BOE-571J1

Source: https://www.boe.ca.gov/proptaxes/pdf/sample-boe571j1.pdf

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

BOE-571-J1 (P1) REV. 07 (07-25) OFFICIAL NOTICE REPORT OF BOARDED RACEHORSES This report must be completed in To Assessor of County detail and filed with the Assessor on or before: Read the instructions before completing this form. (Make necessary corrections to the printed name and mailing address.) CHECK THIS BOX IF YOU NO LONGER OWN A RACEHORSE PERSON OR CORPORATION NAME RANCH OR STABLE NAME (DBA)

MAILING ADDRESS (city, state, zip code)

ADDRESS OF THIS LOCATION (street, city, state, zip code) SCHOOL DISTRICT OR TAX-RATE NUMBER OR ASSESSOR’S PARCEL NUMBER Form LIST ALL BOARDED RACEHORSES AT THIS LOCATION AS OF 12:01 a.m. ON JANUARY 1, 20 . File a separate report for each location at which you boarded racehorses for others.

A B C D E F ONLY
NAME OF RACEHORSE REGISTRATION BREED DATE OF OWNER’S NAME OWNER’S ADDRESS
(include stallions, broodmares, NUMBER ARRIVAL
yearlings, and horses in training) Actual
for SAMPLE

DECLARATION BY ASSESSEE Assessor
Note: The following declaration must be completed and signed. 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 have examined this report, and that the foregoing and all information herein, including any accompanying
statements or materials, is true, correct, and complete to the best of the taxpayer's knowledge and belief, and includes all racehorses and other relevant data required to be reported which is
owned, claimed, possessed, controlled, or managed by the person named as the assessee in this report at 12:01 a.m. on January 1, 20 .

OWNERSHIP SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT* DATE
TYPE (x) ▶
NAME OF ASSESSEE OR AUTHORIZED AGENT* ( typed or printed) TITLE

Proprietorship Partnership NAME OF LEGAL ENTITY (other than DBA) (typed or printed) FEDERAL EMPLOYER ID NUMBER Corporation Contact Other PREPARER’S NAME AND ADDRESS (typed or printed) TELEPHONE NUMBER TITLE ( ) EMAIL ADDRESS

• Agent: See P2 for Declaration by Assessee instructions. THIS STATEMENT SUBJECT TO AUDIT

This page watermarked sample only. Contact BOE-571-J1 (P2) REV. 07 (07-25) Assessor for actual form.

INSTRUCTIONS FOR COMPLETING
ANNUAL REPORT OF BOARDED RACEHORSES

This report pertains only to racehorses as defined below:

Racehorse means each 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 horserace contest on which parimutuel wagering is permitted or has not been
used for breeding purposes in order to produce racehorses during the 24 months preceding the current calendar
year.

The following instructions are to be observed in completing this report. They are lettered to correspond with the numbers at the head
of the columns on the front of the report.

NAME AND MAILING ADDRESS

• NAME (PERSON OR CORPORATION) Form
If the name is preprinted, check the spelling and correct any error. In the case of an individual, enter the last name first, then
the first name and initial. Partnerships must enter at least two names, showing the last name, first name, and middle initials
for each partner. Corporation names should be complete so they will not be confused with fictitious or DBA (Doing Business
As) names. ONLY
• DBA OR FICTITIOUS NAME

Enter the DBA name under which you are operating at this ranch. This may be a ranch or stable name. • MAILING ADDRESS Actual

Enter the mailing address of the legal entity above. This may be either a street address or a post office box number. It may
differ from the actual location of the horses. Include the city, state, and zip code. for
Enter the street or road address of the location at which the horses are boarded. Also enter the elementary or unified school
district name or TAX-RATE AREA CODE NUMBER or PARCEL NUMBER of this ranch. If this information is preprinted, please check
it for accuracy and correct any error.

COLUMN A. List by name all racehorses which were boarded at your ranch at 12:01 a.m. on January 1. If unnamed, so state.

COLUMN B. Show each horse’s registration number. If a horse is not registered, so state.

COLUMN C. Show the breed by abbreviations as follows: Thoroughbreds (T.B.), Quarter (Q.H.), Standardbred (Std. B.), Appaloosa SAMPLE (App.), or Arabian (Ar.).

COLUMN D. Show the date each boarded racehorse arrived at this location. COLUMN E. Show the nameAssessorof each owner of racehorses that are boarded at your ranch.
COLUMN F. Show the address of each owner of boarded racehorses.

DECLARATION BY ASSESSEE

The law requires that this report, 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 behalf of the corpora-
tion. 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 LimitedContactLiability 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 County may at any time require a person who signs a production report and who
is required to have written authorization to provide proof of authorization.

A report 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 reports.