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�`tpF ASSff�p JOHN N. SCOTT, MAI HOMEOWNER'S EXEMPTION RONNIE K. THOMSEN <br />,nr ASSESSOR INELIGIBILITY NOTICE CHIEF DEPUTY ASSESSOR <br />The homeowner's exemption if allowed is shown as a credit amount in the Tax Computation Section of the accompanying tax bill. <br />State Law requires you to notify the Assessor when you are no longer eligible for the exemption. Complete and return this card if one <br />of the following statements is true. <br />Check the Statement that applies to your situation: <br />❑ This property was rented' on (date) <br />❑ This property was no longer occupied by an owner as of <br />❑ An Unrecorded Sale occurred on <br />If one of the above statements is true, failure to notify the Assessor by December 10 will subject you to repayment of the exemption <br />amount plus a penalty on the escaped assessment (Revenue and Taxation Code Section 531.6) <br />LOCATION OF PROPERTY — St. Number and Street City Parcel Number (from Enclosed Tax Bill) <br />SIGNATURE <br />DATE Telephone # (9am-5pm) <br />MAILING ADDRESS — Number and Street City State Zip <br />This form is not a Homeowner's Exemption Claim. If you owned and occupied your property on March 1, 1996 and do not have an exemption, call (510) 272-3770 for a <br />claim form. You can receive 80 % of the exemption if you file the claim form by December 10. <br />111-1002-020 (5/96) This statement not applicable if you occupy part of the property and rent out part. <br />