547061 - Laserfiche WebLink

Home Browse Search

Clear Form Application for Proration of Property Taxes For co use only received Due to Damage by Fire or Act of God Date Oregon Revised Statutes(ORS)308.425 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 Phone S N$ Ki"f�.k4 j 503, 32..z .7'7 , Mailing address Email(optional). 2 3 3 ISE 5-'u vl 5'-3 r4�t a_ r i-:.I.?,y C'. covit.us-f: City reryii avtet, State ZIP code 1 OK. q JZIZ Location and description of damaged or destroyed property Assessor's account number R'+1 b IQ 1 ' `11 c_(‘, f Location of property(if different from above) Section Township Range Tax lot number //D6D Dogwnoel Lel , 5 L'bns c7 973SB 0qEI8Arabc J / Description ofs al property So 0 L.o s t-ti 4v 1,,(-NA r-e I a Y p.Lt.A;"e e s/ loe sl s , e-Fr, Date of damage Cause of damage 1 /' 7,)p ('Fire(attach fire department report) ❑Act of God(describe): Damage occurred to , �� ( and QBuilding L`7 Personal property EJ Manufactured structure Describe damage �� -f res e7�-ax-futrt5 bur-ii-e,d. +b1 r u,v.eL ; n tk-ert.cer.t wt .T----- a I 0-141 -Mk. t—te til e N o-et k tsf -( Sa v,,-h'a , 13 N > - 0� Application for proration of tax LL! o z ow L21 am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must t3ubrred Q within 60 days of damage or June 30,whichever is later. cc o Q 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 for false swearing[ORS 305.990(4)]that I have examined this document and to the best of my knowledge it is true,correct,and complete. X .-P1(24:t'c'L..-YCT/ / c) Applicant's si nature Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: 1147-20 Clerk:gr Date received: 1() ,, 13•2_0 Clerk la0 V OG Damaged property: This year Land and improvements:.-- eal market val /- G after Date rebuild complete: Months prorated: -- fre/act of God:Ue�) ffire✓act of God (o� 750 Assessed value(AV)before _ Value Amount of adjustment/refund: fire/act of God: 140 3 I percent of loss: 0 Destroyed property: This year Personal property: RMV before RMV after Months prorated: fire/act of God: fine/act of God: AV before Value Amount of adjustment/refund: _p, fire/act of God: percent of loss: Remarks: Date property visited: /0 '/q• 0 Damaged 0Destroyed astd aPetiteil /¢V<PnV 156.316083(Rev.12-15)