Laserfiche WebLink
Application for Proration of Property Taxes For county use only <br /> Due to Damage by Fire or Act of God Date received <br /> Oregon Revised Statutes(ORS)308.425 3-t l- 202( <br /> Instructions: <br /> •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 <br /> of tax due or result in a tax refund.The tax year is from July 1 to June 30. <br /> •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. <br /> •File your application with the county tax collector of the county in which your damaged property is located. <br /> Applicant's name Phone <br /> Breitenbush Hot Springs Retreat&Conference Center 530-305-6402 <br /> Mailing address Email(optional) <br /> PO Box 245 FD@Breitenbush.com <br /> City State ZIP code <br /> Idanha OR 97350 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> R42098 5 Li a69 <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> 3S-t.- 1�,+Q(\ bL.t S 'III s <br /> Description of personal property <br /> r- - -t- Z)'Z 773x2 <br /> Date of damage Cause of damage Lionshead W Idfire <br /> Sept 2020 D Fire(attach fire department report) 0 Act of God(describe): <br /> Damage occurred to <br /> CI Land 0 Building 0 Personal property ID Manufactured structure <br /> Describe damage <br /> Lionshead Fire move through our property devastating both the built environment as well as the trees/land <br /> Application for proration of tax <br /> 0 I am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must be submitted <br /> within 60 days of damage or June 30,whichever is later. <br /> 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- <br /> 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 <br /> and finalize the tax proration. <br /> Declaration <br /> I declare under the penalties for false swearing[ORS 305.990(4)]that I have examined this document and to the best of my knowledge <br /> it is true,correct,and complete. <br /> X 03/11/2021 <br /> -�` for Breitenbush Hot Springs <br /> App' nt's signature Date <br /> —Applicant will be notified of the county's decision— <br /> For tax collector's use only For assessor's use only <br /> Date received: Clerk: Date received: 03.11.2021 Clerk: ZJ #4 <br /> Damaged property: This year Land and improvements: <br /> Real market value(RMjDe ore, RMV after <br /> Date rebuild complete: Months prorated: fire/act of God: 1,991.810 fire/act of God: 1.991,810 <br /> Assessed value(Ma befoValue <br /> Amount of adjustment/refund: fire/act of God: 65re,460 _ percent of loss: 0 <br /> Destroyed property: This year Personal property: <br /> RMV before RMV after <br /> Months prorated: fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of adjustment/refund: fire/act of God: percent of loss: <br /> Remarks: Date property visited: 03.11.2021 D Damaged D Destroyed <br /> All improvements are intact per Jon Hass of Breitenbush Hot Springs. No change. <br /> 150-310-083(Rev.12-15) <br />