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<br /> 'M -Clear Form
<br /> Application for Proration of Property Taxes Y✓`�' For county
<br /> Due to Damage by Fire or Act of God use only
<br /> received
<br /> Instructions: Oregon Revised Statutes(ORS)308.425
<br /> 9_ 1.I_ 2.4Z(—)
<br /> >
<br /> APPfication for proration of prope
<br /> of tax due or result in a rtY taxes may be made for the tax year of the property damage/destruction.K
<br /> tax refund.The tax year is from July 1 to June 30. approved,this may reduce the amount
<br /> e Your application must be filed within 60 days of the damage or by June 30 of the tax year in which the damage
<br /> e Pile your application with the county tax collector of the county in which your damaged occurred,whichever is later.
<br /> '•icant's name --= property is located.
<br /> Ma'. at C. Phone
<br /> dream 1
<br /> cla I .e r , 1. v Email(optional)r -- - S 'we ,itis -tt10tn. f1.Corvi
<br /> 0115
<br /> 7JP ode A
<br /> Location and description of damaged or destroyed property
<br /> —Ass:.,,• s� ot number
<br /> 1 - ---
<br /> lh Soo ,Cikia.
<br /> Location of property(if different from above)
<br /> Section Township Range Tax bt number
<br /> Description of personal property
<br /> Date of damage Cause of damage " "
<br /> 4— ❑Fire(attach fire department report) ,
<br /> 154 of God(describe):
<br /> Ramage occurred to
<br /> Land 0 Building Personal property ❑Manufactured structure
<br /> Describe damage
<br /> Application for proration of tax —. _T_`
<br /> A I 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.B the assessor determines my property is only dam-
<br /> a8 ,I must notify the tax coifector 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 /> Ind underthiePenaltleii for false swearing[ORS 305.990(4))that I have examined this document and to the best of my knowledge
<br /> f ,_ s♦ i. i "complete.
<br /> -Applicant will be notified of the county's decision—
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