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CHANGE OF ADDRESS Building Department CITY OF CUPERTINO 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255 CUPERTINO TELEPHONE:(408)777-3228 • FAX: (408)777-7606 OFFICIAL NOTIFICATION OF NEW/ADDRESS CHANGE TO: All Agencies FROM: City of Cupertino DATE: February 1, 2011 RE: New/Change of Address APN #316-03-039 Please note the following address change: 19968 Homestead Rd is being divided into 2 units. 19968 Homestead Rd will remain the same and the new unit will be 19972 Homestead Rd. See attached map. The new address will take effect 30 days from the date of this letter. If you have any questions, please call me at (408) 777-3246. Sincerely, Susan Winslow Administrative Clerk BLANEY AVENUE 1-D -A NE z7 ZK m .. . . . .. . . . . JI IT, 3 Y-1: p co"DWO 1,`0 Wb FYVI` fv 0, 1, Aca lalvI2 2 Homestead Road Oakmont Square Center FDA APN.- 316-03-044 Site Plan 19940.199901imijmIl I teadDmCupeifinII, 995f11,,,,tnlmdAwd- Cumfinm CA D5014 ..............— ...................... . ...... .......... .- � CITY OF CUPERTINO RECEIPT NUMBER: BS000012625 RECEIVED BY: SUEW PAYOR: SOUTH BAY PROPERTIE TODAY' S DATE: 02/01/11 REGISTER DATE.: 02/01/11 TIME: 14 :51 1 ADDRESS CHANGE ADDING 19972 HOMESTEAD RD $317 . 00 TOTAL DUE: $317 . 00 CHECK $317 . 00 REF NUM: 1272 TENDERED CHANGE $317 . 00 $ . 00 Building Department CITY OF CUPERTINO - 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255 TELEPHONE: (408)777-3228 FAX: (408)777-3333 CUPERTINO CHANGE OF ADDRESS/ADD SUITE NUMBERS REQUEST FORM NAME (please print): TELEPHONE NUMBER: q D D ' © �✓�• (��` 9 APN (assessor's parcel D 3 C) I EXISTING ADDRESS: 199r2& ft mm e_s- ca a P-o cLcA NEW ADDRESS REQUESTED: 1 �I / 2- s l I� NEW SUITE NUMBERS REQUESTED: e au of� 0.dcL�s p hc, " 11191 2 F 4 e r�-f a owl`, 'p-.=l Request for address change will be approved only if the change meets the following criteria: 1. The change of address will not create confusion. 2. Only the LAST DIGIT will be considered. 3. The odd/even addressing system will be maintained. 4. Suite numbers must be NUMERIC. 5. The change of address will not result in a public safety hazard. 6. A reduced-scale copy (8 Y2 x 11 or 11 x17) of a site plan which shows addresses on each side of the building site, along with the closest address across the street from the entrance of the building. If there are unit or suite numbers,show the layout of the units and have all unit/suite numbers on the site plan. _. 7. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill) The fee for a change of address/addition of suite numbers request is$317.00 (per hour). The fee is due with this request form and will not be refunded if the request is denied. The direct costs associated with an address change/addition of suite numbers request will be borne by ap 'c . Approximate review time is fifteen (15) days. If the address change is granted a ne dress will be in effect thirty (30) days following approval. �aoYF1�4 O 1/ 7D l l e D e a SANTA CLARA COUNTY SECURED PROPERTY TAX BILL 2010-2011 FOR FISCAL YEAR JULY 1, 2010 -JUNE 30, 2011 Tax Collector's Office Tax Information:4O8-808-7900 County Government Center Pay your taxes on-line at wWw.scctax.org using an a-Check or 70 West Hedding St,East Wing,6th Floor major credit card. See reverse for payment Instructions San Jose,CA 95110-1767 PARCEL TAX RATE AREA BILL ID BILL DATE 316-03;039-00 013-003 377622 09/22/2010 IMPORTANT MESSAGES Your 2010/11 Secured Properly Tax Bill has a new formal) For MAILING ADDRESS a detailed summary of the key changes,please see the enclosed insert,visit www.scctax.org and click on the link"New Tax Bill Formal"or call Tax Information at(408)808-7900. GONG, WAYNE Y & MARY M cCp 19952 HOMESTEAD RD CUPERTINO CA 95014-0560 Property Address Contact Information Assessed Values '19946 HOMESTEAD RD TAX INFORMATION VALUE CHANGES Land 2,210,420 "- .x(408)808.7900 (408)2995300 ,Imprp"oreat 1,129,499 CUPERTINO CA 95014__- _._ _ -" "-scclax@taxsccgov.org` - ---rp@ascsccgov.6,q'--PaMOnal Properly---'-' ---- -- 0-Assessed owner on January 1,2010 Total Value 3,339,919 GONG,WAYNE Y 8 MARY M CHANGE OF ADDRESS EXEMPTIONS Less Homeowner's Exemption 0 (408)299.5526 (408)2996460 DOCUMENT NUMBER: 15939552 addmsschange®esr.sccgov.org exemptions@asrsccgoverg Lass Other Exemption 0 Not Assessment 3,339,919 Taxes Special Assessments Assessed Value 'Tax Rate -Tax Amt Agency Amount 1%MAXIMUM LEVY 3,339,919 0.010000 33,399.19 COUNTY LIBRARY 140.52 CO BOND 2008 HOSP FAC 3,339,919 0.000095 317.29 CUPT/ENVIR/STORM 240.48 CO LIBRARY RETIREMENT 3,339,919 0.000024 80.16 CUSD PARCEL TAX 125.00 CO RETIREMENT LEVY 3,339,919 0.000388 1,295.89 FUHSD PARCEL TAX 98.00 COMM COLLEGE BONDS 3,339,919 0.000326 1,088.81 MOSQUITO ASMT#2 37.62 ELEM OR UNIF SCH BONDS 3,339,919 0.000308 1,028.69 SCCO VECTOR CONTRO 18.00 HIGH SCHOOL BONDS 3,339,919 0.000365 1,219.07 SCVWD CLN SAFE CRKS 683.00 LIP Subtotal 0.011506 36,429.10 SCVWD FLOOD CONTR 230.66 SCVWD-STATE WATER PROJ 3,339,919 0.000070 233.79 SEWER SERVICE-CUPER 8,241.58 SCVWD-ZONE W-1 BOND 3,339,919 0.000002 6.68 LI Subtotal 0.000072 240.47 Total Taxes 1 $38,669.57Total Special Assessments $9,814.89 DUE:NOV 1,2010 DUE:FEB 1,2011 Total Due Delinquent After 12/10/2010 Delinquent After 04/10/2011 Taxes and Special Assessments $24,242.21 $24,242.21 $48,484.42 Delinquent Penalty 10% $0.00 $0.00 $0.00 Delinquent Cost $0.00 $0.00 $0.00 Returned Check Creme $0.00 $0.00 $0.00 Total Installment Amount 424,242.21 $24,242.21 $48,484.42 254926 ,� ., �t �,�` , x SANTA CLARAgCOUN fY SECURED PRQPERTY TAX S • DHNST ',I(L ENTRAYM,NT STUB %d, rri, PARCEL TAX RATE AREA BILL ID DUE:-FEB 1 , 2011 ®® 316-03-039-00 013-003 377622 MAKE CHECK PAYABLE TO: To Pay Both Installments Send Both Payment Stubs SANTA CLARA COUNTY TAX COLLECTOR PARCEL NUMBER ON GONG, WAYNE Y & MARY M INCLUDE S ND THIS STUB WITH PAYMENTCK 19952 HOMESTEAD RD 2010-2011 2 ND CUPERTINO CA 95014-0560 P-AY BY O'4/'110L20�11 f 24;242�2115� $26,686.43 due after 04/10/2011 : Includes$20 Cost and 10%penalty of$2,424.22 0026686430000024242220316030390000780024242214