Free 517ext-Rev6-12-01 - California


File Size: 77.6 kB
Pages: 1
Date: October 31, 2007
File Format: PDF
State: California
Category: Tax Forms
Author: CMadrose
Word Count: 263 Words, 1,773 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.boe.ca.gov/proptaxes/pdf/boe517ext.pdf

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BOE-517-EXT REV. 9 (12-07)

REQUEST FOR EXTENSION OF TIME TO FILE PROPERTY STATEMENT
ASSESSEE'S NAME SBE NO.

STATE OF CALIFORNIA

BOARD OF EQUALIZATION

LIEN DATE (year)

ASSESSEE'S ADDRESS (street, city, state, and zip code)

CONTACT PERSON'S NAME

CONTACT PERSON'S E-MAIL ADDRESS

CONTACT'S DAYTIME TELEPHONE NO.

( First Request for Extension Second Request for Extension
EXTENSION DATE REQUESTED

) FOR BOARD USE ONLY
APPROVED (yes/no) EXTENSION DATE GRANTED

PROPERTY STATEMENT PARTS

Tangible Property List Summary Control Statement of Land Changes Financial Schedules Schedules of Leased Equipment Studies and other voluntary information (specify) Other requested information (describe below)

Reason for extension request (R & T Code section 830.1 requires a showing of good cause):

An extension is not automatically granted. You will be notified by mail whether the extension is granted or denied. If granted, the notice will state the date to which the extension has been granted. FAXED REQUEST to fax number: 916-324-2787 (If request is faxed, it must be followed by a hard copy through regular mail.) CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information herein, including accompanying statements or documents, is true and correct and complete to the best of my knowledge and belief. If the owner is a corporation, this document must be signed by an officer of the corporation.
APPLICANT'S SIGNATURE DATE


SIGNATORY'S PRINTED NAME TITLE

FOR BOARD USE ONLY
APPROVAL OR DISAPPROVAL BY BOE STATE-ASSESSED PROPERTIES DIVISION CHIEF

Approved as noted

Disapproved
DATE

STATE-ASSESSED PROPERTIES DIVISION CHIEF'S SIGNATURE


Comments:
FOR OFFICIAL USE ONLY

CLEAR

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