Laserfiche WebLink
R _C7Ivi= <br /> /+ u�+ <br /> FOR ASSESSOR'S USE ONLY <br /> For OR-C-RHSA-2 r,DatelReceiv dv' <br /> Page 1 of 1,150-303-009 Oregon Department of Revenue Approved Denied <br /> (Rev.07-26-24) n <br /> 14cli%t:l 1t'. COUNTY <br /> Date: By: ne�,_r•c,c,.) <br /> Attestation fqr Continued Qualification of Rebuilt <br /> Horrrestead Special Assessment Currently Specially Assessed? Yes No <br /> As provided by Chapter 94, Oregon Laws 2024(SB 1545) <br /> Comments <br /> Instr ctions: <br /> •Att tation forms must be filed with the county assessor. <br /> •Co tact your county assessor with questions on how or when to file the attestation. <br /> •Ad itional information about this special assessment program can be found on Form OR-C-RHSA Instructions, 150-303-007-1. <br /> Filed ith the "/ "l A h 6 n) County Assessor for the tax year beginning July 1, 20 2 6 . <br /> Part h—Description of homestead(please print or type) <br /> Fill in the boxes below to show the property you want to have specially assessed under the rebuilt homestead program. <br /> PHperty tax account number Map,tax lot,or parcel number Homestead situs(physical address) <br /> 3.R3 es'/Ve >'/ rk /R o ,sue <br /> 4/l y&� o9 e le/7 DO 2 o° .4gc))e o� q7� g <br /> Part B—Written attestation <br /> SB 15145 Section 1 (9)states"Eligible property shall be assessed and taxed as other property similarly situated is assessed and taxed <br /> begirning with the property tax year that immediately 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 /> required to be absent by reason of health or active military service; <br /> (b) The date on which the rebuilt homestead 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 assessed value is claimed,the owner <br /> of the rebuilt homestead must file an attestation, under penalties for false swearing,that the owner will continue to occupy the rebuilt <br /> homestead as the owner's principal dwelling for the entirety of the property tax year." <br /> I(owrier) M <br /> i GM e e.. A. Do lU/e 9 (please print) indicate by my signature I will continue <br /> to occupy the rebuilt homestead as my principal dwelli g for the entirety of the property tax year.As owner of the above-described <br /> property, I acknowledge I understand the circumstances that may disqualify the property from special assessment and that I must <br /> file ap attestation annually-to—continue the Special assessment in the future. I declare under the penalties-for false swearing(ORS <br /> 305.990(4)1 that I have examined this document, and to the best of my knowledge, it is true, correct, and complete. <br /> SignApplicantsignature si nature Date <br /> here g <br />