MARK CHURCH
EF-576-E-R08-0515-41000794-1                                                                              Assessor - County Clerk - Recorder
BOE-576-E (P1) REV. 0 8(0 -5 15)                                                                          555 County Center, 3rd Floor
20 ___ AFFIDAVIT FOR 4 PERCENT                                                                            Redwood City, CA 94063
                                                                                                          P 650.363.4501    F 650.599.7456
ASSESSMENT OF CERTAIN VESSELS                                                                             email ppdutyauditor@smcacre.org
To receive the full benefit of the reduced assessment,                                                    web www.smcacre.org
file this affidavit with the Assessor by February 15. If the 
affidavit is filed between February 16 and August 1, 80% of 
the reduced assessment is available.

               NAME AND MAILING ADDRESS 
               (Make necessary corrections to the printed name and mailing address.)

NAME OF APPLICANT (LAST, FIRST, MIDDLE INITIAL)                                                    TITLE

CORPORATION, PARTNERSHIP, DBA

ADDRESS                                                                             CITY                                              STATE ZIP

                                                  Check and complete the following, as applicable:
                                                P
1.        The applicant or organization is the owner of a vessel that is documented by the United States Coast Guard.
               Vessel name:                                                         Port of documentation:
               OR
2.        The applicant or organization is the owner of a vessel that is registered by the California Department of Motor Vehicles.
               CF number:
               AND
The vessel is engaged or employed exclusively in one or more of the following activities: 
3.        Taking and possession of fish or other living resource of the sea for commercial purposes.
4.        Instruction or research studies as an oceanographic research vessel. Attach evidence of official classification by United States 
          Department of          Homeland Security or Coast Guard, and attach a contract, statement, or agreement from a recognized college, 
          university, government agency, private foundation, or organization outlining the nature of research and time duration.
5.        Carrying or transporting seven or more people for hire for commercial passenger fishing purposes, and holds a current certificate 
          of inspection issued by the United States Coast Guard                     (attach a copy). A vessel shall not be deemed to be engaged or employed in 
          activities other than the carrying or transporting of seven or more persons for hire for commercial passenger fishing purposes by reason 
          of that vessel being used occasionally for dive, tour, or whale-watching purposes. For purposes of this subdivision, occasionally means 
          15 percent or less of the total operating time logged for the immediately preceding assessment year.
If items 3 or 5 are checked, provide the Fish & Game Boat Number:

                                                                                    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.
SIGNATURE OF APPLICANT                                                              TITLE                                        DATE
t

                                 Whom should we contact during normal business hours for additional information?
NAME

E-MAIL ADDRESS                                                                                                       DAYTIME TELEPHONE
                                                                                                                     (              )
                                                                                                                                    
                                        THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION

EF-576-E-R08-0515-41000794-2
BOE-576-E (P2) REV. 08 (05-15)

                              GENERAL INFORMATION

Revenue and Taxation Code section 227 states: "A documented vessel, as defined in Section 130, shall be assessed at 4 
percent of its full cash value only if the vessel is engaged or employed exclusively in any of the following:
(a)In the taking and possession of fish or other living resource of the sea for commercial purposes.
(b)In instruction or research studies as an oceanographic research vessel.
(c) In carrying or transporting seven or more people for hire for commercial passenger fishing purposes and holds a
current certificate of inspection issued by the United States Coast Guard.
A vessel shall not be deemed to be engaged or employed in activities other than the carrying or transporting of seven or 
more persons for hire for commercial passenger fishing purposes by reason of that vessel being used occasionally for dive, 
tour, or whale watching purposes. For purposes of this subdivision, 'occasionally' means 15 percent or less of the total 
operating time logged for the immediately preceding assessment year."

Revenue and Taxation Code section 275.5 states: "If a person claiming classification of a vessel as a documented vessel 
eligible for assessment under Section 227 fails to file the affidavit required by Section 254 by 5 p.m. on February 15 of the 
calendar year in which the fiscal year begins, but files that affidavit on or before the following August 1, the assessment shall 
be reduced in a sum equal to 80 percent of the reduction that would have been allowed had the affidavit been timely filed."