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BOE-19-C (P1) REV. 00 (02-21) CERTIFICATION OF VALUE BY ASSESSOR FOR BASE YEAR VALUE TRANSFER County Assessor Address City, State, Zip Replacement Residence APN Section 2.1(b) of article XIII A of the California Constitution (added by Proposition 19) allows a homeowner who is at least age 55 or severely disabled or a victim of a wildfire or natural disaster to transfer their base year value from an original primary residence to a replacement primary residence located anywhere in California. An application for a base year value transfer to a replacement primary residence has been filed with the located in County, we are requesting the following information from your office. Please complete Section B of this form and return it to our office at the address above. A. ORIGINAL PRIMARY RESIDENCE (INFORMATION THAT WAS PROVIDED TO THE ASSESSOR BY THE CLAIMANT) Applicant Name: Application Date: Situs Address of Property Sold: City: County: Assessor’s Parcel/ID Number: Sale Price: County Assessor’s Office. Since the claim involves the transfer of a base year value from an original primary residence Date of Sale: Confirmation of Sale Price: B. REQUESTED INFORMATION Confirmation of Date of Sale: Recorder’s Document Number: Date of Recording: Factored Base Year Value (prior to sale): $ Roll Year (year-year): Land Value: $ Improvement Value: $ Fair Market Value at Time of Sale: $ Description, if other than SFR: Land Value: $ Improvement Value: $ Was entire property used as a primary residence? Yes No Property description, if other than primary residence: If no, value allocated to primary residence: Land $ Improvement $ Was the property eligible for exemption? For this applicant, has your county previously granted a base year value transfer pursuant to section 2.1 of article XIII A (Proposition 19?) Yes No Did the applicant’s name appear as an assessee immediately prior to the above-referenced transfer? Yes No Homeowners’ Exemption Disabled Veterans’ Exemption If yes, which one? Yes No If YES, what is the date of exclusion? PRINCIPAL RESIDENCE SUBSTANTIALLY DAMAGED/DESTROYED BY DISASTER FOR WHICH THE GOVERNOR DECLARED A STATE OF EMERGENCY Was property substantially damaged or destroyed by a Governor-proclaimed disaster? Yes No Date of disaster (if applicable): Type of disaster (if applicable): Fair Market Value immediately prior to disaster: $ Factored Base Year Value (prior to disaster): $ Roll Year (year-year): Land Factored Base Year Value (prior to disaster): $ Improvement Factored Base Year Value (prior to disaster): $ CERTIFICATION OF VALUE PROVIDED BY: Name of Contact: Email Address: County Assessor’s Office: Phone Number: CERTIFICATION OF VALUE REQUESTED BY: Name of Contact: Email Address: Phone Number: Donald O'Connor Alpine County Assessor/Recorder PO Box 155 Markleeville, CA 96120 Ph: (530) 694-2283