(Approved (Yes/No))
(Approved (Yes/No))
(Approved (Yes/No))
(Approved (Yes/No))
(Approved (Yes/No))
(Area code)
(Assessee's Address (street city state and zip code))
(Assessee's name)
(CLEAR) CLEAR
(Comments:)
(Company No )
(Contact Person's Name)
(Contact's Daytime Telephone No )
(date)
(Extension Date Granted)
(Extension Date Granted)
(Extension Date Granted)
(Extension Date Granted)
(Extension Date Granted)
(Extension Date Requested (Not to exceed 30 days))
(Extension Date Requested (Not to exceed 30 days))
(Extension Date Requested (Not to exceed 30 days))
(Extension Date Requested (Not to exceed 30 days))
(Extension Date Requested (Not to exceed 30 days))
(Lien Date (year))
(Not to exceed 30 days)
(PRINT) CLEAR
(Reason for extension request (R & T Code section 11272 required a showing of good cause):)
(text)
(text)
(text)
(text)
(text)
(text)
(text)
(text)
(yes/ no)
and belief If the owner is a corporation this document must be signed by an officer of the corporation
APPLICANT S SIGNATURE
Approval or disapproval by BOE State Assessed Properties Division Chief
APPROVED
Approved as noted
ASSESSEE S ADDRESS (street city state and zip code)
ASSESSEE S NAME COMPANY NO LIEN DATE (year)
BOE 519 EXT REV 3 (2 11) STATE OF CALIFORNIA
CERTIFICATION
Comments:
CONTACT PERSON S NAME
CONTACT S DAYTIME TELEPHONE NO
Disapproved
Entire Property Statement
EXTENSION DATE
Faxed Request to fax number: 916 285 0132 (If request is faxed it must be followed by a hard copy through regular mail )
FOR BOE USE ONLY
FOR OFFICIAL USE ONLY
GRANTED
herein including accompanying statements or documents is true and correct and complete to the best of my knowledge
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information
PROPERTY STATEMENT PARTS EXTENSION DATE REQUESTED
Reason for extension request (R & T Code section 11272 requires a showing of good cause):
REQUEST FOR EXTENSION OF TIME BOARD OF EQUALIZATION
Schedule A Statement of Cars Registered
Schedule B Shop Time Exclusion Claim
Schedule C Cars in California Entire Year
Schedule D Car Reconciliation Schedule
Schedule E Partner Information
STATE ASSESSED PROPERTIES DIVISION CHIEF S SIGNATURE
TO FILE ANNUAL REPORT OF PRIVATE RAILROAD CARS