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• 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 , 2 3'"262 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 Stephen D. Cecrle, PR of the Estate of Thomas Arthur Cecrle 323-354-0663 Mailing address Email(optional) 136 Edgemont Street,Apartment 6 stephencecrle@yahoo.corn City Los Angeles State ZIP code CA 90004 Location and description of damaged or destroyed property — -- Assessor's account number 598893 2--CI BF'?-5 Location of property(if different from above) Section Township Range Tax lot number 243 Dogwood Drive, Gates, OR 97346 Description of personal property Date of damage Cause of damage I(Fire(attach fire department report) O Act of God(describe): Damage occurred to 1 Land O Building C Personal property El Manufactured structure Describe damage Total loss Application for proration of tax O 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 underthe penaltjes.for alse swearing[ORS 305.990(4)]that I have examined this document and to the best of my knowledge it is true, _'rre'ct,an c plot . I _, /}Oplicants signature f ._._. .— --- -- -- Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: 3-5•2I Clerk: tif Date received:3•5-2.1 Clerk: w v O b Damaged property: This year Land and improvements: v Date rebuild complete: ..... • Real prorated: �^ Real market val (RM before RMV after �p'\ fire/act of God:4 S 99t_ fire/act of God: I OD(o 1 O Assessed value(AV)before Value Amount of adjustment/refund:_ 1 fire/act of God: ',2(0 0 b 6 percent of loss: 0•(.091 2.. Destro tl�` 4 .r, — This year Personal property: a° • ^:t Months prorated: 1 RMV before RMV after fire/act of God: fire/act of God: T AV before Value Amount of adjustment/01M: —2370, 06 fire/act of God: percent of loss: Remarks: Date property visited: 0 r `� P P Y 5-11 Damaged stroyed v_. Y 150-310-083(Rev.12-15) — - -- __ --__