BOE-571-D

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe571d.pdf

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BOE-571-D (P1) REV. 27 (05-25) SUPPLEMENTAL SCHEDULE FOR REPORTING MONTHLY ACQUISITIONS AND DISPOSALS OF PROPERTY REPORTED ON SCHEDULE B OF THE BUSINESS PROPERTY STATEMENT

OWNER NAME

MAILING ADDRESS

LOCATION OF PROPERTY

INSTRUCTIONS Report all acquisitions and disposals reported in Columns 1, 2, 3, or 4 on Schedule B for the period January 1, 2025 through December 31, 2025. Indicate the applicable column number in the space provided.

ADDITIONS — Describe and enter the total acquisition cost(s), including excise, sales, and use taxes, freight-in, and installation charges, by month of acquisition; transfers-in should also be included. The former property address and date of transfer should be reported, as well as original date and cost(s) of acquisition. Form Only completed projects should be reported here (e.g., the date the property becomes functional and/or operational, otherwise it should be reported as construction-in-progress).

Identify completed construction that was reported as construction-in-progress on your 2025 property statement. Describe the item(s)and cost(s), as previously reported, on a separate schedule and attachONLYto BOE-571-D.

DISPOSALS — Information on this property should include the disposal date, method of disposal (transfer, scrapped, abandoned, sold, etc.) and names and addresses of purchasers when items are either sold or transferred. Actual ADDITIONS DISPOSALS FROM ENTER MONTH FROM ENTER MONTH YEAR COLUMN & YEAR OF DESCRIPTION COST COLUMN & YEAR OF DESCRIPTION COST ACQUIRED NUMBER ACQUISITION NUMBERforDISPOSAL SAMPLE Assessor Contact

THIS STATEMENT SUBJECT TO AUDIT

This page watermarked sample only. Contact Assessor for actual form.

BOE-571-D (P2) REV. 27 (05-25)

ADDITIONS DISPOSALS

FROM ENTER MONTH FROM ENTER MONTH YEAR COLUMN & YEAR OF DESCRIPTION COST COLUMN & YEAR OF DESCRIPTION COST ACQUIRED NUMBER ACQUISITION NUMBER DISPOSAL ONLYForm Actual for SAMPLE

REMARKS: Assessor Contact