541407 - Laserfiche WebLink

Home Browse Search

- 0 Application for Proration of Property Taxes For county use only Due to Damage by Fire or Act of God Date received Oregon Revised Statutes(ORS)308.425 -P / �-29 -1,.V Instructions: 1 � •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 -- ----_-__-._ Tom Lorimer fbo George Atiyeh Phone — _ - Mailing address 503-990-7260 570 Liberty St. SE Suite 240 Email(optional) City meganp@larimersears.com Salem State ZIP code OR 97301 Location and description of damaged or destroyed property — — —— Assessor's account number -6444984.-541407 act 1467 Location of property(if different from above) 9923 North Fork Lane SE Section Township Range Tax lot number ooq 3C oo90 / Lyons, OR 97358 Description of personal property Date of damage I Cause of damage 9/7/2020 0 Fire(attach fire department report) E Beachie Creek forest fire Damage occurred to P ) Act of God(describe): Cl Land El Building O Personal property ❑Manufactured structure Describe damage Total loss(fire) Application for proration of tax ID I am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must be submitted within 60 days of damage or June 30,whichever is later. 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 Applint's signs Date�� ---- —.._.... _.-.......-- _ ....,_..._._..._. __ .._.. —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: Z- 9-21 Clerk: /* Date received: Damaged property: 1- 1-iw Clerk: v t�� This year Land and improvements: Date rebuild complete: Month raJ.27., Real market value(RMV)before RMV after MEM T 1 V •�""�mEtittX fire/act of God:_ ! � el fire/act of God:_ 9 d p MBUNT Assessed value(AV) tore Value fire/act of God: ey /� percent of loss: Destroyed property CHAN This year Personal property: Months prorated:._, RMV before RMV after fire/act of God: fire/act of God: Amount of adjustment/refund: AV before Value // �" fire/act of God:_ percent of loss: Remarks: [� Date property visited: J/�ty Y � 7�' T2� ❑Damagedestroyed 750-310-083(Rev.12-151