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4- 13°Oztt RECEIVED Application for Reassessment of Destroyed or Damaged Property ' JUL 1 9 2023 As provided by Oregon Revised Statutes(ORS)308.146(6) Instructions: MARION COUNTY •Application for reassessment can only be made for property that was destroyed or damaged on or after January 1 A6&5&SORefore July 1 of the assessment year. •This application changes the assessment date for your property to July 1 for this year only. If you plan to make major improvements to your property before July 1,you may want to keep your assessment date on January 1. •File this application with the assessor of the county in which your destroyed or damaged property is located. •If filed within 60 days of the damage or by August 1,whichever is later, there is no late filing fee. Later filing is allowed if filed by December 31 of the current assessment year and accompanied by a late filing fee. Filed with the County /�/� County assessor for the assessment year starting January 1, . M PIy+��_ame Wt tK We 1�1 as/�r Phoyr f C61 Ir ( 4 fJ I Mahn d Email(optional) Q&� t k=-ya l'la) . ra t�l f s -raffia / Len cnv Ste, -)why Les &A,levtn ate- s&. code_ ,vs .sw-Sa Description and location of property Assessor's account number(as shown on your county property tax statement) Township Range Section Tax lot number 130024 08 3W t*-a.3ig. 02200 Address of property(if different from above) Description of taxable personal property 2120 Robins Ln SE #44 1. The property described above was destroyed or damaged on ' hie) by Fire* ❑Other Tor property destroyed or damaged by fire, include a copy of the fire department's report. 2. The destruction or damage occurred to: ❑Land ❑Building eanulactured structurePersonal property 3. Describe t slructiorWr{lamyge: .0 / , rC,C ^ o /ly 9„„ tc f--I ya,-'Y1—lossV7c .. / IN(M 1 1/�.L_I L -JI�if TC� If you file later than 60 days atter the damage or destruction date or after August 1,whichever is later,and by December 31,you'll need to pay a late filing fee.The fee is the greater of$200 or 1/10 of 1 percent of the real market value of the property as of the last assessment date. Late filing fee is attached: O Yes ❑No Declaration 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 it's true,correct, and complete. x 'v 14" ------t 7�/7/24a 3 Applicants signature Date For assessor's use only Date received: Clerk: January 1 real market value: July 1 real market value: Land: Land: Improvement: Improvement: r -a- Manufactured structure: , ` ±'I I4 0 Manufactured structure: Personal property: Personal property: -9�1— Total: 1 ` q I v O Total: 4— Remarks: +2+-r.Q 3y l 3 V'4 f -*hat;f c/ 1 1 150-310.064(Rev.12-15) / 23