MARK CHURCH
EF-269-FIR-R02-0308-41000804-1                                                                   Assessor - County Clerk - Recorder
BOE-269-FIR REV. 02 (03-08)                                                                      555 County Center
VETERANS’  ORGANIZATION  EXEMPTION                                                               Redwood City, CA 94063
ASSESSOR'S FIELD INSPECTION REPORT                                                               P 650.363.4500    F 650.599.7435
                                                                                                 email assessor@smcacre.org
    REGULAR ASSESSMENT                                                                           web www.smcacre.org
    SUPPLEMENTAL ASSESSMENT
Information for Property No.                          Year: 
Name of organization 
Address of this property                                                 (street, city, zip code)
    Owner only  Operator    only           Owner-Operator       Date of last inspection of property 
If claimant is owner, name of operator is 
If claimant is operator, name ofowner is 
A. Claimant is primarily:
    (check only one)        1.charitable      2.other (explain)
B.  Use of property
    1. The primary activity the property is used for is: (check only one)
            a. administration                 e. fraternal and lodge meetings                      i. medical (not hospital)
            b. commercial                     f. fund raising                                      j. recreational
            c. educational                    g. hospital                                          k. rehabilitation
            d. farming                        h. housing                                           l. informational
                                                       
            m. other (explain)
    2. Other activities the property is used for are:  a. List letters used in B1
       b. Other(explain)
    3. All or part (write in all or part where applicable) of the property is:  a. leased or rented
       b. vacant or unused                             c.  in excess of that reasonably necessary                                            d.  used to
       house personnel whose presence is not institutionally necessary
    C. Operation of property for benefit of persons
    1. In your opinion are services and expenses excessive?                                                                 Yes                   No
       If answer is yes, explain: 
    2. In your opinion do operations enhance anyone’s private gain?                                                         Yes                   No
       If answer is yes, explain: 
    3. In your opinion is the claimant’s proposed new capital investment, if any, necessary?                                Yes                   No
     If answer is no, explain: 
D.  Ownership of real property (as of applicable lien date) is recorded in exact name of claimant                           Yes                   No
    If answer is no, explain: 
                                                                                  Did owner file an exemption claim?        Yes                   No  
E.  Supplemental Assessment (in claimant’s name):
    1. Date of change in ownership                                                                   Recorded               Yes                   No
       Ownership in name of claimant?
    2. Date of completion of new construction
       Explain what was constructed
    3. Date put to exempt use                                                                     If only a portion of the property is put to an
       exempt use, describe exempt and nonexempt portions in detail
    4. Notice: date mailed                                                                                                                   Not mailed
    5. Date claim for exemption from Supplemental Assessment was filed with Assessor
    6. Date first installment of supplemental tax bill becomes (became) delinquent
F.  A claim for veterans’ organization exemption on this property:
    1. was filed last year     Yes         No 2.is new this year         Yes      No
    3. was not filed last year, but claimed on another property located at                       (give complete address including zip code)       .
G.  Recommendation: 1.  Approval                          (all)                  2.Denial           (part)                                  (all)
    Reason for denial (if partial denial, identify specific area to be denied) 

    Date                                                  Inspection for                                                                     , Assessor
                                                                     By                                                                      , Designee