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558621
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Last modified
3/4/2022 8:05:06 AM
Creation date
9/28/2020 1:51:09 PM
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Assessor
Account Number
558621
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
084E32BC02600
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• <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 <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 Phone <br /> /?orrnan Ly/e 4ilal J�Gran �. 64 ker 693 .�5---4 ? ('h) <br /> Mailing addres33 q3 ,a�6/a/a � �/0 Email(optional) A bem <br /> Juesisagq�� L <br /> City <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> . c?602 / f /4 <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> Description of personal property <br /> Date of damage Cause of damage <br /> 9,� '- 2()a ❑Fire(attach fire department report) ctrAct of God(describe): <br /> Damage occurred to :- <br /> Land Building Personal property 0 Manufactured structure <br /> Describe damage <br /> k..65 o - hom�, 0pu�l0/!Ouse �.Aed. ems, e-a:4' &ye co p_o <br /> o f - ree- 5 cJ — � cin <br /> Z cw <br /> - ////Sock OPm/nI,)/ 01.11 o 000 a <br /> Application for proration of tax C < <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 the penalties for false swearing[ORS 305.99 4)]that I have examined this document and to the best of my knowledge <br /> it is t ,correct,an complete. <br /> Z;le <br /> plicant's signature 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: Clerk: Date received: Clerk: <br /> Damaged property: This year Land and improvements: <br /> Real market value(RMV)before RMV after <br /> Date rebuild complete: Months prorated: fire/act of God: fire/act of God: <br /> Assessed value(AV)before Value <br /> Amount of adjustment/refund: 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: fire/act of God: percent of loss: <br /> Remarks: Date property visited: 0 Damaged 0 Destroyed <br /> 150-310-083(Rev.12-15) <br />
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