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e(v. Q 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 .- - ZL;Z - Instructions: •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 Phone ANDRES ALVAREZ 971-227-4970 Mailing address Email(optional) 1483 NE CORNELL Rd. City State ZIP code HILLSBORO OR 97124 Location and description of damaged or destroyed property Assessor's account number / _7 542037 ( / JctiE5 .`2. QCT. (1 Location of property(if different from above) Section Township Range Tax lot number 37359 NORTH SANTIAM HY SE GATES 542037 Description of personal property °Oda; 560oo VAt1/4?: Mg 7 —O O—o 030 0 Tools, Equipment, Machinery, Clothing, etc. Date of damage Cause of damage WILDFIRE Damage 9-9-2020 1 Fire(attach fire department report) I$I Act of God(describe): Damage occurred to I Land O Building E Personal property El Manufactured structure Describe damage - 7 Structures were completely burned to ashes. This includes a Light Cabin Pelton w/turbine hydro-generator, a Water structure Pressuresed tank structure, a barn full of fire wood, an old gas station, a guest house, an old store/Storage cabin, Tools Shop, and a lot of trees. The only thing that didn't get burned down to the ground was the main house. Application for proration of tax I: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 r 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 o ect,and complete. X a6er•flr 11-4-2020 Applic s is na Jre 7 Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: '2-I g-2,i Clerk: thr Date received: t, . ) — Clerk: (t V 0(, Damaged property: This year Land and improvements: Month�,fy Real market value( M before RMV after Date rebuild complete: ting: fire/act of God: 1a o.5") fire/act of God: —!ai(� J`0 AD,��++'{�ENt �°r�� Ull= Assessed value(AV) efore Value Vn�I�q,�a`c1 P fire/act of God: 02'�l '{ 50 percent of loss: Destroyed propenCV0 This year Personal property: RMV before RMV after Months..prorated: fire/act of God: fire/act of God: AV before Value Ainotuit of •adjustment/refund: -^ fire/act of God: percent of loss: Remarks:riw. Date property visited: 12.-/4-4.6 Damaged Destroyed 0-5 C,,AA4rNA, 150-310-083(Rev.12-15)