Fillable PRELIMINARY CHANGE OF OWNERSHIP REPORT

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PRELIMINARY CHANGE OF OWNERSHIP REPORT

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F. ThistransactionistoreplaceaprincipalresidencebyapersonwhoisseverelydisabledasdenedbyRevenueandTaxationCode
section69.5.Withinthesamecounty?
E.
This transaction is to replace a principal residence owned by a person 55 years of age or older.
Withinthesamecounty?
STREETADDRESSORPHYSICALLOCATIONOFREALPROPERTY
MAIL
PROPERTYTAXINFORMATIONTO(ADDRESS)
SELLER/TRANSFEROR
STATECITY ZIP
CODE
ASSESSOR'S
PARCELNUMBER
BUYER’SEMAILADDRESS
YES
YES
YES
NO
NO
A. This
transferissolelybetweenspouses(addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
B. This
transferissolelybetweendomesticpartnerscurrentlyregisteredwiththeCaliforniaSecretaryofState(addition or removal of
a partner, death of a partner, termination settlement, etc.).
N. Thisisatransfersubjecttosubsidizedlow-incomehousingrequirementswithgovernmentallyimposedrestrictions,orrestrictions
imposedbyspecifiednonprofitcorporations.
O. Thistransferistotherstpurchaserofanewbuildingcontaininganactivesolarenergysystem.
H. Therecordeddocumentcreates,terminates,orreconveysalender'sinterestintheproperty.
J. The
recordeddocumentsubstitutesatrusteeofatrust,mortgage,orothersimilardocument.
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).
IfYES,pleaseexplain:
I. This
transactionisrecordedonlyasarequirementfornancingpurposesortocreate,terminate,orreconveyasecurityinterest
(e.g., cosigner).IfYES,pleaseexplain:
C. Thisisatransfer: between parent(s) and child(ren) from grandparent(s) to grandchild(ren).
BUYER’SDAYTIMETELEPHONENUMBER
( )
1. to/fromarevocabletrustthatmayberevokedbythetransferorandisforthebenetof
the
transferor,and/orthetransferor'sspouse registereddomesticpartner.
2. to/fromanirrevocabletrustforthebenetofthe
creator/grantor/trustor
and/or grantor's/trustor’sspouse grantor’s/trustor’sregistereddomesticpartner.
L. Thispropertyissubjecttoaleasewitharemainingleasetermof35yearsormoreincludingwrittenoptions.
K. Thisisatransferofproperty:
*
*
*
*
YES NO
Thispropertyisintendedasmyprincipalresidence.IfYES,pleaseindicatethedateofoccupancy
orintendedoccupancy.
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 parcel
beingtransferredremainexactlythesameafterthetransfer.
BOE-502-A (P1) REV. 14 (05-18)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by the transferee (buyer) prior to a transfer of
subjectproperty,inaccordancewithsection480.3oftheRevenueand
Taxation Code. A Preliminary Change of Ownership Report must
be filed with each conveyance in the County Recorder’s office
for the county where the property is located.
NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address
D. Thistransferistheresultofacotenant’sdeath.Dateofdeath___________________________
*
YES NO
Areyouadisabledveteranoraunmarriedsurvivingspouseofadisabledveteranwhowas
compensatedat100%bytheDepartmentofVeteransAffairs?
P. Other.Thistransferisto____________________________________________________________
MAILPROPERTYTAXINFORMATIONTO(NAME)
PART 1. TRANSFER INFORMATION Please complete all statements.
Thissectioncontainspossibleexclusionsfromreassessmentforcertaintypesoftransfers.
* PleaserefertotheinstructionsforPart1.
Please provide any other information that will help the Assessor understand the nature of the transfer.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
NO
EF-502-A-R14-0518-30001415-1
Claude Parrish
Orange County Assessor
Civic Center Plaza, Building 11
625 N. Ross Street, Room 142
P.O. Box 1948
Santa Ana, CA 92702-1948
(714) 834-5031
www.ocgov.com/assessor
Remaining term in years (including written options):
BOE-502-A (P2) REV. 14 (05-18)
PART 2. OTHER TRANSFER INFORMATION
Check and complete as applicable.
A. Dateoftransfer,ifotherthanrecordingdate:
C. Onlyapartialinterestinthepropertywastransferred.
B. Cash
downpaymentorvalueoftradeorexchangeexcludingclosingcosts Amount$_______________
C. First
deedoftrust@______%interestfor ______years.Monthlypayment$_____________ Amount$_______________
D. Second
deedoftrust@______%interestfor ______years.Monthlypayment$_____________ Amount$_______________
E. Was
anImprovementBondorotherpublicnancingassumedbythebuyer? Outstandingbalance$_______________
If
YES,indicatethepercentagetransferred:
B. Typeoftransfer:
Purchase
Contract
ofsale.Dateofcontract:
Sale/leaseback
Fixed
rate
Fixed
rate
Balloon
payment$_____________
Due
date:_____________
Due
date:_____________
Creation
ofalease
Variable rate
Variable rate
Other.
Pleaseexplain:
Original term in years (including written options):
Assignment of a lease
Loan
carriedbyseller
Loan
carriedbyseller
Bank/Savings
&Loan/CreditUnion
Bank/Savings&Loan/CreditUnion
Inheritance.Dateofdeath:
Termination
ofalease.Dateleasebegan:
Foreclosure Gift Tradeorexchange Merger,stock,orpartnershipacquisition(FormBOE-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-family
residence.Numberofunits:
Co-op/Own-your-own
Contract
Manufactured
home
Condominium
Timeshare Commercial/Industrial
Mineral rights Other:
Unimproved
lot
Other.
Description:(i.e.,timber,mineral,waterrights,etc.)
B.
C.
D.
E.
YES
YES
YES
YES
YES
Good Average Fair Poor
NO
NO
NO
NO
NO
If
YES,enterthevalueofthepersonal/businessproperty:
If
YES,enterthevalueattributedtothemanufacturedhome:
If
YES,theincomeisfrom:
Personal/business
property,orincentives,providedbysellertobuyerareincludedinthepurchaseprice.Examplesofpersonal
propertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships,etc.Attachlistifavailable.
Amanufacturedhomeisincludedinthepurchaseprice.
The
manufacturedhomeissubjecttolocalpropertytax.IfNO,enterdecalnumber:
Thepropertyproducesrentalorotherincome.
The
conditionofthepropertyatthetimeofsalewas:
Please
describe:__________________________________________________________________________________________________
I
t
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.
SIGNATUREOFBUYER/TRANSFEREEORCORPORATEOFFICER
NAMEOFBUYER/TRANSFEREE/PERSONALREPRESENTATIVE/CORPORATEOFFICER(PLEASEPRINT)
TELEPHONE
EMAILADDRESSTITLE
DATE
TheAssessor’sofcemaycontactyouforadditionalinformationregardingthistransaction.
t
Phonenumber:G. Thepropertywaspurchased:
ain:Other.Pleaseexpl
Throughrealestatebroker.Brokername:
Direct from seller
From a family member-Relationship
( )
H. Pleaseexplainanyspecialterms,sellerconcessions,broker/agentfeeswaived,nancing,andanyotherinformation(e.g.,buyerassumedthe
existingloanbalance)thatwouldassisttheAssessorinthevaluationofyourproperty.
( )
Incentives
$
F. Amount,ifany,ofrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice $_______________
A. Total
purchaseprice $_______________
FHA(___DiscountPoints)
Cal-Vet
VA(___DiscountPoints)
Balloonpayment$_____________
EF-502-A-R14-0518-30001415-2
BOE-502-A (P3) REV. 14 (05-18)
ADDITIONALINFORMATION
Please answer all questions in each section, and sign and complete the certification before filing. This form may be used in all 58
Californiacounties.IfadocumentevidencingachangeinownershipispresentedtotheRecorderforrecordationwithouttheconcurrent
filingofaPreliminary Change of Ownership Report,theRecordermaychargeanadditionalrecordingfeeoftwentydollars($20).
NOTICE:ThepropertywhichyouacquiredmaybesubjecttoasupplementalassessmentinanamounttobedeterminedbytheCounty
Assessor. Supplemental assessments are not paid by the title or escrow company at close of escrow, and are not included in
lenderimpoundaccounts.You may be responsible for the current or upcoming property taxes even if you do not receive the tax
bill.
NAMEAND MAILINGADDRESS OF BUYER: Please make necessary corrections to the printed name and mailing address. Enter
Assessor’s Parcel Number, name of seller, buyer’s daytime telephone number, buyer’s email address, and street address or
physicallocation 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.
MAILPROPERTYTAXINFORMATIONTO:Enterthename,address,city,state,andzipcodewherepropertytaxinformationshould
bemailed.Thismustbeavalidmailingaddress.
PRINCIPALRESIDENCE:Tohelpyoudetermineyourprincipalresidence,consider(1)whereyouareregisteredtovote,(2)thehome
addressonyour automobileregistration,and (3)whereyou normallyreturnafter work.Ifafter consideringthesecriteria youarestill
uncertain,choosetheplaceatwhichyouhavespentthemajorportionofyourtimethisyear.CheckYESifthepropertyisintendedas
yourprincipalresidence,andindicatethedateofoccupancyorintendedoccupancy.
DISABLED VETERAN: If you checked YES, you may qualify for a property tax exemption. A claim form must be filed a nd all
requirements met in order to obtain the exemption. Please contact the Assessor for a claim form.
PART 1: TRANSFER INFORMATION
If you check YES to any of these statements, the Assessor may ask for supporting documentation.
C, D, E, F:IfyoucheckedYEStoanyofthesestatements,youmayqualifyforapropertytaxreassessmentexclusion,whichmayallow
youtomaintainyourproperty’sprevioustaxbase. A claim form must be filed and all requirements met in order to obtain any of
these exclusions. ContacttheAssessorforclaimforms.NOTE:Ifyougivesomeonemoneyorpropertyduringyourlife,youmaybe
subjecttofederalgifttax.Youmakeagiftifyougiveproperty(includingmoney),theuseofproperty,ortherighttoreceiveincomefrom
propertywithoutexpectingtoreceivesomethingofatleastequalvalueinreturn.Thetransferor(donor)mayberequiredtofileForm
709,FederalGiftTaxReturn,withtheInternalRevenueServiceiftheymakegiftsinexcessoftheannualexclusionamount.
G:CheckYESifthereasonforrecordingistocorrectanamealreadyontitle[e.g.,MaryJones,whoacquiredtitleasMaryJ.Smith,
isgrantingtoMaryJones].Thisisnotforusewhenanameisbeingremovedfromtitle.
H: Check YES if the change involves a lender, who holds title for security purposes on a loan, and who has no other beneficial
interestin the property.
"Beneficial interest"is the right to enjoy all the benefitsof property ownership. Those benefitsinclude the right to use, sell,
mortgage,orleasethepropertytoanother.Abeneficialinterestcanbeheldbythebeneficiaryofatrust,whilelegalcontrolofthe
trustisheldbythetrustee.
I: A "cosigner"isathirdpartytoamortgage/loanwhoprovidesaguaranteethataloanwillberepaid.Thecosignersignsanagreement
withthelenderstatingthatiftheborrowerfailstorepaytheloan,thecosignerwillassumelegalliabilityforit.
M:Thisisprimarilyforusewhenthetransferisinto,outof,orbetweenlegalentitiessuchaspartnerships,corporations,orlimitedliability
companies.CheckYESonlyiftheinterestheldineachandeveryparcelbeingtransferredremainsexactly the same.
N: Check YES only if this property is subject to a government or nonprofit affordable housing program that imposes restrictions.
Propertymayqualifyforarestrictedvaluationmethod(i.e.,mayresultinlowertaxes).
O:IfyoucheckedYES,youmayqualifyforanewconstructionpropertytaxexclusion.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 INFORMATION
A:Thedateofrecordingisrebuttablypresumedtobethedateoftransfer.Ifyoubelievethedateoftransferwasadifferentdate(e.g.,
thetransferwasbyanunrecordedcontract,oraleaseidentifiesaspecificstartdate),putthedateyoubelieveisthecorrecttransfer
date.Ifitisnotthedateofrecording,theAssessormayaskyouforsupportingdocumentation.
B:Checktheboxthatcorrespondstothetypeoftransfer.IfOTHERischecked,pleaseprovideadetaileddescription.Attachaseparate
sheet if necessary.
C. Ifthistransferwastheresultofaninhertiancefollowingthedeathofthepropertyowner,pleasecompleteaChange in Ownership
Statement, Death of Real Property Owner, formBOE-502-D,ifnotalreadyfiledwiththeAssessor’soffice.
EF-502-A-R14-0518-30001415-3
“Mortgage insurance”isinsuranceprotectingalenderagainstlossfromamortgagor’sdefault,issuedbytheFHAoraprivate
mortgageinsurer.
B. Entertheamountofthedownpayment,whetherpaidincashorbyanexchange.Ifthroughanexchange,excludetheclosingcosts.
“Closing costs”arefeesandexpenses,overandabovethepriceoftheproperty,incurredbythebuyerand/orseller,which
includetitlesearches,lawyer’sfees,surveycharges,anddocumentrecordingfees.
C. EntertheamountoftheFirstDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested.
A “balloon payment”isthenalinstallmentofaloantobepaidinanamountthatisdisproportionatelylargerthantheregular
installment.
D. EntertheamountoftheSecondDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested.
E. Iftherewasanassumptionofanimprovementbondorotherpublicnancingwitharemainingbalance,entertheoutstandingbalance,
andmarktheapplicablebox.
An “improvement bond or other public nancing” is a lien against real property due to property-specic improvement
nancing,suchasgreenorsolarconstructionnancing,assessmentdistrictbonds,Mello-Roos(aformofnancingthatcanbe
usedbycities,countiesandspecialdistrictstonancemajorimprovementsandserviceswithintheparticulardistrict)orgeneral
improvementbonds,etc.Amountsforrepaymentofcontractualassessmentsareincludedwiththeannualpropertytaxbill.
F. Entertheamountofanyrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice.
G. Ifthepropertywaspurchasedthrougharealestatebroker,checkthatboxandenterthebroker’snameandphonenumber.Ifthe
propertywaspurchaseddirectlyfromtheseller(whoisnotafamilymemberofoneofthepartiespurchasingtheproperty),checkthe
“Direct from seller”box.Ifthepropertywaspurchaseddirectlyfromamemberofyourfamily,orafamilymemberofoneofthepartieswho
ispurchasingtheproperty,checkthe“From a family member”boxandindicatetherelationshipofthefamilymember(e.g.,father,aunt,
cousin,etc.).Ifthepropertywaspurchasedbysomeothermeans(e.g.,overtheInternet,atauction,etc.),checkthe“OTHER”boxand
provide a detailed description (attach a separate sheet if necessary).
H. Describeanyspecialterms(e.g.,sellerretainsanunrecordedlifeestateinaportionoftheproperty,etc.),sellerconcessions(e.g.,
seller agrees to replace roof, seller agrees to certain interior nish work, etc.), broker/agent fees waived (e.g., fees waived by the
broker/agentforeitherthebuyerorseller),nancing,buyerpaidcommissions,andanyotherinformationthatwillassisttheAssessorin
determiningthevalueoftheproperty.
PART 4: PROPERTY INFORMATION
A. Indicatethepropertytypeorpropertyrighttransferred.
Propertyrightsmayincludewater,timber,mineralrights,etc.
B. CheckYESifpersonal,businesspropertyorincentivesareincludedinthepurchasepriceinPart3.Examplesofpersonalorbusiness
propertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships(golf,health,etc.),skilifttickets,
homeowners’dues,etc.Attachalistofitemsandtheirpurchasepriceallocation.Anadjustmentwillnotbemadeifadetailedlistisnot
provided.
C. CheckYESifamanufacturedhomeorhomesareincludedinthepurchaseprice.Indicatethepurchasepricedirectlyattributable
toeachofthemanufacturedhomes.IfthemanufacturedhomeisregisteredthroughtheDepartmentofMotorVehiclesinlieuofbeing
subjecttopropertytaxes,checkNOandenterthedecalnumber.
D. CheckYESifthepropertywaspurchasedoracquiredwiththeintenttorentorleaseitouttogenerateincome,andindicatethesource
ofthatanticipatedincome.CheckNOifthepropertywillnotgenerateincome,orwaspurchasedwiththeintentofbeingowner-occupied.
E. Provideyouropinionoftheconditionofthepropertyatthetimeofpurchase.Ifthepropertyisin“fair” or “poor”condition,includea
brief description of repair needed.
BOE-502-A(P4)REV.14(05-18)
PART 3: PURCHASE PRICE AND TERMS OF SALE
Itisimportanttocompletethissectioncompletelyandaccurately.Thereportedpurchasepriceandtermsofsaleareimportantfactors
indeterminingtheassessedvalueoftheproperty,whichisusedtocalculateyourpropertytaxbill.Yourfailuretoprovideanyrequired
orrequestedinformationmayresultinaninaccurateassessmentofthepropertyandinanoverpaymentorunderpaymentoftaxes.
A. Enterthetotalpurchaseprice,notincludingclosingcostsormortgageinsurance.
EF-502-A-R14-0518-30001415-4
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Completed 5 August 2021

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