Free BOE-400-TA (4-99) - California

BOE-400-TA REV. 1 (2-00)

STATE OF CALIFORNIA

STATEMENT OF BOUNDARY CHANGE

BOARD OF EQUALIZATION

BOE USE ONLY

Please mail to the Board of Equalization, Tax Area Services Section, 450 N Street, MIC:59, P.O. Box 942879, Sacramento, California 94279-0059. County: Conducting Authority: Short Form Designation:
1. Type of action: (check one only)

B.O.E. File No.: Res./Ord. No.: LAFCo. Res.: Effective Date: 10 Redevelopment 11 Name change 12 Reorganization 13 School district change
DISTRICT NAME

County # :

Acreage:

Fee: $

01 Annexation to district 02 Annexation to city 04 City incorporation 05 Consolidation of district
DISTRICT NAME

06 Consolidation of TRA's 07 Detachment from district 08 Dissolution of district 09 Formation-District

2. Principal City/District(s) affected by action: 3. Affected territory is legally: 4. The affected territory:

Inhabited Uninhabited

Developed Undeveloped

Number of Areas:

Will be taxed for existing bonded indebtedness or contractual obligations as set forth by the terms and conditions as stated in the resolution. Will not be taxed for existing bonded indebtedness or contractual obligations. An election authorizing this action was held on
date

5. Election:

This action is exempt from election.
6. Enclosed are the following items required at the time of filing: 7. City boundary changes only: 8. Required:

Fees Legal description Resolution of conducting authority Certificate of Completion (LAFCO only)

Map(s) and supporting documents Assessor parcel number(s) of affected territory County auditor's letter of TRA assignment (consolidated counties only)

Map of limiting addresses (2 copies) Vicinity maps (2 copies) Alphabetical list of all streets within the affected area to include beginning and ending street numbers Estimated population is: According to section 54902 of the Government Code, copies of these documents must be filed with the county auditor and county assessor.

Board of Equalization will acknowledge receipt of filing to:
NAME

BOE USE ONLY
chk #:

TITLE

AGENCY

STREET

amt:
ZIP CODE

CITY

TELEPHONE NO.

FAX NO.

(

)

(

)
ltr #:
DATE

E-MAIL ADDRESS

SIGNATURE OF AGENCY OFFICER

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