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/n" _ - Clear Form <br /> Application for Proration of Property Taxes , r �S For county use only <br /> Due to Damage by Fre or Act of God 1�1J`'_ ?� <br /> Oregon Revised Statutes(ORS)308.425 <br /> q—( 7 <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 t 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 /> AP ticam's name = in <br /> --..1" G t �' � _ ? per— <br /> Mat`n.address �."l ... —_—_ l/�T <br /> '' r Email(optional) <br /> c. <br /> jN�y} t. �t t'�` Lu'a 14 {,) C-4 U 0' rnGLI( .(t)) <br /> t /( t S t ZI cOde <br /> yi <br /> Location -5 CciG <br /> and description of damaged or destroyed property <br /> s or's account Imber <br /> ‘S_LCi 941 <br /> Location of property(if different from above) �'----'-""'- <br /> Section Township Range Tax lot number <br /> Description of personal property <br /> D e of demo e <br /> 9 ,, Cause of damage <br /> - ( ) ❑Fire(attach tire department report) VAct of God(describe):_-_-__ <br /> Danjage occurred to --------- --_. <br /> Land Building (Personal property ❑Manufactured structure <br /> Describe mage <br /> Z <br /> I(it) k)t,t.4.,_.' ii.,(..cji 4 C: 1.,k2.1‘t,1,i'V,c.,..4_ <br /> : _ <br /> • j•lication for •roration of tax = <br /> '4 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 /> a Whether my property is damaged or destroyed will be determined by the County Assessor 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 /> 1 declare under the penalties for false swearing[ORS 305.990(4)]that I have examined this document and to best of my knowledge <br /> it =, « r and complete. <br /> 9 1-7--ac) <br /> , , <br /> if <br /> nil l Applicant will be notified of the county'•( I .,_ <br /> R m 4 s �flti� X <br /> r"" *w7?. Ckrk „batec ad 2 <br /> • <br /> utod and ..r S 1,7 $ �d1 ± <br /> �. <br /> ,:-:;;;$':-.1:„:„_-_,..„,,,,t• r ,P,'....,Ae..pwt� t1 ., ��tt��t�"#t"•! '� a �_"_ <br /> Q}t <br /> tifr �rMMttr44' . of Atiseseed p cit tom <br /> te,., <br /> '' fig ` t --r �Y f r T r`�! B- <br /> 5 C 1Gt of God t t'�f �c :, #, <br /> u <br /> 4. <br /> c' i @f et�tt�trrtl� 1�V ti *Gott <br /> V y�4 ki ri� <br /> r r z...,-.7,- et <br /> " 1:: ro ,� ,v.,gyp' <br /> yt ax air <br />`4 £ 2v , i- S,z _ {s Y L 7 i a 1 'f 4�ce. <br /> ,(� , gp'r a. xs,.x *mS t 'r „ �r a'W�' f w�':-„ft �y'r�''` �" �',I5 ifir C' r p,a� <br /> ;,--: ^ 'S s .� - til.. toA ka� ..,,,,.:-..,41,..'...,-.14;... 3 � � , r 1 rAi 2 t zix;:e� ""i`,' 'Y�i' <br /> T r; =ap s7 "� ° a'Ss �,.�% 4,,-,43.,!z,a, <br /> ,-5-„,,.„,o.:60,,,,„,, <br /> tT pro: ;,"a +i2 '''''.;4:''''''''4''' <br /> '� we R <br /> ,e. _. .-. . a v.."i..-..�,_ .. . t�.s,a ti.<r.�..;..� i... ta" i:.r,,'.aa 2s»,. s 4 .`�s ffi ,a�wa �,�'.,.a. t aY <br />