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I <br /> 031 <br /> 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 <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 <br /> Phone <br /> Russell and Traci Boland 5038512604 <br /> Mailing address <br /> PO Box 163 Email(optional) <br /> Traci.boland@yahoo.com <br /> City <br /> Detroit State ZIP code <br /> OR 97342 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> 542200 12---,(-1;), c. <br /> Location of property(if different from above) Section Townshi <br /> 110 LAKE ST E P Range Tax lot number <br /> DETROIT, OR 97342 Description of personal property <br /> ENTIRE HOUSEHOLD <br /> Date of damage Cause of damage <br /> 9/8/2020 0 Fire(attach fire department report) ❑Act of God(describe): <br /> Damage occurred to <br /> I:Land 0 Building 0 Personal property El Manufactured structure <br /> Describe damage <br /> Wildfire destroyed entire property W N Z fr <br /> > N 08 <br /> *-+ UUP) <br /> UJ VI w <br /> 0 Z2 <br /> Application for proration of tax W cc w Q <br /> ❑x I am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must be submitta <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 �o� 9/16/2020 <br /> AppliCign re V% W "' <br /> 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: l''1,$-2I Clerk:af Date received: [O/Zg1202O Clerk: Z-T <br /> Damaged property: This year Land and improvement . <br /> Date rebuild complete: r--- Months prorated: Real market value(Ty b f RMV after '4 C� �J ? <br /> T v LVE ONLY fire/act of God: 1 � fire/act of God: / /i G J 0 <br /> Pali�` NT 1 O Assessed value(AV)bef- ��11 Value <br /> ND CHANGE I •V fire/act of God: 3t/ percent of loss:HO <br /> Destroyed property: This year Personal property: <br /> Months prorated: RMV before RMV after <br /> 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: 10/L.0Z.2.0 ❑Damaged estroyed <br /> I <br /> 150-310-083(Rev.12-15) <br /> f <br />