Last updated at
BOE - 266 (P1) REV. 12 (05-14)
Santa Clara County
LAWRENCE E. STONE, Assessor
Exemption Division - (408) 299-6460
County Government Center, East Wing, 70 W. Hedding St.,San Jose, CA 95110-1771
CLAIM FOR HOMEOWNERS' PROPERTY TAX EXEMPTION
SEE INSTRUCTIONS BEFORE COMPLETING
FOR ASSESSOR'S USE ONLY
Doc:
Rec:
Parcel No:
If eligible, sign and file this form with the Assessor on or before February 15, or on or
before the 30th day following the date of notice of supplemental assessment, whichever comes first.
NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address)
PROPERTY DESCRIPTION
Address of dwelling
Print your social security number and name here:
SSN: - -
I don't have social security number.
NAME:
Print co-owner's or spouse's social security number and name
when this property is also his/her principal residence:
SSN: - -
Co-owner doesn't have social security number.
NAME:
(Please Print Name) (Please Print Name)
STATEMENTS
This claim may be used to file for the Homeowners' Exemption for the Assessment Roll and the Supplemental Assessment Roll. A new owner
must file a claim even if the property is already receiving the homeowners' exemption. Please carefully read the information and instructions
before answering the questions listed below.
1. When did you acquire this property?
(month/day/year)
2. Date you occupied this property as your principal residence (see instructions):
(month/day/year)
3. Do you own another property that is, or was, your principal place of residence in California? YES NO
If YES, please provide the address below, and the date you moved out, if no longer your principal place of residence:
Address:
Street Address City Zip Code month/day/year
Only the owners or their spouses who occupy the above-described property (including a purchaser under contract of sale) or his or her legal
representative may sign this claim. (If the property comprises more than one dwelling unit, other co-owner occupants may wish to file
separate claims; however, only one exemption will be allowed per dwelling unit.)
If you are buying this property under an unrecorded contract of sale and the Assessor does not have a copy of the contract, you
must attach a copy to this claim.
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon,
including any accompanying statements or documents, is true, correct, and complete to the best of my knowledge and belief.
Click to Sign
SIGNATURE OF OWNER-OCCUPANT
► 
DATE
SIGNATURE OF OCCUPANT'S SPOUSE OR CO-OWNER-OCCUPANT
► 
DATE
Downloaded Homeowners’ Exemption applications should be signed, dated and mailed to the following address:
Santa Clara County Assessor
Exemption Division HOX
70 W. Hedding St, East Wing, 5th Floor
San Jose, CA 95110
To electronically sign and submit your exemption application to our office using DocuSign click here.
To download, print, hand sign, and submit a physical application to our office click here.
If you would like to delete this exemption application without submitting click here.