BOE - 266 (P1) REV. 14 (07-25)

Santa Clara County

NEYSA FLIGOR, Assessor

Exemption Division - (408) 299-6460

West Tasman Campus, 130 West Tasman Drive, San Jose, CA 95134

CLAIM FOR HOMEOWNERS' PROPERTY TAX EXEMPTION

SEE INSTRUCTIONS BEFORE COMPLETING

FOR ASSESSOR'S USE ONLY

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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 herein,

including any accompanying statements or materials, 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
EMAIL ADDRESS Retype EMAIL ADDRESS	DAYTIME TELEPHONE NUMBER ()

APN

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