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APPLICATION FOR REASSESSMENT of Property Damaged by Misfortune or Calamity COUNTY OF ALPINE ASSESSOR DEPARTMENT P. O. Box 155, 99 Water St. Markleeville, CA 96120 (530) 694-2283 1. APPLICANT 2. Mailing Address 3. Assessor's Parcel Number 4. Opinion of property value immediately prior to the misfortune Opinion of property value immediately following the misfortune Estimate of cost to cure damage to property or acquire a replacement LAND $ $ $ BLDG./STRUCT. $ $ $ PERS. PROPERTY $ $ $ TOTAL VALUE $ $ $ Date Repaired 5. Date of Calamity 6. Description of the nature of the misfortune and the cause of the property damage: 7. Description of the condition of the property immediately following its damage or destruction: 8. ADDITIONAL INFORMATION: Location of Property Year of Acquisition Acquisition Cost $ Use of Property Asking Price (if for sale) $ Rent $ New Construction/Additions Costs $ Total Cost $ 9. 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. Executed at California, this of Telephone Signature of Applicant or Agent ASSESSOR USE ONLY YEAR: CONTROL NO: ✒.A002-241 (P1) (R6/2011) Print Form Reset Form ---PAGE BREAK--- APPLICATION FOR REASSESSMENT of Property Damaged by Misfortune or Calamity COUNTY OF ALPINE ASSESSOR DEPARTMENT P. O. Box 155, 99 Water St. Markleeville, CA 96120 (530) 694-2283 REQUIREMENTS FOR ELIGIBILITY To obtain the desired relief in accordance with the Revenue and Taxation Code Section 170, the following requirements must be met: The person filing the APPLICATION FOR REASSESSMENT must have been the owner of, or had in his possession, or under his control, the subject property at 12:01 a.m. immediately preceding January 1, or have acquired said property after such date and is liable for the taxes thereon for the Fiscal Year commencing the following July 1. The subject property must be taxable property which has been damaged or destroyed by misfortune or calamity. The misfortune or calamity must be without fault of the Applicant. The value of the damaged or destroyed subject property, immediately before and after the misfortune or calamity, must be shown on the APPLICATION FOR REASSESSMENT. The damage to the subject property must be ten thousand dollars ($10,000) or more. The condition of the damaged or destroyed subject property, immediately before and after the misfortune or calamity, must be shown on the APPLICATION FOR REASSESSMENT. The APPLICATION FOR REASSESSMENT must be executed under penalty of perjury or if executed outside the State of California, verified by affidavit. The APPLICATION FOR REASSESSMENT must be filed with the Assessor within 12 months of the occurrence of the damage. On October 18, 1988, the Alpine County Board of Supervisors adopted an ordinance that allows the Assessor to grant tax relief of damage incurred under all of the circumstances allowed by section 170. This ordinance repealed Ordinance 347-75 and does not have a termination date. Failure to comply with these requirements may invalidate the APPLICATION FOR REASSESSMENT. ✒.A002-241 (P2) (R6/2011)