STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
MAIL PROPERTY TAX INFORMATION TO (NAME)
SELLER/TRANSFEROR ASSESSOR'S PARCEL NUMBER
CITY STATE ZIP CODE
BUYER’S DAYTIME TELEPHONE NUMBER
This property is intended as my principal residence. If YES, please indicate the date of occupancy
MO DAY YEAR
or intended occupancy.
the transferor, and/or the transferor's spouse registe
creator/grantor/trustor and/or grantor's/trustor
E. This transaction is to replace a principal residence by a person who is severely disabled as dened by Revenue and Taxation Code
section 69.5. Within the same county?
D. This transaction is to replace a principal residence by a person 55 years of age or older.
Within the same county?
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.).
M. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
N. This transfer is to the rst purchaser of a new building containing an active solar energy system.
G. The recorded document creates, terminates, or reconveys a lender's interest in the property.
I. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
F. 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:
H. 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:
1. to/from a revocable trust that may be revoked by the transferor and is for the benet of
2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which
names the other joint tenant(s) as beneciaries when the creator/grantor/trustor dies.
3. to/from an irrevocable trust for the benet of the
4. to/from an irrevocable trust from which the property reverts to the creator/grantor/trustor within 12 years.
K. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
J. This is a transfer of property:
L. 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. 11 (07-10)
parent(s) and child(ren) grandparent(s) and grandchild(ren).
red domestic partner.
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 led with each conveyance in the County
Recorder’s ofce for the county where the property is located. Please answer all
questions in each section, and sign and complete the certication before ling. 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 ling 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.
PART 1. TRANSFER INFORMATION Please complete all statements.
* If you checked YES to statements C, D, or E, you may qualify for a property tax reassessment exclusion, which may allow you to
maintain your previous tax base. If you checked YES to statement N, you may qualify for a property tax new construction exclusion. A
claim form must be led and all requirements met in order to obtain any of these exclusions. Contact the Assessor for claim forms.
Please provide any other information that will help the Assessor understand the nature of the transfer.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
grantor’s/trustor’s registered domestic partner.