Laserfiche WebLink
Application for Proration of Property Taxes For county use only <br /> Due to Damage by Fire or Act of God °eteeiver <br /> " <br /> Oregon Revised Statutes(ORS)308.425 <br /> Instructions: <br /> •Applcatioon 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 yew is from July 1 to June 30. <br /> •Your application must be fled within 60 days of the damage or by June 30 of the tax year in which the damage occurred,whichever is later. <br /> Your application with the county tax collector of the county in which your damaged property is located. <br /> App cant's name <br /> .��`��a�N-1. t4 \c. PhoneMaing addressS L-�--C mop �"1 8 <br /> Erna <br /> Crly <br /> Wirt 1\-• .% C.` \V - \ v%:.,e\CYM NSo L,C.. ,ts` \. <br /> State I ZIP��'HCS code C.OR\ <br /> of damagedy ��O� <br /> Location and description <br /> Assessor's account number or destroyed property <br /> R C>Si `— , <br /> Location of property Of different from above) Section <br /> Township Range Tax ipt number <br /> -?10 fly \ .0:11 c cRi‘Ck`Sa,S` -- Stan of persona q ..,•1 ___, 5C)Cl <br /> Date of*mage Cause of damage <br /> \�j attach fire department report) 0 Act of God(describe): <br /> occurredDamage <br /> mid 0 Building 0 Personal property 0 Manufactured structure <br /> Describe damage <br /> amass a`3i---c�c� �0 01° <br /> 1. <br /> Application for proration of tax , <br /> r71 aur appiyiftg to have the above property examined for vkG ock <br /> proration of property taxes per ORS 308.425.Application_r lifted <br /> within <br /> days of damage or June 30,whichever is later. MM``�� . <br /> Whether my property is damaged or destroyed oil be determined by the County Assessor's office.If the assessor determines <br /> of property is <br /> aged,I must notify the tax collector of the date that the damage is repaired.Such notice will serve to inform the tax colecortheir duty to calculate <br /> and finalize the tax proration. of <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 1 <br /> Applicant's • <br /> ::)\\s\-.. ..C.) <br /> —Applicant will be notified of the county's decision— <br /> .tax collector's use only For assessor's use only <br /> Date recce: Z 2 3-2/ cleric fir Date received: <br /> Clerk: <br /> Damaged properly: <br /> This year Land and improvements: <br /> Gate rebind complete t Real market value(M before RM,/after 06 �/ <br /> UC Ow' fire/act of God: /06//70 fire/act of God: 1 <br /> G +, G°►v!bet S ercent of loss:Deatroyed,�r ,t G• '10 IA7( This year fire/act of God: <br /> tonal property: —— — <br /> pNU�OJ�*`Iol G Months prorated: firefaRMV before ct of God: RMV after <br /> fire/act of God: <br /> I AV before Value r <br /> Amount of adjustment/refund: ~ fire/act of God: percent of loss: <br /> Remarks: Date property visited: 0 Dwnaged 0 Destroyed <br /> ii 1L/ <br /> ,so410-010fie,,,,a,sl <br /> 1 <br />