BOE-571-K

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe571k.pdf

This page watermarked sample only. Contact Assessor for actual BOE-571-K (P1) REV. 09 (07-25) form.

20__ HORSE PROPERTY STATEMENT (other than Racehorses) (Declaration of costs and other related property information as of 12:01 A.M., January 1, 20__)

FILE RETURN BY APRIL 1, 20__ Carefully read and follow the accompanying instructions. (File a separate statement for each location.)

NAME ASSESSOR’S PARCEL NUMBER

D.B.A. (ranch name)

RANCH ADDRESS

MAILING ADDRESS E-MAIL ADDRESS

Note: All horses held for sale, rent, or farm use and pets are exempt. Report only those horses not exempt. (See instructions) Form
A B C D E F G H
EARNINGS IF OWNED: Name of sire and dam, permanent
NAME AND AGE COLOR SEX BREED DATE OF AR- domicile, condition, purchase date and price, etc. ASSESSOR’S
REGISTRATION RIVAL IF BOARDED: Name and address of owner. USE ONLY NUMBER AMOUNT SOURCE
(see Column H instructions.) ONLY Actual
for SAMPLE Assessor

DECLARATION BY ASSESSEE
TOTAL FULL
VALUE
OWNERSHIP Note: The following declaration must be completed and signed.
TYPE (4) If you do not do so, it may result in penalties.
I declare under penalty of perjury under the laws of the State of California that I

Proprietorship have examined this property statement, and that the foregoing and allPartnership Contactinformation herein, including any accompanying statements or materials, is PERSONAL PROPERTY true, correct, and complete to the best of the taxpayer's knowledge and belief, FIXTURES Corporation and includes all property required to be reported which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in this OTHER IMPROVEMENTSOther statement at 12:01 a.m. on January 1, 20 . LAND

SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT* DATE PROCESSING DATA NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed) TITLE APPRAISED REVIEWED NAME OF LEGAL ENTITY (other than DBA) (typed or printed) FEDERAL EMPLOYER ID NUMBER POSTED TO:

PREPARER’S NAME AND ADDRESS (typed or printed) TELEPHONE NUMBER TITLE TAX AREA CODE: ( ) BUSINESS CODE: *Agent: see page P4 for Declaration by Assessee instructions. THIS STATEMENT SUBJECT TO AUDIT

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BOE-571-K (P2) REV. 09 (07-25)

I
EQUIPMENT AND FEED (see instructions)

PURCHASE ASSESSOR’S ITEM ORIGINAL COST
DATE USE ONLY
ONLYForm Actual
for

FEED

Alfalfa
& Hay Tons

Grain Lbs.

Pellets Lbs. SAMPLE
Meal Lbs. Assessor

Contact

This page watermarked sample only. Contact Assessor for actual form.BOE-571-K (P3) REV. 09 (07-25)

INSTRUCTIONS

California law prescribes a yearly ad valorem tax based on property as it exists at 12:01 a.m. on January 1 (tax lien
date). This form constitutes an official request that you declare all assessable business property situated in this county
which you owned, claimed, possessed, controlled, or managed on the tax lien date, and that you sign (under penalty
of perjury) and return the statement to the Assessor’s Office by the date cited on the face of the form as required by law.
Failure to file the statement during the time provided in section 441 of the Revenue and Taxation Code will compel the
Assessor to estimate the value of your property from other information in the Assessor’s possession and add a penalty
of 10 percent of the assessed value as required by section 463 of the Code.

If you own taxable personal property in any other county whose aggregate cost is $100,000 or more for any assessment year,
you must file a property statement with the Assessor of that county whether or not you are requested to do so.
Any person not otherwise required to file a statement shall do so upon request of the Assessor regardless of aggregate
cost of property. The Assessor of the county will supply you with a form upon request.

Except for the "DECLARATION BY ASSESSEE" section, you may furnish attachments in lieu of entering
the information on this property statement. However, such attachments must contain all the
information requested by the statement and these instructions. The attachments must be in a format acceptable to the
Assessor, and the property statement must contain appropriate references to the attachments and must be
properly signed. In all instances, you must return the original BOE-571-K. Form

THIS THIS STATEMENT IS NOT IF ANY SITUATION EXISTS WHICH
STATEMENT A PUBLIC DOCUMENT. THE NECESSITATES A DEVIATION FROM
IS SUBJECT INFORMATION DECLARED WILL TOTAL COST PER BOOKS AND RECORDS,
TO AUDIT. BE HELD SECRET BY THE ASSESSOR. FULLY EXPLAIN ALL ADJUSTMENTS. ONLY

Column A. List horses which were owned by you at 12:01 a.m. on January 1, whether on your premises or not. Then list all such Actual horses on your premises, under your control, or in your possession at 12:01 a.m. on the first day of January that
belong to others. Show their names and registration numbers, if any. If unnamed, so state. Exclude “racehorses,”“pets”
and horses qualifying for the “business inventory exemption,” as defined below. for
A racehorse is a live horse, including a stallion, mare, gelding, ridgeling, colt, filly, or foal, that is or will be eligible
to participate in or produce foals which will be eligible to participate in a horseracing contest in California wherein
parimutuel racing is permitted under rules and regulations prescribed by the California Horse Racing Board.
Racehorse does not mean or include any horse over three years old, or over four years old in the case of an Arabian
horse, that has not participated in a horse race contest on which parimutuel wagering is permitted or has not been
used for breeding purposes in order to produce racehorses during the two previous calendar years. Racehorses are to be reportedSAMPLEon form BOE-571-J, Annual Racehorse Tax Return, or on form BOE-571-J-1, Annual Report of Boarded
Racehorses, which may be obtained from the Assessor (Revenue and Taxation Code, section 5703).

Pets means any animal held for noncommercial purposes and not as an investment. A show animal that is awarded Assessor
ribbons or cups would not be considered as held in connection with a trade, profession, or business. However, when
the animal’s proficiency gains monetary or other awards of substantial value, or when the animal is used in the
production of offspring that are sold or exchanged for items of substantial value, it is no longer considered a pet.
(Rule No. 134, California Code of Regulations)

Horses eligible for the business inventory exemption include all horses held primarily for sale or lease in the ordinary
course of business and horses employed in the raising of crops or in the feeding, breeding, and management of
livestock. (Rule No. 133, California Code of Regulations) Contact
Column B. State the age of the horse.

Column C. Show the horse’s color by abbreviation as follows: chestnut (ch.), brown (br.), black (blk.), bay (b.), roan (ro.), gray (gr.),
pinto (p.), palomino (pal.), etc.

Column D. Show sex by entering the applicable abbreviation: S for stallion (male horse used for breeding purposes); B for
broodmare (female horse used for reproduction); H for horse (mature male horse that is not used for breeding); M
for mare (mature female horse not used for reproduction); C for colt (male horse under 4 years of age, or under five
years old in the case of an Arabian horse, and not used for breeding); F for filly (female horse under 4 years of age
and not used for reproduction); G for gelding (a castrated male horse); R for ridgeling (an imperfectly castrated male
horse).

This page watermarked sample only. Contact Assessor for actual form. BOE-571-K (P4) REV. 09 (07-25)

Column E. Show the breed by abbreviation as follows: Thoroughbreds (T.B.), Appaloosa (App.), Arabian (Ar.), Quarter (Q.H.),
Standardbred (Std. B.), other (explain).

Column F. Show date of arrival for all boarded horses, except racehorses and pets.

Column G. Show the name and address of each owner of boarded registered, show, work, and pleasure horses. If owned by a
syndicate, give syndicate name and name and address of syndicate manager. If the horses are owned by you, list all
of the following information.

a. Gross amount of money earned since January 1st of prior year.

b. Show the source of the income, such as breeding, showing, etc.

Column H. List the following information in the order in which asked:

• List the sire’s name first and then the dam’s name.

• Show the permanent domicile of the horse, and, if out of California, give location on
January 1st.

• Describe the horse’s physical condition at 12:01 a.m. on January 1st., i.e., sound, unsound. Also indicate if in light Form
or heavy training.

• Broodmares: State if barren or in foal. If in foal, show name of stallion.

• Stallions: Show current stud fee, number of mares contracted for this calendar year, number of mares contracted ONLY
last year and number of conceptions last year.

• If horse was purchased since January 1st of last year, show date purchased and cost. Cost includes purchase price, transportation costs, sales tax, import duty, and broker’sActualfees, if any.

If you need additional space, continue on the next line. Column I. Equipment and Feed. for

Equipment: Enter the total original installed cost before allowance for depreciation for each year of acquisition. Include freight-in, excise taxes, sales or use taxes, and installation costs. Include fully depreciated equipment but do not include items that were traded, retired, transferred, sold or junked and removed physically from the premises. If equipment is located elsewhere in the county, attach a similar schedule and identify the location. All equipment at this location, except licensed vehicles, must be reported on this Property Statement. SAMPLE Feed: Report only feed that will be consumed by your animals reported here plus your pets and racehorses.

Horses temporarily removed from the premises may be assessed to you at this location. Assessor

DECLARATION BY ASSESSEE

The law requires that this property statement, regardless of where it is executed, shall be declared to be true under penalty of
perjury under the laws of the State of California. The declaration must be signed by the assessee, a duly appointed fiduciary, or a
person authorized to sign on behalf of the assessee. In the case of a corporation, the declaration must be signed by an officer or by
an employee or agent who has been designated in writing by the board of directors, by name or by title, to sign the declaration on behalfContactof the corporation. In the case of a partnership, the declaration must be signed by a partner or an authorized employee or
agent. In the case of a Limited Liability Company (LLC), the declaration must be signed by an LLC manager, or by a member where
there is no manager, or by an employee or agent designated by the LLC manager or by the members to sign on behalf of the LLC.

When signed by an employee or agent, other than a member of the bar, a certified public accountant, a public accountant, an
enrolled agent or a duly appointed fiduciary, the assessee’s written authorization of the employee or agent to sign the declaration on
behalf of the assessee must be filed with the Assessor. The Assessor may at any time require a person who signs a property statement
and who is required to have written authorization to provide proof of authorization.

A property statement that is not signed and executed in accordance with the foregoing instructions is not validly filed. The penalty
imposed by section 463 of the Revenue and Taxation Code for failure to file is applicable to unsigned property statements.