BOE-502-P

Source: https://www.boe.ca.gov/proptaxes/pdf/sample_boe502p.pdf

BOE-502-P (P1) REV. 03 (05-16)

POSSESSORY INTERESTS ANNUAL USAGE REPORT

NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address)

Revenue and Taxation Code section 480.6 requires every state or local governmental entity that is the fee owner of real property in which one or more taxable possessory interests have been created or renewed to provide the Assessor of the county in which the property is located information identifying the holders of a taxable possessory interest, the property involved, and the terms and conditions of the agreement giving rise to the taxable possessory interests. If your agency owns any property with taxable possessory interests, you are required to complete and file this form with the Assessor by February 15. Report all taxable possessory interests occurring in the prior year even if they ended in the prior year. IF THERE ARE NO TAXABLE POSSESSORY INTERESTS ON PROPERTY OWNED BY THIS AGENCY, CHECK HERE , AND SIGN, DATE, AND RETURN THE FORM TO THE ADDRESS SHOWN ABOVE. PROPERTY USAGE NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount)

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE
SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE
ASSIGNMENTS

NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount) ORIGINALSAMPLETERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE
ASSIGNMENTS

NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount)

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE
ASSIGNMENTS

THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION

BOE-502-P (P2) REV. 03 (05-16)

PROPERTY USAGE

NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount)

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE

SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE

ASSIGNMENTS

NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount)

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE

SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE

ASSIGNMENTS

NAME OF TENANT/LESSEE/PERMITTEE MAILING ADDRESS

LOCATION/DESCRIPTION OF SUBJECT PROPERTY DATE OF TRANSACTION IN WHICH A TAXABLE POSSESSORY INTEREST WAS ACQUIRED

TYPE OF TRANSACTION (check one) AMOUNT AND TYPE OF CONSIDERATION (i.e. gross, full service, NNN, other) CREATION RENEWAL SUBLEASE ASSIGNMENT TERM OF POSSESSORY INTEREST (including renewal or extension options) AGENCY PAID EXPENSES (if any, enter dollar amount)

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR MASTER LEASE

SUBLEASE

ORIGINAL TERM REMAINING TERM CONSIDERATION PAID FOR UNDERLYING LEASE

ASSIGNMENTS SAMPLE

CERTIFICATION

I certify (or declare) that I have examined this report, including accompanying schedules, statements or other attachments, and to the best of my knowledge and belief it is true, correct, and complete and covers any property required to be reported by the agency named in the statement. If prepared by a duly authorized person other than an agency official, the certification declaration is based on all the information of which the preparer has knowledge.

SIGNATURE OF AGENCY REPRESENTATIVE/PREPARER DATE t NAME OF AGENCY REPRESENTATIVE TITLE

NAME OF PREPARER TITLE

PREPARER’S EMAIL ADDRESS DAYTIME TELEPHONE NUMBER ( )

THIS DOCUMENT IS SUBJECT TO PUBLIC INSPECTION