BOE-701-A

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe701a.pdf

BOE-701-A (P1) REV. 00 (05-26) This page watermarked sample only. Contact AGENT AUTHORIZATION / DESIGNATION OF ATTORNEY Assessor for actual form. FOR ASSESSOR MATTERS

This form may be filed to authorize an agent or designate a California attorney to represent the property owner in all property tax assessment matters with the Assessor's office that are not related to an assessment appeal.

NOTE: For an assessment appeal authorization please use BOE-305-AG, Authorization of Agent/Designation of Attorney.

INSTRUCTIONS

If this form is used to authorize an agent, choose Authorization of Agent. An owner, partner, or officer must complete and sign the form.

If this form is used to designate representation by a California Attorney, choose Declaration of California Attorney. An owner, partner, or officer must complete and sign the form, or the attorney may complete and sign the form on the owner's behalf.

If this form is used to revoke or terminate authorization of an agent or attorney, choose the Revocation option. An owner, partner, or officer must complete therequired information below the option and sign the form. Form

Mail or fax the completed form to the Assessor at the address shown.

SUBJECT PROPERTY ONLY PROPERTY ADDRESS (STREET, CITY, STATE, ZIP CODE)

REAL PROPERTY: ASSESSOR'S PARCEL/IDENTIFICATION NUMBER PERSONAL PROPERTY: ACCOUNT/ASSESSMENT NUMBER Actual

Check here for multiple properties. List additional properties on page 2 or attach a separate page. for AUTHORIZATION OF AGENT DESIGNATION OF CALIFORNIA ATTORNEY, STATE BAR NO.

The below-named person or company is hereby authorized to act on my/our behalf as agent or is designated as my/our/the attorney in assessment matters for the property listed above and, if applicable, on the attached list, which are owned, possessed, controlled, or managed by the undersigned or by the owner(s) represented by the undersigned, if signed by an attorney.

If the owner is a corporation, limited partnership, or limited liability company, the authorization must be signed by an officer or authorized employee of the business entity. This requirement does not apply if the form is signed by an attorney representing the owner. SAMPLE NAME OF AGENT OR ATTORNEY COMPANY NAME

MAILING ADDRESS (STREET ADDRESS OR P. O. BOX) EMAIL ADDRESS Assessor CITY STATE ZIP CODE DAYTIME TELEPHONE ALTERNATE TELEPHONE FAX NUMBER ( ) ( ) ( ) AUTHORITY (please check all applicable items) THIS SECTION IS NOT NECESSARY FOR LICENSED CALIFORNIA ATTORNEYS

This agent is delegated full authority to handle all assessment matters within the Assessor's office. Agent shall have access to
all information and materials that would be available to the undersigned.
This agent is delegated full authority to sign Business Property Statements as provided under California Revenue and Taxation CodeContactsection 441(e).
Other (please specify):

DURATION OF AUTHORITY THIS SECTION APPLIES TO BOTH AGENTS AND LICENSED CALIFORNIA ATTORNEYS

This authorization is valid until (date):
This authorization is valid for the calendar year 20 only.
This authorization is valid for a period of no more than four (4) years from the date of execution of this authorization as
indicated below, unless revoked in writing or terminated by operation of law.

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

BOE-701-A (P2) REV. 00 (05-26)

REVOCATION AUTHORIZATION IS HEREBY REVOKED AND TERMINATED FOR THE BELOW-NAMED PERSON/COMPANY TO ACT AS MY AGENT OR ATTORNEY. NAME OF AGENT OR ATTORNEY COMPANY NAME

MAILING ADDRESS (STREET ADDRESS OR P. O. BOX) EMAIL ADDRESS

CITY STATE ZIP CODE DAYTIME TELEPHONE ALTERNATE TELEPHONE FAX NUMBER ( ) ( ) ( )

CERTIFICATION

I certify (or declare) under penalty of perjury under the laws of the State of California that: (1) I own, possess, control, or manage the property referenced in this authorization; (2) I have the authority to designate an agent/attorney to act on behalf of all of the owners of said property. I acknowledge delegation of authority to the designated agent/attorney and retain full responsibility for any and all actions this agent/attorney makes on behalf of the owner. I also acknowledge I may be required to furnish additional information which the Assessor may request directly from the owner or through the agent/attorney; (3) I have the authority to revoke an agent/attorney to act on behalf of all of the owners of said property and; (4) the foregoing and Form all information herein, including any accompanying statements or materials, is true, correct, and complete to the best of my knowledge and belief. SIGNATURE OF OWNER, PARTNER, OR OFFICER COMPANY NAME OR DBA PRINT NAME ONLYTITLE

EMAIL ADDRESS DAYTIME TELEPHONE DATE ( ) Actual

ATTORNEY SIGNATURE (if applicable) for SIGNATURE OF ATTORNEY (if representing owner) EMAIL ADDRESS

PRINT NAME DAYTIME TELEPHONE DATE ( )

AUTHORIZATION OF AGENT/DESIGNATION OF ATTORNEY FOR MULTIPLE PROPERTIES OWNER NAME SAMPLE

For Real Property: For Personal Property: Assessor ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS: Contact

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

ASSESSOR'S PARCEL NUMBER/PROPERTY ADDRESS: ACCOUNT OR ASSESSMENT NUMBER/BUSINESS NAME AND ADDRESS:

PLEASE KEEP A COPY OF THIS FORM FOR YOUR RECORDS