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JAN 2 4 2025' <br /> Form OR-C-RHSA-2 FOR ASSESSOR'S USE.ONLY <br /> Date Recerded <br /> Page 1 of 1,150-303-009 Oregon Department of Revenue <br /> (Rev.07-26-24) ` I Approved Denied <br /> Date: By: <br /> Attestation for Continued.Qualification.of Rebuilt <br /> Homestead Special Assessment Currently Specially Assessed? Ti Yes I I No <br /> As provided by Chapter 94;Oregon Laws 2024(SB 1545) <br /> Comments <br /> Instructions: <br /> •Attestation forms must be filed with the county assessor. • <br /> •Contact your county assessor with questions on how.or when to file the attestation. <br /> •Additional information about this special assessment program can be found on Form OR-C-RHSA Instructions, 150-303-007-1. <br /> Filed with the 25I-R/U <br /> V County Assessor for the tax year beginning July 1,20o?..5 <br /> • <br /> Part A—Description of homestead(please print or _ <br /> Fill in the boxes below to show the property you want to have specially assessed under the rebuilt homestead program. <br /> Property tax account number Map,tax lot,or parcel number Homestead situs(physical'address) <br /> c41d 'g 951/. ,; o y 2 s*5 NeAAG, 4ihei< iqc2. se .4y6tis <br /> /6 <br /> Part B—Written attestation <br /> se 1545 Section 1 (9)states"Eligible property shall be assessed and taxed as other property similarly situated is assessed and taxed <br /> beginning with the property tax year that inimediately succeeds the earliest of: <br /> (a) The date on which the rebuilt homestead is no longer occupied by the owner as a homestead,except when the owner is <br /> requiredto be absent by reason Of health or active military ,service• <br /> (b) The date on which the rebuilt homeste <br /> ad is rented to another person for any duration;or <br /> (c) The date on which the rebuilt homestead is transferred to new ownership." <br /> SB 1545 Section 1 (7)(b)states"For each subsequent property tax year for,which the specially <br /> p assessed value <br /> theofY . is claimed,the owner rebuilt homestead must file an attestation,under penalties forYalse swearing,that the owner will continue to occu there 'homestead as the owner's principal dwelling for the entirety of the property tax year." pY built <br /> I(owner) <br /> (please te by my signI will continue <br /> to occupy the rebuilt homestead as my principal dwelling for the entirety of the p opertyrnt)taxryear.aAs owner of theure above-described <br /> property,I acknowledge I understand the circumstances that may disqualify the property from special assessment and that)must <br /> file an attestation annually to continue the special assessment in the future.I declare under the penalties for false swearing[ORS <br /> 305.990(4)]that I have examined this document,and to the best of my knowledge,it is true,correct,and complete. <br /> Sign Applica t signature <br /> here - Date 0q <br />