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541408
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Last modified
2/24/2025 8:19:42 AM
Creation date
11/9/2020 2:22:00 PM
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Template:
Assessor
Account Number
541408
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
093E020000901
Assessor Section
Rural
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i <br /> i <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 IC 29'2) �C� <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 /> Tom Larimer fbo George Atiyeh — --_ — Phone -- <br /> Mailing address 503-990-7260 <br /> 570 Liberty St.SE Suite 240 Email(optional) <br /> City meganp@larimersears.com <br /> Salem State ZIP code <br /> _______ _ __ _OR 97301 <br /> Location and description of damaged destroyed property _ - <br /> Assessor's account number `- <br /> or <br /> 5414081-644 407 2 4(1 qD <br /> Location of property(it different from above) <br /> 9923 North Fork Lane SE <br /> Section O42- TownshipC) 4q I 2 <br /> Range Tax lot'numbern <br /> iJ(J oocia s( <br /> Lyons, OR 97358 Description of personal property <br /> Date of damageCause of damage <br /> 9/7/2020 I 0 Fire(attach fire department report) 0 Act of God(describe): Beachie Creek forest fire <br /> Damage occurred to <br /> [O Land 0 Building 0 Personal property 0 Manufactured structure <br /> Describe damage <br /> Total loss(fire) <br /> Application for proration of tax <br /> 0 I am applying to have the above property examined for proration of property taxes per ORS 308,425.Application must be 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 I have examined this document and to the best of my knowledge <br /> it is true,correct,and complete. <br /> Applicbnt's signa at <br /> ------ Date <br /> —Applicant will be notified of the county's decision— — <br /> For tax collector's use only <br /> Date received: C1 For assessor's use only <br /> 2-1.3-2(J Clerk: /jr Date received: Clerk: <br /> Damaged property: <br /> �O <br /> This year Land and improvements: <br /> Date rebuild complete: — Real market value(RMV)before RMV after <br /> R Months prorated:___ fire/act of God: I 5.7-LIOG1 - fire/act of God: <br /> Amount of adjustment/refund:I Assessed value(AV)before Value <br /> Destroyed property fire/act of God: 121-I 42.4 percent of loss: _-O <br /> This year Personal property: <br /> Months prorated:. .. RMV before RMV atter <br /> fire/act of God:--- fire/act of God: <br /> __._._...____------------ <br /> Amount of adjustmen efund 1$4/' AV before Value <br /> a! '�7 fire/act of God: percent of loss: <br /> Remar Date property visited: <br /> L0•tdJ1 ❑Damaged estroyed <br /> AAA Imo.. <br /> 150-310.083(Ree 12.15) — _._----,-__.....__-_.._....___...-..___._.. <br /> 1 <br /> I <br />
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