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534759
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Last modified
2/24/2025 8:22:09 AM
Creation date
11/18/2020 3:39:06 PM
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Template:
Assessor
Account Number
534759
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
091W12A000900
Assessor Section
Rural
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d ii <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 t -to-2 2 <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 /> Phone <br /> Brandon Cates 503-508-6080 <br /> Mailing address <br /> 15052 Fern Ridge Rd. Se Email(optional) <br /> cates.built@gmail.com <br /> city <br /> Stayton State ZIP code <br /> Or 97383 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> R34759 / 534759 <br /> Location of property(if different from above) Section i /1 Township Range Tax lot number <br /> 15052 Fern Ridge Rd SE .2-80 09 1W 00900 <br /> Stayton, OR 97383 Description of personal property <br /> items in shed, garage, home <br /> Date of damage Cause of damage <br /> 09/08/2020 ❑Fire(attach fire department report) 0 Act of God(describe): Wildfire smoke/ash/soot <br /> Damage occurred to <br /> CI Land CI Building 0 Personal property 0 Manufactured structure <br /> Describe damage <br /> Damage from smoke/soot/ash includes gutting 75%to 100% of interior including replacement of 75% of personal <br /> propery. Some trees and shrubs need replacing. Electrical system servicing the home and well pump need to be <br /> inspected and repaired as recommended by a professional. <br /> Application for proration of tax <br /> E 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 /> X f _ 11/05/2020 <br /> Applicant's signature 4-..---' 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: j-/V-2-1 Clerk: %7f Date received: I I. 3() . 2 0 Clerk: (A)(/ 0(o <br /> Damaged property: This year Land and improvements: <br /> Date rebuild complete: Months prorat : Real market value(RMV)before RMV after <br /> fire/act of God: 1/76,5501/76,550fire/act of God: �-1�/, i,55D <br /> Alen <br /> � m1p.11E .t*r Assessed value(AV)bef r Value 0 <br /> S mw` Vl41- fire/act of God: li4204 percent of loss: <br /> Destroyed propkll ^��O This year Personal property: <br /> O C� ‘7► Months prorated: �^ RMV before RMV after <br /> N fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of adjustment/refund: ------ fire/act of God: percent of loss: <br /> Remarks: ., Date property visited: J.,?- 7 - a U 0 Damaged 0 Destroyed <br /> I-3 i n specb : /v 1'/s'/,G/e Y;vf!,;• 'fit p1-die tti hilt i(ict <br /> 150-310-083(Rev.12-15) <br />
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