Laserfiche WebLink
I <br /> • <br /> eel-\C <br /> Application for Proration of Property Taxes For county use only <br /> Due to Damage by Fire or Act of God Date <br /> received I <br /> Oregon Revised Statutes(ORS)308.425 \, —Z - <br /> ��'U <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 /> Roy Mitchell 503-932-6895 <br /> Malting address <br /> Email(optional) <br /> 12185 Golf Ln SE rjbmitchegmalf.co.vl <br /> City State ZIP code i <br /> Sublimity ( <br /> ——_ _ —==_-- =— _ ,— 97385 I <br /> Location and description of damaged or destroyed property — <br /> Assessor's account number <br /> 541617 2---(t i 1 <br /> Location of property(if P ge Tax bt number different from above) Section Township JRan i <br /> � <br /> 106 E Central Ave, Gates 97346 093E26CC0 <br /> Description of personal property <br /> Tax Lot#-093E26CCO2500 2 BR/2 BA Manufactured home&Commercial Building <br /> Date of damage Cause of damage <br /> 9/8/2020 ❑Fire(attach fire department report) 0 Act of God(describe): Beachie Creek/Santiam Fire <br /> Damage occurred to <br /> 0 Land ®Building 0 Personal property ®Manufactured structure <br /> Describe damage <br /> Manufactured home and commercial building were completely destroyed in the Beachie Creek/Santiam wildfire. i <br /> I <br /> Application for proration of tax <br /> dal 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 rois 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 corn•lete. <br /> ,1 <br /> APW'"1s signature 11/23/2020 <br /> _._�__-__._—.�_._.__ Date <br /> —Applicant will be notified of the county's decision— <br /> i <br /> For tax collector's use only For assessor's use only <br /> Date received: Clerk: Date received: Clerk: <br /> Damaged property: This year Land and improvements: <br /> Date rebuild complete: Months prorated: Real market value(RMV)before RMV after <br /> fire/act of God: fire/act of God: <br /> Amount of adjustment/refund:I Assessed value(AV)before Value <br /> fire/act of God: percent of loss: <br /> Destroyed property: This year Personal property: <br /> Months prorated: RMV before RMV after <br /> fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of adjustment/refund:I fire/act of God: percent of loss: <br /> Remarks: Date property visited: 0 Damaged 0 Destroyed <br /> 160-310-083(Rev.-12-15) _..__.- <br />