MARK CHURCH
EF-65-P-R04-0611-41000820-1                                                   Assessor - County Clerk - Recorder
BOE-65-P (P1) REV. 0 4(06-11)                                                 555 County Center
                                                                              Redwood City, CA 94063
CLAIM FOR INTRACOUNTY TRANSFER OF                                             P 650.363.4500    F 650.599.7435
BASE YEAR VALUE TO REPLACEMENT PROPERTY                                       email assessor@smcacre.org
                                                                              web www.smcacre.org
FOR PROPERTY DAMAGED OR DESTROYED IN A 
GOVERNOR-DECLARED DISASTER

A.  REPLACEMENT PROPERTY:
ASSESSOR’S PARCEL NUMBER

PROPERTY ADDRESS                                                              CITY

DATE OF PURCHASE               PURCHASE PRICE                                 RECORDER’S DOCUMENT NUMBER

DATE OF COMPLETION OF NEW CONSTRUCTION                                        COST OF NEW CONSTRUCTION

B.  ORIGINAL (FORMER) PROPERTY:
ASSESSOR’S PARCEL NUMBER                                                      DATE OF DISASTER

PROPERTY ADDRESS                                                              CITY

NOTE:    You must attach a copy of the original property’s latest tax bill and any supplemental tax bill(s) issued before the date of the 
disaster.
Was there any new construction to the original property between the date of those tax bill(s) and the date of disaster?  Yes                                 No
If Yes   , please explain:

C.  CLAIMANT INFORMATION
NAME OF CLAIMANT

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing, and all information 
hereon, is true, correct, and complete to the best of my knowledge and belief.
tSIGNATURE OF CLAIMANT                                                        DATE

MAILING ADDRESS                                                               DAYTIME PHONE NUMBER
                                                                              (         )
CITY, STATE, ZIP                                                              EMAIL ADDRESS

         All information provided on this claim is subject to verification. If you have any questions about this form, please contact the Assessor’s office. 
                             THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION

EF-65-P-R04-0611-41000820-2
BOE-65-P (P2) REV. 0 4(06-11)
                                        GENERAL INFORMATION

Revenue and Taxation Code Section 69 allows owners who own property to transfer the base year value of the original property that 
has been substantially damaged or destroyed by a disaster to comparable property. The following requirements must be met: 

1. The disaster must be a major misfortune or calamity in an area proclaimed by the Governor to be in a state of disaster as a
   result of the misfortune or calamity;
2. The replacement property must have been acquired or newly constructed within five years after the date of the disaster
   (including land); and
3. The buyer of the replacement property must have been the owner of the damaged property. Property is considered damaged
   or destroyed if it sustains physical damage amounting to more than 50 percent of its full cash value immediately prior to the
   disaster. Includes diminution in value resulting from disaster caused permanent restricted access.

Property is substantially damaged if the land or the improvements sustain physical damage amounting to more than 50 percent of 
its full cash value immediately prior to the disaster.

The replacement property must be substantially equivalent to the original. A general definition of substantially equivalent is similar 
in size, utility, function, and zoning. 

In general, the factored base value of the original property will be applied to the replacement provided that the fair market value of 
a replacement property on the date of purchase or completion of construction does not exceed 120 percent of full cash value or 
fair market value of the original property immediately prior to the date of disaster. 

If the full cash value of the replacement property exceeds 120 percent of the full cash value of the original damaged property, then 
the amount of the full cash value over 120 percent shall be added to the factored base year value of the original parcel. Once the 
factored base year value is transferred to the replacement property, the damaged property will be reassessed at the lower of its 
full cash value or the retained factored base year value. 

If the full cash value of the replacement property is less than the factored base year value of the original damaged parcel, then the 
lower value of the new replacement property shall become the factored base value of the replacement parcel. 

If, after the factored base year value is transferred, reconstruction occurs on the damaged property, the new construction shall be 
assessed at full cash value. 

Co-owners of an original parcel may not independently transfer the original value to two separateproperties. 

The acquisition of an ownership interest in a legal entity that, directly or indirectly, owns real property is not an acquisition of 
replacement property under the law. 

For further information, contact the Assessor’s Office.