Form BOE-551 Fillable Statement of Land Changes
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(address (street city state zip code)) (appraiser name) (area code) (assessee's name) (CLEAR) CLEAR (county assessor's parcel number of subject property) (county name) (current rental) (date completed) (date of lease) (date of termination) (date) (effective date) (email address) (escape year 1) (escape year 2) (escape year 3) (escape year 4) (grantor grantee lessor lessee (circle one)) (inprovements at time of purchase consist of) (instrument) (lien date) (map) (map) (map) (map) (monthly annual rental at start of lease) (name) (parcel) (parcel) (parcel) (parcel) (phone number) (preparer's name (please print)) (PRINT) PRINT (property taxes to be paid by) (purchase price) (recording date) (recording reference) (remarks) (renewal options) (rental increase by year/term (including all renewals)) (sale price) (SBE number) (size (ac or sq ft )) (size (ac or sq ft )) (size) (size) (subject property address (street city state zip code)) (tax rate area) (tax rate area) (tax rate area) (tax rate area) *Check Box for qualified electric utility property as described in Revenue and Taxation (R&T;) code section 100 95 (see publication 67GE for specific instructions) orfor railroad qualified property as described in R&T; code section 100 11 (see publication 67RR for specific instructions) ADDRESS (street city state zip code) Appraiser Name: ASSESSEE S NAME LIEN DATE COUNTY NAME SBE NO BOE 551 REV 12 (12 11) STATE OF CALIFORNIA COUNTY ASSESSOR S PARCEL NO OF SUBJECT PROPERTY CURRENT RENTAL DATE OF LEASE New Renewal DATE OF TERMINATION EFFECTIVE DATE Following data to be supplied for each transaction FOR OFFICIAL USE ONLYEscape Year: GRANTOR GRANTEE LESSOR LESSEE (circle one) IMPROVEMENTS AT TIME OF PURCHASE CONSIST OF INSTRUMENT Lease Reparcelling Other (remarks) Lease ReparcellingOther (remarks)Purchase MONTHLY/ANNUAL RENTAL AT START OF LEASE$ Name address and telephone number of person to whom correspondence regarding the Statement of Land Changes should be addressed: NAMEADDRESS (street city state zip code)EMAIL ADDRESS TELEPHONE NO OMITTED THIS YEAR PREPARER S NAME (please print) PREPARER S SIGNATURE DATE Property State AssessedYes No: Date Completed PROPERTY TAXES TO BE PAID BYLessorLessee PURCHASE PRICE QUALIFIEDPROPERTY* RECORDING DATE RECORDING REFERENCE REMARKS RENEWAL OPTIONS RENTAL INCREASE BY YEAR/TERM (including all renewals) REPORTED FIRST TIME THIS YEAR SALE PRICE STATEMENT OF LAND CHANGESBOARD OF EQUALIZATION SUBJECT PROPERTY ADDRESS (street city state zip code) TAX RATE AREA MAP PARCEL SIZE (AC OR SQ FT )TAX RATE AREA MAP PARCEL SIZE (AC OR SQ FT ) This year s Property Statement differs from last year s with respect to the following land map and parcel(s) (Use a separate sheet for each land map except in cases of reparcelling )