SCO — Claim for Refund of Taxes (sco1-06)

Source: https://www.sco.ca.gov/Files-ARD-Tax-Info/Tax-Collector-Ref-Man/sco1-06.pdf

CLAIM FOR REFUND OF TAXES

To: (county) County Tax Collector’s Office State of California

Applicant, please fill out the information below:

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Name Assessor’s Parcel Number

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Address

Tax payment was made on (date(s)):

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In accordance with the provisions of the California Revenue and Taxation Code sections 5096 et seq., this claim

is filed with the County Board of Supervisors to request that a refund of taxes for fiscal year(s)

______________ in the amount of $ be made in accordance with this application.

All/part of the tax for the year(s) as shown above is void for the following reason(s):

I certify, or declare, under penalty of perjury under the laws of the State of California that the foregoing is true and correct to the best of my knowledge.

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Signature Date

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Print Name

(§5096 et seq.) (SCO 1-06)(2019)