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541380
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Last modified
5/29/2023 7:49:20 AM
Creation date
12/4/2020 2:05:14 PM
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Template:
Assessor
Account Number
541380
541381
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
093E100000200
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C- <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 ' j-2cYL._, <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 ., i <br /> "�, �,7b ` p <br /> 61k,bb(n CT(I' d o j.v) \i, s !e ,A-&3e+-J-"1 r 4- Phone 0 -fjbDG <br /> - � <br /> Mailing address ,�— <br /> R5461 —j t�---n S ' O f r 4 q1 C Email(optionav t <br /> City j k e L�o� l� State ZIP code <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> 54I X00 12, ilECS('` og3g/o-0oWc96 c, <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> LAI D cription ofpersonal prop rty <br /> L �j � �r <br /> �� 4> tASed h,rte T--I" Yik ert llt is . <br /> Date of damage C� Cause of damage (j <br /> (i . CO 1( . i'� Vire(attach fire department report) 0 Act of God(describe): <br /> Da a occurred to 6'- i <br /> /� <br /> and ❑Building 0 Personal property 0 Manufactured structure 1 '- t 91 1C r. 'J <br /> Describe damage <br /> -e—t af 0 LA_tr;:i> *e-- I A,VI Ci 'kik <br /> \erelD e j 1 el c,,_ .-t-ro\I-e cj louc <br /> ti� f 1 � . f re� , Cc�c.a.�..� o io: ,��a?e r�-y CSC IA cDr / <br /> Application for proration of tax <br /> 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 he 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 corre ,and complet . <br /> X <br /> (\ . 1 IC 1 Z )2-0 <br /> Applicants signal e <br /> 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: 2.I 5c-21 Clerk: af Date received: 12/j0/0 20 Clerk: Z J tk K <br /> Damaged property: This year Land and improvements: <br /> Date rebuild complete: �� Months prorated: Real market value(RMVl befor RMV after d <br /> `'1► E Or11+j fire/act of God: SUFI, 0 fire/act of God: S0q/0 3U <br /> '[� Y t Assessed value(AV) foe 1'O Value <br /> D � m n ref s: fire/act of God: �0I-r 3 percent of loss: <br /> Destroyed properti GETO 1 . This year Personal property: <br /> 110*IPAMonths prorated:, RMV before RMV after <br /> 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: 12-/I 0/2020 0 Damaged 0 Destroyed <br /> (rkr1—a Ai / ft r.c.0 idtP <br /> 150410-083(Rev.12-t5) <br />
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