Egibly Mail completed application to: MONTH CHECK ONE: I AM FILING AS OFFICE OF FINANCE UTILITY TAX EXEMPTION UNIT New Application Senior Citizen Name Change Disabled Citizen P.O.BOX 53233 LOS ANGELES, CA 90053-0233 Address Change YEAR Account Number Re-Certification Middle Initial First Name DAY DATE Received ENTER SOCIAL SECURITY NUMBER BELOW Last Name (For record keeping purposes only) Service Address City Apartment No./Space State Zip Code SINGLE RESIDENCE MOBILE HO.
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How to fill out the CA C0185 - Los Angeles online
The CA C0185 form is essential for Los Angeles residents who wish to apply for utility user tax exemptions or lifeline rates. This guide provides clear and detailed steps to help you fill out the form accurately and efficiently online.
Follow the steps to complete your application effectively.
- Click the 'Get Form' button to access the form and open it in your browser.
- Begin by filling out the personal information section. Provide your first name, middle initial, and last name, ensuring that all details are printed legibly.
- Enter your social security number in the designated field for record-keeping purposes.
- Fill out your service address, including apartment number, city, state, and zip code. If your mailing address differs, include it as well.
- Indicate whether you live in a single residence or mobile home and provide your daytime phone number.
- Supply your date of birth by entering the day, month, and year in the specified format.
- Check the applicable box indicating if you are applying as a senior citizen, a disabled citizen, or for a name or address change.
- List the number of people in your household and indicate if certain services are included in your rent.
- Fill in the details for utility companies from whom you are requesting exemption, including account numbers and service provider names.
- Carefully read and complete the certification section, ensuring you understand your responsibilities and eligibility.
- Attach the required documentation based on your status as a senior citizen or disabled citizen. Ensure that copies of utility bills reflecting your name and address are included.
- Provide your signature on the second page, indicating your agreement and certifying the truthfulness of the information provided.
- Once completed, save your changes and ensure all necessary documents are attached before submitting the application.
Complete your application online to benefit from utility user tax exemptions or lifeline rates.
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