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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 <br /> Phone <br /> Steven A.Amundson 702-234-9919 <br /> Mailing address Email(optional) <br /> 7410 SW Lakeside Loop ammo.vegas@yahoo.com <br /> City <br /> State ZIP code <br /> Wilsonville OR 97070 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> Unknown 2 -E(>1 O i.c, 5 ct cp?04c. /,}Sf� /� �/ (//'/)•�����q�J <br /> Location of property(if different from above) Section /ace-Township 0 t Range Off Tax lot number`� <br /> 25537 Taylor Park Rd SE Unknown Unknown Unknown Unknown <br /> Yv t� S J1� Description of personal property <br /> v furniture, personal belongings,jewelery, tools <br /> Date of damage Cause of damage <br /> 9/8/2020 0 Fire(attach fire department report) 0 Act of God(describe): Beachie Creek Fire <br /> Damage occurred to <br /> 0 Land Cl Building 0 Personal property ❑Manufactured structure <br /> Describe damage <br /> w. <br /> Total loss. Nothing salvagable Q <br /> w f=1 z0 <br /> W <br /> CO ov w <br /> Application for proration of tax 0 o_ Cl) <br /> (I am applying to have the above property examined for proration of property taxes w <br /> within 60 per ORS 308.425.Application mte st9t5Tnitt <br /> 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 305.990(4)]that I have examined this document and to the best of my knowledge <br /> it is trutee,porrect,a co ete. <br /> X /�, , <br /> ffiliAtielZ)Applicant's signature � ' Z a <br /> Date f <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: (^//-2/ Clerk:m Date received: ib. 13. Clerk: ,) <br /> Damaged property r3�O �U <br /> Thls year Land and improvements: <br /> Date rebuild complete: Month 0143 Real market value(RMV)beffore RMV after �// /1� <br /> '[ E�TO IE fire/act of God: 32 5 e050 fire/act of God: i7lt7Qw <br /> ADAC :01°Ut4 Assessed value(AV)bef re Value <br /> T"�, fire/act of God: /LI(.�014 percent of loss: <br /> DestroyedProPerlYiK0 <br /> Ctitt 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 adjustrenffrefund: fire/act of God: percent of loss: j <br /> Remarks: Datero <br /> P PertY visited: Ib'np *AO D Damaged Destroyed <br /> 0 Spin -C(iw�i rrntd <br /> 0 <br /> 150.310-083(Rev.12-15) <br /> 1 <br /> Ii <br />