BOE-261-GNT (P1) REV. 29 (05-20)
2021 DISABLED VETERANS’ EXEMPTION
CHANGE OF ELIGIBILITY REPORT
CLAIMANT NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address)
Assessors Parcel Number:
Dear Claimant:
Our records indicate that you have been receiving the Disabled Veterans’ Exemption. Use this form only to notify the Assessor if you are no longer
eligible for the exemption on this property. Do not send in this form if you are still eligible and all information printed on the form is
correct and up to date as of January 1, 2021. Note: If you believe you qualify for the Low-Income Exemption (see below), you must
submit a new claim form to the Assessor by February 15.
The laws governing the Disabled Veterans’ Exemption provide that once you le a claim and receive the exemption you need not le each year
as long as you continue to qualify. The law further provides that when a disabled veteran or surviving spouse is no longer eligible for exemption,
the Assessor must be notied. A 25 percent penalty assessment for failure to so notify the Assessor is also part of the law.
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 effect 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.
If you are receiving the Basic Exemption because of blindness, the loss of two limbs, or because you are totally disabled, the exemption will
remain in effect. If you believe you qualify for the Low-Income Exemption, obtain a Disabled Veterans’ Property Tax Exemption
Claim Form, BOE-261-G, from the Assessor, complete it, and file it with the Assessor by February 15, 2021.
DISQUALIFYING CONDITIONS
Sign and return this notice if one or more of the following conditions apply to you.
1. At any time during 2020, the property was no longer your principal residence or you did not own it. (An owner includes a purchaser under
contract of sale, an owner of a share in a housing cooperative, and a shareholder in a corporation when the rights of shareholding entitle
one to possession of a home owned by the corporation.) NOTE: If you were confined to a hospital or other care facility but principally
resided at this residence prior to that confinement, you are still eligible for the exemption provided the property has not been rented
or leased.
2. If the basis of your exemption was blindness and your visual acuity in both eyes is no longer rated at 5/200 or less, or the concentric
contraction of the visual field is no longer 5 degrees or less, or if the basis was the loss of use of two limbs and the use of one or both has
been restored.
3. If you are the veteran and the United States Veterans Administration or the military service from which you were discharged no longer rates
your disability at 100 percent or no longer rates your disability compensation at 100 percent by reason of being unable to secure or follow a
substantially gainful occupation.
4. If you are a surviving spouse of a deceased disabled veteran and you have remarried.
5. The property has been altered and is no longer a dwelling.
* 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. Please refer to the attached schedule for the current amounts and limits.
(continued on reverse)
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
BOE-261-GNT (P2) REV. 29 (05-20)
SIGN HERE ONLY IF YOU NO LONGER QUALIFY FOR THE DISABLED VETERANS’ EXEMPTION AS OF JANUARY 1, 2021
I no longer qualify for the Disabled Veterans’ Exemption.
Signature _ Date ____________________
Daytime Telephone Number
( _____ ) _________________ Social Security Number: ______ - ____ - ________
REASON AND DATE OF DISQUALIFICATION (It is extremely important that you enter the date that you became ineligible.)
1.
The property is no longer my principal place of residence because:
A. I sold the property on (date): ________________
If sale is unrecorded, enter name of purchaser: ___________________________________________________
B. I am still the owner of the property but it is no longer my primary place of residence as of (date): _____________
Please provide your current mailing address:______________________________________
2. I received the exemption as the surviving spouse of a deceased disabled veteran and I remarried on (date): _____________
(please attach a copy of the marriage certificate)
3. My disability or disability compensation was changed to less than 100 percent on (date): _________________ (please attach
supporting documentation from the United States Department of Veterans Affairs)
4.
I am no longer blind; visual acuity in both eyes was not rated at 5/200 or less, or have a concentric contraction of 5 degrees or
less on (date): ________________ (please attach supporting documentation from the United States Department of Veterans
Affairs)
5.
I have no longer lost the use of two limbs; use was restored on (date): ________________ (please attach supporting
documentation from the United States Department of Veterans Affairs)
6.
Following the death of the claimant, the property is no longer eligible for the Disabled Veterans' Exemption.
A. Name of deceased veteran or deceased unmarried surviving spouse: _______________________________________
B. Date of death: _________________ Please attach a copy of the Death Certicate.
C. Name of person reporting change: _______________________________________
D. Relationship to disabled veteran or unmarried surviving spouse: _________________
E. Daytime telephone number: ( ____ ) ________________
F. Signature _______________________________________
_____________________________________________
_
If you change your principal place of residence on or after January 1, 2021, and the new resident of the property is not
eligible for the exemption, the exemption shall cease to apply to that property on the date of the sale or transfer. An
exemption will not be allowed on your new residence until you qualify and le a claim with the Assessor or within 30 days
of the date of notice of supplemental assessment. In the case where a supplemental notice was not mailed or not required,
you must le a claim the later of:
(a) 90 days of acquisition of your new residence, or 90 days after you establish residency at a property you previously
owned; or
(b) on or before the next following lien date after the year that your property was acquired, or when you established
residency in a previously owned property.
Note: If you were not eligible for the exemption on January 1, 2021, you must notify the Assessor on or before June 30, 2021,
or you will be subject to payment of the amount of taxes the exemption represents, plus a 25 percent penalty and interest.
BOE-261-GNT (P3) REV. 29 (05-20)
SCHEDULE FOR DISABLED VETERANS’ EXEMPTION
EXEMPTION AMOUNTS AND HOUSEHOLD INCOME LIMITS
Lien Date Basic Exemption Low-Income Exemption Low-Income Household Limit
2021 $147,535
$221,304 $66,251
2020 $143,273 $214,910 $64,337
2019 $139,437 $209,156 $62,614
2018 $134,706 $202,060 $60,490
2017 $130,841 $196,262 $58,754
2016 $127,510 $191,266 $57,258
2015 $126,380 $189,571 $56,751
2014 $124,932 $187,399 $56,101
2013 $122,128 $183,193 $54,842
2012 $119,285 $178,929 $53,566
2011 $116,845 $175,269 $52,470
2010 $115,060 $172,592 $51,669
2009 $114,634 $171,952 $51,478