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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 Phone <br /> Ronald V.&Mei-Lan Evans 503 897 3888 <br /> Mailing address Email(optional) <br /> 50531 Linnwood Dr. ron.evans8@gmail.com <br /> City State ZIP code <br /> Gates Or 97346 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> 133651 lThiN 1 33 (P� <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> 119 Sorbin Ave.#2 Gates X00240482 <br /> Description of personal property <br /> Date of damage Cause of damage <br /> 09/07/2020 0 Fire(attach fire department report) 0 Act of God(describe): <br /> Damage occurred to <br /> 0 Land 0 Building 0 Personal property O Manufactured structure _ <</C) <br /> Describe damage <br /> Building was totally destroyed in the Beachie Creek Fire. GG� r & <br /> 6 <br /> %C�414 c°c"o <br /> Application for proration of tax e' S <br /> 0 I am applying to have the above property examined for proration of property taxes per ORS 308.425.Application muse submitted <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 f have examined this document and to the best of my knowledge <br /> it is true,corr d co ple <br /> x I - � 9Ui t - �--`� //-z 2 -70 zO <br /> Applicant's signature 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: 20 Clerk: /t" Date received: Clerk: <br /> Damaged property: This year Land and improvements: <br /> �_ Real market value(RMV)bpfore.. RMV after <br /> Date rebuild complete: Months prorated: fire/act of God: 4-1/ 67 fire/act of God: <br /> Assessed value(AV)be Value <br /> Amount of adjustment/refund: fire/act of God: 3 5/f percent of loss: /C.X) <br /> Destroyed property: This year Personal property: <br /> RMV before RMV after <br /> Months prorated: fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of adjustmentefund) 343.gy fire/act of God: percent of loss: <br /> Remarks: ' Date property visited: 0 Damaged Destroyed <br /> 7,o. . 42..ek O,s,F nt <br /> / <br /> 150-310-083(Rev.12-15) <br />