the principal
place of residence for the veteran as of: a) 12:01 a.m. January 1 each year; b) the date of the veteran’s qualifying disability or compensation rating
from the USDVA; c) the date residency is established at a property already owned by the qualifying claimant; or d) the date the veteran died as a
result of a service connected injury or disease where the unmarried surviving spouse is the claimant.
Alternative 2: The exemption is available to an eligible owner or veteran spouse of the owner of a dwelling subject to supplemental assessment(s)
resulting from a change in ownership or completion of new construction on or after January 1, provided:
(a) The owner or the owner's veteran spouse occupies or intends to occupy the property as their principal place of residence within
90 days after the change in ownership or completion of construction, and
(b) The property is not already receiving the Disabled Veterans’ Exemption or another property tax exemption of greater value. If
the property received an exemption of lesser value on the current roll, the dierence in the amount between the two exemptions
shall be applied to the supplemental assessment.
(c) The owner does not own other property which is currently receiving the Disabled Veterans’ Exemption.
Exemption under Alternative 2 will apply to the supplemental assessment(s), if any, and any remaining exemption amount may be applied toward
the regular assessment.
Eective date: The Disabled Veteran's Exemption applies beginning on: 1) the eective date, as determined by the USDVA, of a disability rating
that qualies the claimant for the exemption, or 2) the date the claimant purchases and/or moves into a qualied property, or 3) the date of a
qualied veteran's death where the unmarried surviving spouse is the claimant.
To obtain the exemption, the claimant must be an owner or co-owner, a veteran spouse of an owner, a purchaser named in a contract of sale, or a
shareholder in a corporation where the rights of shareholding entitle the claimant to possession of a home owned by the corporation. The dwelling
may be any place of residence subject to property tax; a single-family residence, a structure containing more than one dwelling unit, a condominium
or unit in a cooperative housing project, a houseboat, a manufactured home (mobilehome), land you own on which you live in a state-licensed trailer
or manufactured home (mobilehome), whether leased or owned, and the cabana for such a trailer or manufactured home (mobilehome). A dwelling
does not qualify for the exemption if it is, or is intended to be, rented, vacant and unoccupied, or the vacation or secondary home of the claimant.
If the Disabled Veterans' Exemption is granted and the property later becomes ineligible for the exemption, you are responsible for
notifying the Assessor of that fact immediately. You will be sent a notice on or shortly after January 1 each year to ascertain whether you have
retained your eligibility. Section 279.5 of the Revenue and Taxation Code provides for a penalty of 25 percent of the escape assessment added
for failure to notify the Assessor when the property is no longer eligible for the exemption. To avoid the penalty, you must notify the Assessor by
the following June 30.
Once granted, the Basic Exemption remains in eect until terminated. Annual ling is required where the Low Income Exemption is
claimed. Once terminated, a new claim form must be obtained from and led with the Assessor to regain eligibility.
DEADLINES FOR TIMELY FILINGS
Alternative 1a: The full exemption is available to the Low-Income Exemption claimant if the ling is made by 5 p.m. on February 15 of each year.
If a claim for the Low-Income exemption is led after that time but by 5 p.m. on December 10, 90 percent of the exemption is available. For claims
led after that time, 85 percent of the exemption is available.
If a late led claim is made for the Low-Income Exemption, subsequent to a timely led claim for the Basic Exemption, a claimant shall qualify for
90 percent or 85 percent of the additional exemption amount, depending upon the ling date:
($150,000 - $100,000 = $50,000 x 90% = $45,000 additional exemption amount allowed.)
Alternatives 1b, 1c, and 1d: The full exemption is available, prorated to the date of eligibility, if the ling is made on or before
January 1 of the year next following the year in which 1) the disability rating was received, or 2) residency is established on a property already
owned by the claimant, or 3) the veteran died due to a service-connected injury or disease, or 90 days after any such event, whichever is later.
Thereafter, if an appropriate application for exemption is led, 85 percent of the exemption available shall be allowed, subject to an eight-year
statute of limitations.
Alternative 2: A full exemption (up to the amount of the supplemental assessment, if any) is available if the ling is made by 5 p.m. on the 30th day
following the notice of supplemental assessment. Ninety percent of the exemption available shall be allowed, if a claim is led after the 30th day
following the date of the notice of supplemental assessment, but on or before the date on which the rst installment of taxes on the supplemental
tax bill becomes delinquent. Thereafter, if an appropriate claim is led, 85 percent of the exemption shall be allowed subject to an eight-year
statute of limitations. If no supplemental notice is received, the claim must be led on or before the January 1 following the date in which the
property was purchased.
INSTRUCTIONS
If your name is printed on the form, make sure that it is correct and complete. Change the printed address if it is incorrect. If you are the unmarried
surviving spouse of a veteran, enter the veteran’s name as shown on the discharge documents; if you are using your maiden name or a surname
other than the deceased veteran’s name, attach an explanation.
If there are no entries printed on the form when you receive it, enter your full name and mailing address, including your zip code.
BOE-261-G (P4) REV. 30 (05-20)
LOCATION OF THE DWELLING. If the parcel number or the legal description of the property and the address of the dwelling are printed on
the form, check to see that they are printed correctly and correct them if they are not. These entries identify the dwelling on which you claim the
exemption.
If the dwelling has no street address, so state. Do not enter a post oce box number for the address of the dwelling.
INSTRUCTIONS FOR STATEMENTS
Item 1. Please answer the applicable questions. The Assessor will allow the proper exemption(s).
Item 2. Please answer the applicable questions.
Item 3. A veteran must check one of the boxes (a), (b), or (c). An unmarried surviving spouse must check either box (d) or box (e); if box (d)
is checked, the surviving spouse must also check the box indicating the disability of the deceased veteran. Proof of disability must be
attached to the claim. If original documents are forwarded to the Assessor, the Assessor will make a copy and return the originals to you.
The unmarried surviving spouse must include both a marriage certicate and proof of the deceased veteran’s disability.
Item 4. If you are claiming the Low-Income Exemption, compute your household income as determined below and enter the net household income
(total of A less total of B) on item 4 of the claim.
Household Income (section 20504)
Household income means all income received by all persons of a household while members of such household. Include only the income of persons
who were members of the household during the calendar year prior to the year of this claim (if the claim is for 2012, the income would be for the
calendar year 2011.)
The term household includes the claimant and all other persons, except bona de renters, minors, or students.
A. Household income includes:
(Upon request, you will be required to provide a list showing your household income.
(1) Wages, salaries, tips, and other employee compensation.
(2) Social Security, including the amount deducted for Medi-Care premiums.
(3) Railroad retirement.
(4) Interest and dividends.
(5) Pensions, annuities and disability retirement payments.
(6) SSI/SSP (Supplemental Security Income/State Supplemental Plan), AB (Aid to the Blind), ATD (Aid to Totally Disabled), AFDC
(Aid to Families with Dependent Children), and APSB (Aid to the Potentially Self-Supporting Blind).
(7) Rental income (or loss).
(8) Net income (or loss) from a business.
(9) Income (or loss) from the sale of capital assets.
(10) Life insurance proceeds that exceed expenses.
(11) Veterans benets received from the Veterans Administration.
(12) Gifts and inheritances in excess of $300, except between members of the household.
(13) Unemployment insurance benets.
(14) Workers compensation for temporary disability (not for permanent disability).
(15) Amounts contributed on behalf of the claimant to a tax sheltered or deferred compensation plan (also a deduction), see (c) below.
(16) Sick leave payments.
(17) Nontaxable gain from the sale of a residence.
(18) Income received by all other household members while they lived in the claimant’s home during the last calendar year except
a minor, student, or renter.
B. Adjustments to Income
Section 17072 of the Revenue and Taxation Code provides for an adjusted gross income, which means, in the case of an individual,
gross income minus the following deductions:
(a) Forfeited interest penalty.
(b) Alimony paid.
(c) Individual retirement arrangement, Keogh (HR 10), Simplied Employee Plan (SEP), or SIMPLE plans.
(d) Employee business expenses.
(e) Moving expenses and deductions of expenses (already taken) for the production of income (or loss) reported in Items 7 (rental), 8
(business), and 9 (sale of capital assets) included in income.
(f) Student loan interest.
(g) Medical savings account.
BOE-261-G (P5) REV. 30 (05-20)
SCHEDULE FOR DISABLED VETERANS' EXEMPTION
EXEMPTION AMOUNTS AND HOUSEHOLD INCOME LIMITS
Lien Date
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
Basic Exemption
$147,535
$143,273
$139,437
$134,706
$130,841
$127,510
$126,380
$124,932
$122,128
$119,285
$116,845
$115,060
$114,634
Low-Income Exemption
$221,304
$214,910
$209,156
$202,060
$196,262
$191,266
$189,571
$187,399
$183,193
$178,929
$175,269
$172,592
$171,952
Low-Income Household Limit
$66,251
$64,337
$62,614
$60,490
$58,754
$57,258
$56,751
$56,101
$54,842
$53,566
$52,470
$51,669
$51,478