Who can use the Claim and Declaration of Refund Form?

The form is for lessees of qualifying exempt property used for educational, library, or museum purposes. It identifies eligible institutions including public schools and nonprofit institutions of higher education.

Do I need a notary for the Claim and Declaration of Refund Form?

No. The claimant signs and dates the form and declares under penalty of perjury that the claim is true. A copy of the lease or rental agreement must also be included.

How do I submit the Claim and Declaration of Refund Form?

Send it to the Alameda County Board of Supervisors, Attn: Assessment Appeals Unit, at 1221 Oak Street, Suite 536, Oakland, California 94612. Include a copy of the lease or rental agreement.

Alameda County, CA · Alameda County

No notary required

Claim and Declaration of Refund Form

Lessees of qualifying exempt property use this form to request a property tax refund from Alameda County for taxes paid during a fiscal year.

At a glance

Issued by: City of Alameda County · Alameda County, Alameda County, California
Notarization: Not required: file this form without a notary.
Official source: acgov.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form requests a property tax refund for qualifying exempt property used exclusively for educational, library, or museum purposes and free and open to the public. It is limited to public schools, community colleges, state colleges, state universities, and nonprofit institutions of higher education. The claimant provides property and institution details, declares the claim true under penalty of perjury, and includes a copy of the lease or rental agreement.

Who needs it

A lessee of qualifying exempt property at an eligible educational institution, library, or museum may use this form to claim a refund of property taxes paid.

How to submit it

Send the completed claim to the Alameda County Board of Supervisors, Attn: Assessment Appeals Unit, 1221 Oak Street, Suite 536, Oakland, California 94612. Include a copy of the lease or rental agreement.

About notarization

This claim is signed and dated without a notary; the claimant declares under penalty of perjury that the claim is true and must include a copy of the lease or rental agreement.

How to submit this form

1
Download the Form
Download the Claim and Declaration of Refund Form.
2
Complete the Claim
Provide the claimant, lessor, institution, property, and fiscal-year information requested.
3
Gather the Lease Copy
Include a copy of the lease or rental agreement with the claim.
4
Sign and Submit
Sign and date the claim, then mail it to the Assessment Appeals Unit at the address shown on the form.

Frequently asked questions

Who can use the Claim and Declaration of Refund Form?: The form is for lessees of qualifying exempt property used for educational, library, or museum purposes. It identifies eligible institutions including public schools and nonprofit institutions of higher education.
Do I need a notary for the Claim and Declaration of Refund Form?: No. The claimant signs and dates the form and declares under penalty of perjury that the claim is true. A copy of the lease or rental agreement must also be included.
How do I submit the Claim and Declaration of Refund Form?: Send it to the Alameda County Board of Supervisors, Attn: Assessment Appeals Unit, at 1221 Oak Street, Suite 536, Oakland, California 94612. Include a copy of the lease or rental agreement.

Need something notarized?

This Claim and Declaration of Refund Form doesn’t need a notary, but if you have another Alameda County form that does, a commissioned online notary can help.