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• Application for Proration of Property Taxes — For ornty use only Due to Damage by Fire or Act of God iNre Oregon Revised Statutes(ORB)306.426 instructions; •Application for proration of property taxes may be mode for the tax yew of the prbperty of tax due or result in a tax refund-The tax year is from duly 1 to June , damage/destruction,If approved,this may reduce the amount •Your application must be filed within 00 days of the damage or by June 30 of the tax year in which the damege occurred,whiehever is later. •file your application with the county tax collector of the county in which your damaged property is located- Appliuortth nil@ RN"' M r C. F g g At-A(..s 7 e-v-i �/ kia_G Mstacr BR4sj.rrQ 7/1f'glt-,257 Mating mo j7O/2. arR�c-„rrr ,F� 1._Al t wog* pity /� l7 vrvYi tr._ ,,,y .g4-. Cel 0 4 9' 6'117 C Q �cc* LoolLoonend tesorf: ,on of dims=ed or dos, • ed , - 'y.03 2 X46 ?tea ( 't/'!' 4.)JAdz•r, ,coos. rYi + f (f ifferent tram above) 3 _j 7.4 Z.o R PAZ R�S dip t�� rmhor MN 0 Di 'dD .1 o,� d II:=== ►®n= person_ pro rty oat@ of&+Oe t GOON of damage -------- �UR.vt�M/,� s . t'/srl�i..v• .5 rf2r. g;`% Z-U2.0 gFire(attach fire department report) RfAot of God(describe): La'°iR - @amage eeeurred to ta Land N Building Pi Personal property gl Manufactured structure ®e§oribe damage ./14.4.uGrFi4cr ata he/P1F :064V/1r .04--s mom-0 (R‘..2,- cro ro ACNES) re.r#4 Coet17- Wry,PeRCo•cJ4 . Pic vDEerpi l7.Ec.k/414.) 2.5.100446. ,543#47 pu."p.44d4/s'c .4 Air, 0 areal 4 27.>AO 3 .44 S© 71,r-.44l., &SS'Rey_470. ------------- pl intion for proration of tax - - -- - - - i em applying to have the above property examined for proration of properly taxes per OMB 300,423,Application must begVni ed within 60 days of damage or Juno 30,whichever is later, __`` Whether my property is damaged or destroyed will be determined by the County Assessor's office:If the assessor determinesrr►y°°=- is on aged,I must notify the tax collector of the date that the damage is repaired.Duch notice will serve to inform the tax collector and finalise the tax proration, • ,uty to *' GG p0- Declaration — ,<?0 c_- i declare under the penalties for false swearing i®RB 303,900(4))that I have examined this document and to the best of my knowledge it is true,correct,and complete, A 1. ��.••-ten_1_► -- �sr e 7`° 2. 9 �z —Applicant will be notified of the county's decision— For tax e®Ueetor's use only For assessor';use only mate rived: i 2-2 3-2o Clerk:/ ®ate r000ivoct /I-/i- U) Clark: LU r O (o Damaged This year Land and irnprevemontai Cate rebuild sompiete:-___ Months pr®ratods .-- Hoof market value HMV Ow Wiwi of Rad: �t� rs/aat of OW; d Amount®f adjustment/refund: Assessed value(AV)before Value p fire/aof of God: 5 3 ?30 t of loss: I.C.� r., This year Pomona!pr®portyr Months prorated: !- HMoot of dad: --_ - HMV after iire/aat of Cod:--- Ar unt gf adiust refund;: 4 3 I'a/ AVfire/400,0M:be --foro Value pmarks; /� MBent of less: �/ .. ._ CP �r'�YI rind property visited: ,, 2 L(�2C) ®®amaged i�t�ostr®yed , n .12_,y) -- t ,