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Disaster Relief
 

Fill out this form if you have property listed on the San Mateo County's property tax rolls and that has been damaged or destroyed.

  • The value of the property loss must exceed $10,000 to use this form.
  • The form must be filed with the County Assessor's Office within 12 months of the loss.
  • Personal effects, household furnishings and business inventories are not assessable property.

Mail or fax the completed application to the Assessor's Office:

San Mateo County Assessor

555 County Ctr, 3rd Floor

Redwood City, CA 94063-1665.

FAX: (650) 363-7435

 
Application for Reassessment of Property Damaged by Misfortune or Calamity
Owner's Name  
Assessor's Parcel No  
DBA (Businesses Only  
Account No. (Businesses Only)  
Mailing Address  
Property Address or Location  
Date of damage or destruction  
Date repair began (if started)  
Date completed (if finished)  
Values   Owner's
Estimate
of Loss*		 Owner's
Est. of Value
After Loss		 Nature
Damage
Destruction
Lands  
Improvement Structures  
Improvement Fixtures  
Personal Property  
Business Equipment  
Boat or Aircraft  
Totals  
*Attach documentation, such as estimate or statement from licensed contractor.
Documentation attached (or describe below)
Documentation to be submitted later
 
I hereby apply for reassessment of the property described above. The property was damaged or destroyed without my fault.

I declare that I was the owner of the property, or had it in my possession and control at the time of the loss, and that I am responsible for the taxes on it.

This application, if executed outside of the State of California, must be verified by affidavit.

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.

This application constitutes a claim for refund if applicable.
 
Name  
Date  
Daytime Telephone  
 
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