BOE-261-D

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe261d.pdf

This page watermarked sample only. Contact Assessor for actual form. BOE-261-D (P1) REV. 03 (07-25)

SERVICEMEMBERS CIVIL RELIEF ACT DECLARATION Pursuant to section 571(d) of the Servicemembers Civil Relief Act (50 U.S.C. Appendix), the personal property of a servicemember shall not be deemed to be located or present in, or to have a situs for taxation in, the tax jurisdiction in which the servicemember is serving in compliance with military orders.

SERVICEMEMBER NAME DAYTIME TELEPHONE NUMBER ( ) RANK ORGANIZATION SOCIAL SECURITY OR SERIAL NUMBER E-MAIL ADDRESS

MAILING ADDRESS CITY STATE ZIP CODE

LEGAL RESIDENCE ADDRESS CITY STATE ZIP CODE Form VOTER REGISTRATION CITY COUNTY STATE YEAR LAST VOTED

LIST BELOW ANY PERSONAL PROPERTY OR MANUFACTURED HOME LOCATED IN CALIFORNIA. ONLY

PERSONAL PROPERTY PROPERTY TYPE DESCRIPTION ActualSERIAL/ID NUMBER
for SAMPLE MANUFACTURED HOME
MANUFACTURER YEAR OF MANUFACTURE DECAL/SERIAL NUMBER Assessor

INSTRUCTIONS:

1. List personal property by type, description, and serial number or ID number.

2. Enter the manufacturer, year of manufacture, and decal or serial number of a manufactured home.

3. Attach a copy of your current leave and earnings statement.

4. Sign and date the declaration. If you are signing this document with Power of Attorney, attach a copy of the document Contact through which you have been granted the Power of Attorney.

5. Mail the original declaration with attachments to the Assessor’s office at the address shown.

   CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information herein, including any accompanying statements or materials, is true, correct, and complete to the best of my knowledge and belief.

SIGNATURE OF DECLARANT DATE t THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION