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OFFICE OF
ASSESSOR-COUNTY CLERK- MARK CHURCH
ASSESSOR-COUNTY CLERK-
RECORDER & ELECTIONS RECORDER & CHIEF ELECTIONS OFFICER
COUNTY OF SAN MATEO
PLEASE TAKE A MINUTE TO READ THIS IMPORTANT LETTER.
SEE REVERSE FOR IMPORTANT TAX LAW CHANGES.
Dear Business Owner:
Enclosed you will find a Business Property Statement. This information is due annually and as such I respectfully
request that you complete the statement and return it to my office as soon as possible.
This is your declaration of property situated in San Mateo County at 12:01 a.m. on January 1, 202 .3Failure to
comply with these instructions may subject you to a penalty pursuant to Section 463 of the California Revenue
and Taxation Code.
The Business Property Statement is a “general” form and is sent to a wide variety of business concerns. As
such, you may find that portions of the form are not applicable to your business. Instructions are enclosed which
offer some completion guidelines. If you have moved to a new location within the county, please correct
the situs address of your business. If you have moved out of the county, sold your business or gone out of
business, please complete Business Change Form below.
I urge you to make your statement as complete and accurate as possible. If you require assistance in completing
this form, my office is available to help you. It is located at 555 County Center, Redwood City. For assistance,
please call 650.363.4501, email ask571Lonline@smcacre.org or visit our website at www.smcacre.org.
Sincerely,
Mark Church
Assessor – County Clerk – Recorder
BUSINESS CHANGE FORM
SOLD YOUR BUSINESS
SEE INSTRUCTIONS BELOW IF YOU HAVE MOVED OUT OF COUNTY
GONE OUT OF BUSINESS
If you no longer have property located within the county, please complete the form below; sign it, attach to statement
form and return BOTH to this office immediately. If you have moved within the county, please make corrections
to the Business Property Statement form.
NAME ACCOUNT NO.
CURRENT LOCATION
ADDRESS
SOLD BUSINESS CLOSED OUT BUSINESS DATE
NEW OWNER’S NAME
MOVED OUT OF COUNTY DATE
PRIOR LOCATION
SIGNATURE PHONE NO. DATE
555 County Center, Redwood City, CA 94063
P 650.363.4501 F 650.599.7456 email ask571Lonline@smcacre.org web www.smcacre.org
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