Form Boe-268-B - Exemption For Property Used By A Free Public Library Or Free Museum Claim For Exemption From Property Taxes Page 2

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10. If filing for the first time, attach a copy of lease or agreement. Lease termination date _______________________________________ .
11. Name and address of the owner of the land and buildings, if other than above ______________________________________________
____________________________________________________________________________________________________________________
12. Is any equipment or other property at this location being leased or rented from someone else?
Yes
No
If yes, list in the remarks section the name and address of the owner and the type, make, model, and serial number of the property.
“Exclusive use” is not required for this exemption, the lessee’s possession is sufficient evidence of use.
The benefit of a property tax exemption must inure to the lessee institution; the lessee may be entitled to claim a refund of taxes
paid by the lessor. See section 202.2 of the Revenue and Taxation Code.
REMARKS
Whom should we contact during normal
FOR ASSESSOR’S USE ONLY
business hours for additional information?
NAME
Received by
(Assessor’s designee)
ADDRESS (city, state, zip code)
of
(county or city)
DAYTIME PHONE NUMBER
on
(
)
(date)
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon,
including any accompanying statements or documents, is true, correct and complete to the best of my knowledge and belief.
SIGNATURE OF PERSON MAKING CLAIM
TITLE
DATE
THIS EXEMPTION CLAIM IS A PUBLIC RECORD AND IS SUBJECT TO PUBLIC INSPECTION.
BOE-268-B (BACK) REV. 7 (8-07) EXM-229 (REV. 8-08)

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