Assessor-Recorder-County Clerk
222 West Hospitality Lane
San Bernardino, CA 92415-0311
(909) 387-8307 ● 1 (877) 885-7654
www.SBCounty.gov/arc
CLAIM FOR TAX DEFERRAL
DAMAGED PROPERTY
I HEREBY APPLY FOR TAX DEFERRAL FOR DAMAGED PROPERTY.
ASSESSOR’S PARCEL NUMBER:
NAME OF OWNER:
PROPERTY ADDRESS:
APPLI
CATION FOR REASSESSMENT OF DAMAGED PROPERTY MUST HAVE BEEN FILED WITH
THE OFFICE OF THE ASSESSOR WITHIN 12 MONTHS OF DATE OF DAMAGE.
PE
R STATUTORY REQUIREMENT, TAXES PAID THROUGH AN IMPOUND ACCOUNT ARE NOT
ELIGIBLE FOR TAX DEFERRAL.
TAXES PAID THROUGH IMPOUND ACCOUNT: YES NO
Signature Date
MAI
L COMPLETED FORM TO
COUNTY OF SAN BERNARDINO
ASSESSOR’S OFFICE
222 West Hospitality Lane
San Bernardino, CA 92415-0311
ASSESSOR
’S USE ONLY
Date:
Date:
Date:
Deferral Authorized by:
Deferral Denied by:
Reason for Denial:
ARP 096 Rev. (06-19)