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MARK CHURCH
EF-262-AH-R09-0515-41000827-1 Assessor - County Clerk - Recorder
BOE-262-AH (P1) REV. 0 9(05-15) 555 County Center
Redwood City, CA 94063
CHURCH EXEMPTION P 650.363.4500 F 650.599.7435
PROPERTY USED SOLELY FOR RELIGIOUS WORSHIP email assessor@smcacre.org
web www.smcacre.org
This claim is filed for fiscal year 20____ - 20____.
(Example: a person filing a timely claim in January 2011 would
enter "2011-2012.")
NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address)
FOR ASSESSOR’S USE ONLY
Received
Approved
Denied
Reason for denial
To receive the full exemption, this claim must be filed with the Assessor by February 15.
Check here if you no longer seek an exemption at this location. Sign and return this form to the Assessor.
NAME OF CHURCH, ORGANIZATION, ETC.
WEBSITE ADDRESS (IF ANY)
MAILING ADDRESS (NUMBER AND STREET/P. O. BOX)
CITY, STATE, ZIP CODE
ADDRESS OF PROPERTY (NUMBER AND STREET) ASSESSOR’S PARCEL NUMBER
CITY, COUNTY, ZIP CODE DATE PROPERTY WAS FIRST USED BY CLAIMANT
1. Owner and operator: (check applicable boxes)
Claimant is: Owner and operator Owner only Operator only
and claims exemption on all Land Buildings and improvements and/or Personal property
2. Are all buildings and equipment claimed as exempt used solely for religious worship, including any building in the course of construction?
Yes No
3.Is the land claimed as exempt required for the convenient use of these buildings? Yes No
4. Is all real property used by the church upon which exemption is claimed for parking purposes necessarily and reasonably required for the
parking of automobiles of persons attending or engaged in religious worship or religious activity, and which is not at other times used for
commercial purposes?
Yes No
Commercial purposes does not include the parking of vehicles or bicycles, the revenue of which does not exceed the ordinary and necessary
costs of operating and maintaining the property for parking purposes. Leased property used for parking purposes is eligible for exemption only
if the congregation of the church, religious congregation, or sect is no greater than 500 members.
5. List all uses of the property:
6.a. Is an elementary school and/or secondary school being operated at this location?
Yes No
b. Is a children’s day care center being operated at this location (a children’s day care center includes licensed nursery schools, preschools,
and infant care centers)?
Yes No
Note: If the answer is YES to a. or b. above, the property is not eligible for the Church Exemption. If the property is both owned and operated by the
church and used for religious worship, preschool purposes, nursery school purposes, kindergarten purposes, school purposes of less than collegiate
grade (grades 1 - 12), or for the purposes of both schools of collegiate grade and schools of less than collegiate grade, the claimant may qualify for the
Religious Exemption. The Religious Exemption has a one-time" filing provision"and should be filed by February 15; contact the Assessor. The
claimant may wish instead to annually file by February 15 for the Welfare Exemption.
THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION
