540131 - Laserfiche WebLink

Home Browse Search

• Application for Proration of Property Taxes For county use only Due to Damage by Fire or Act of God Date received Oregon Revised Statutes(ORS)308.4250kiliE 17-111f 11 Instructions: •Application for proration of property taxes may be made for the tax year of the property damage/destruction.If approved,this may reduce the amount of tax due or result in a tax refund.The tax year is from July 1 to June 30. •Your application must be filed within 60 days of the damage or by June 30 of the tax year in which the damage occurred,whichever is later. •File your application with the county tax collector of the county in which your damaged property is located. Applicant's name/4,1Phone �T� 1� �r/sr/�/ 503 –Sap– 391 Mailing address Email(optional) City yD j'5- p ie 7 7 3r StaterQl ce ZIP code/ 3 C' ,Y / Location and description of damaged or destroyed property 9 Assessor's account number 5–yD [ -( RLYO/3, Location of property(if different from above) Section Township Range Tax lot number 3$—Z 3 S ciTN Sr-- LE 32-6c- o 8 qc U 3©)[2) Description of personal property (ffy 1t l ?7 ' g Date o damage • Caauuse�o image '� 9-7.–Z d !Wire(attach fire department report) 121<t–of God (describe): 47 Damage — � occurred to �� IELand I2Iuilding I�Personal property 0 Manufactured structure Describe damage T rA L- PE-5- 7-7 a a .' X/c 4 z3 v(4 rj,,v 6%5. Application for proration of tax El I am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must be submitted within 60 days of damage or June 30,whichever is later. Whether my property is damaged or destroyed will be determined by the County Assessor's office.If the assessor determines my property is only dam- aged,I must notify the tax collector of the date that the damage is repaired.Such notice will serve to inform the tax collector of their duty to calculate and finalize the tax proration. Declaration I declare under the penalties - alse swearing[ORS 305.990(4)]that I have examined this document and to the best of my knowledge it is true,correct,and co .•• f ili / --/ Z v Applicant's signa Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: (-1-11 Clerk: /if Date received: /2-a2 / 020 Clerk: ii/I/ V co Damaged property: This year Land and improvements: Real market value(RMV) orri�,, RMV after Date rebuild complete: Months prorated: fire/act of God: 3f:$ V fire/act of God: !1'x060 Assessedd (Ppp befgrg , Value Amount of adjustment refund: �" fire/actt ofof God: d,(�+NOt percent of loss: ei . % ?55 Destroyed property: 9 This year Personal property: RMV before RMV after Months prorated: fire/act of God: fire/act of God: AV before Value Amount of adjustmen efund: 1 234,q0 fire/act of God: percent of loss: —/ Remarks: 1 / Date property visited: ,a-,,,,--,9 0 Damaged LYDestroyed 150-310-083(Rev.12-15)