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ci; <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— <br /> r r fon'**col itvie on <br /> Cleric <br /> s MIS year a raarc,a�u;a <br /> d <br /> R4after rrofvalre{RMj n `iii° � Mtn • tGer taaicl <br /> Gait <br /> Me .4 ped va ue(AVS before Value Aw <br /> 1> +t of tqp�; <br /> .i "'t x;-.$'� r. �fg x i. V "''! iheiv�5,.aylAw _ <br /> AV71 nr�9Rr7lr y ,,,,-.A.14.1;, . `kms <br /> ,f?..,:,.';'-',::,,, ^t� <br /> -f <br /> s*az <br /> 3 <br /> r' <br /> e <br /> i. <br /> , ' . i.``s y ` i"+ K �: - � Rf � 8� r � f A e ph s';� : i � . eaK ',-„,!;'t,!, ;-`4",;,x Y -:.:,i,,-,..i7,;" 1„;.#6,0);4„:"„,„4.7 .''',, x s " N ° ' r i'r .T, : y �« v F s. <br /> .,.yFaf sof "'; Z. 7 . '° <br /> tr a 'I ;3. ,44 r ,, ' , x . ,deK c '; {, , c x w ''.'-'.'''':-.j..,,,,is 4,' d y �; <br /> x x { i{`t - '.:y..1-„,,,,,.0ik � ';,,!,,,,;,,,I.'"? ,r <br /> �,,$„ ^ .* � `` ..J-,1:5;,e,-,A. 3# .+x <br /> ? ", �1 1::1,,,'!"7=',7°.'4,..1.','.2,',`:1`-'1'. <br /> - 3 i 4 ul"v • F ' Y i '"i fi&' a #X""b i kr�° <br /> ..el 5C,.°,-' v ,K,^' i; # Y- z4if f s� '4' 'F N `t: ,i,---,,,,,r} ',° h ,u i. -i <br /> a 'ar,� y. <br />���*+ s....,_. .�...,.._�'..,_a ... � .,' ..�.. r..._f.'c-, `.^...,. �," �2.. "t. ,5;,��.i4z«9a .€:�.* ��t.r.�....,s.. 7 ,e%:%�.e.. h..a*°.t� .,a.r.,..e yk:"v���j.. `_m ._, .. t�`;"s:P<�_,:. <br />