HARDSHIP REIMBURSEMENT POLICY APPLICATION FORMS FOR

THE DOWNTOWN OAKLAND ASSOCIATION - COMMUNITY BENEFIT DISTRICT
Adopted November 2008
The following form shall be used by Downtown Oakland Association CBD assessed
property owners interested in applying for a “Hardship Reimbursement”. Please fill out
the form completely and review the attached policy for clarification of eligibility with
this program.
To be considered, all hardship applications must be submitted to the Downtown
Oakland Association within 60 days that the property taxes or property tax installment
was due the County of Alameda for that year.
1. Name of Applicant Property Owner Company:
________________________________________________________________________
2. Name of Owner or Authorized Rep: __________________________________
3. Street Address of Applicant Property Owner:
________________________________________________________________________
4. Parcel(s) requested to be reimbursed for Downtown Oakland CBD assessments this
year:
________________________________________________________________________
5. Amount of Assessment Paid this Year: ________________________________
(Please show proof of CBD payment made to County)
6. Amount Requested to be reimbursed through the Hardship Policy: (Partial, full, etc.)
$___________________________________________________
7. Reason for Request: (Please use one of the rationale identified in policy)
(3) “The Organization/Executive Committee shall make its recommendations to
the full Board of Directors based upon the following criteria:

DOWNTOWN OAKLAND ASSOCIATION
388 19th Street  Oakland, California 94612
Phone 510.238.1122  Fax 510.452.4529  mail@downtownoakland.org  www.downtownoakland.org

a. Determination that the request for reimbursement relief is based upon
genuine economic hardship and inability to afford the CBD’s annual costs;
and
WHEREAS the Downtown Oakland Association seeks to improve the Downtown
Oakland area with the special benefits funded from the new CBD, however,
does not seek to create hardship for disabled, senior or other individuals, nonprofit/tax-exempt organizations or those property owners who currently lack the
means to pay into the Downtown Oakland Community Benefit District”
Reason for request for Hardship reimbursement from the Downtown Oakland
Association:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Recommendation for documentation by the DOA Organization Committee:
Request for Documentation by Organization Committee:
 Last 2 year tax returns:

Yes

No

 List of properties owned within or outside of Downtown

Yes

No

 Last 2 years operating statements for each parcel

Yes

No

 Most current 2 years of bank statements on parcel

Yes

No

Organization Committee Recommendation: ________________________________
____________________________________________________________________________
Board Action:
Date of Action:
Comments:
____________________________________________________________________________

____________________________________________________________________________
_____________________________________________________________________

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