BOE-305-AH (P1) REV. 12 (05-24)

ASSESSMENT APPEAL APPLICATION

This form contains all of the requests for information that are required for filing an application for changed assessment. Failure to complete this application may result in rejection of the application and/or denial of the appeal. Applicants should be prepared to submit additional information if requested by the assessor or at the time of the hearing. Failure to provide information at the hearing the appeals board considers necessary may result in the continuance of the hearing or denial of the appeal. Do not attach hearing evidence to this application.

MAIL TO: ASSESSMENT APPEALS BOARD CLERK
1055 MONTEREY ST, SUITE D430
SAN LUIS OBISPO, CA 93408

FEE: $65.75 PER APPLICATION/PARCEL
PAY TO: COUNTY OF SAN LUIS OBISPO

APPLICATION NUMBER: Clerk Use Only

1. APPLICANT INFORMATION - PLEASE PRINT

NAME OF APPLICANT (LAST, FIRST, MIDDLE INITIAL), BUSINESS, OR TRUST NAME

EMAIL ADDRESS

MAILING ADDRESS OF APPLICANT (STREET ADDRESS OR P. O. BOX)

CITY

STATE

ZIP CODE

( )

DAYTIME TELEPHONE

( )

ALTERNATE TELEPHONE

( )

FAX TELEPHONE

2. CONTACT INFORMATION - AGENT, ATTORNEY, OR RELATIVE OF APPLICANT if applicable - (REPRESENTATION IS OPTIONAL)

NAME OF AGENT, ATTORNEY, OR RELATIVE (LAST, FIRST, MIDDLE INITIAL)

EMAIL ADDRESS

COMPANY NAME

CONTACT PERSON IF OTHER THAN ABOVE (LAST, FIRST, MIDDLE INTITAL)

MAILING ADDRESS (STREET ADDRESS OR P. O. BOX)

Form Effective July 1, 2024

CITY

STATE

ZIP CODE

( )

DAYTIME TELEPHONE

( )

ALTERNATE TELEPHONE

( )

FAX TELEPHONE

AUTHORIZATION OF AGENT AUTHORIZATION ATTACHED

The following information must be completed (or attached to this application - see instructions) unless the agent is a licensed California attorney as indicated in the Certification section, or a spouse, child, parent, registered domestic partner, or the person affected. If the applicant is a business entity, the agent’s authorization must be signed by an officer or authorized employee of the business.

The person named in Section 2 above is hereby authorized to act as my agent in this application, and may inspect assessor’s records, enter in stipulation agreements, and otherwise settle issues relating to this application.

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SIGNATURE OF APPLICANT, OFFICER, OR AUTHORIZED EMPLOYEE

TITLE

DATE

3. PROPERTY IDENTIFICATION INFORMATION

Yes No Is this property a single-family dwelling that is occupied as the principal place of residence by the owner?

ENTER APPLICABLE NUMBER FROM YOUR NOTICE/TAX BILL

ASSESSOR’S PARCEL NUMBER

ASSESSMENT NUMBER

FEE NUMBER

ACCOUNT NUMBER

TAX BILL NUMBER

PROPERTY ADDRESS OR LOCATION

DOING BUSINESS AS (DBA), if appropriate

4. VALUE

	A. VALUE ON ROLL	B. APPLICANT’S OPINION OF VALUE	C. APPEALS BOARD USE ONLY
LAND
IMPROVEMENTS/STRUCTURES
FIXTURES
PERSONAL PROPERTY (see instructions)
MINERAL RIGHTS
TREES & VINES
OTHER
TOTAL
PENALTIES (amount or percent)