Fillable HOMEOWNERS EXEMPTION CANCELLATION CARD (San Bernardino County Assessor-Recorder-Clerk)

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HOMEOWNERS EXEMPTION CANCELLATION CARD (San Bernardino County Assessor-Recorder-Clerk)

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ASSESSOR’S OFFICE COUNTY OF SAN BERNARDINO
HOMEOWNERS’ EXEMPTION CANCELLATION CARD
If you had a Homeowners’ Exemption on the parcel identified below, complete and return this
card if one of the following statements are true.
(Check all that apply.)
I rented out/moved from my home on .
My home will not be occupied on January 1, .
I claimed Renter’s Credit on my mobile home. Remove Homeowners’ Exemption.
If one of the above statements is true, failure to notify the Assessor may subject you to
additional taxes, penalties and interest.
Parcel #
- - -
COUNTY OF SAN BERNARDINO
BOB DUTTON, ASSESSOR-RECORDER-COUNTY CLERK
ASSESSOR’S OFFICE
222 W HOSPITALITY LANE
SAN BERNARDINO, CA 92415-0311
Property Address:
Street City Zip Code
NOTE: This is not a Change of Address Request, nor is it a Homeowners’ Exemption Claim Card. If you
have questions about homeowners’ eligibility, call (909) 387-8307 or 1-877-885-7654.
~ MUST BE FILED BY DECEMBER 10 TO AVOID PENALTY~
AOS 009 Rev. (06-19)
PLACE
STAMP
HERE
Printed Name of Homeowner(s) Phone Number: Home Work
Signature Date
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HOMEOWNERS EXEMPTION CANCELLATION CARD (San Bernardino County Assessor-Recorder-Clerk)

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Completed 31 January 2021

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