541078 - Laserfiche WebLink

Home Browse Search

i i Application for Proration of Property Taxes For county use only Due to Damage by Fire or Act of God Date received Oregon Revised Statutes(ORS)308.425 Instructions: •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 of tax due or result in a tax refund.The tax year is from July 1 to June 30. •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. •File your application with the county tax collector of the county in which your damaged property is located. Applicant's nameP4e Gri -r-P-L:PteAkvv\k Mailing a IraI Im.il(optional) C. A N L � SliC 40' ZIP..grp. NM.' Location and description of damaged or destroyed property Assessor's account number R41078 / 541078 Location of property(if different from above) Section Township Range Tax lot number 22844 North Santiam Hwy SE 18AD 09S 2E 1300 De cription of personal property Lyons, OR 97358 Med _/ s. /J4 J Dateof damage Cause of damageCI . ( ► l ie ( l �lX` �l 2.0 ElFire(attach fire department report) ID Act of God(describe): —1}1.n Damage o curred to Land tpuilding L Personal property E1 Manufactured structure � Describe damage e 5/ , ' K:cn ') � wvp) ,.......efir) l.,, C_ ` ow .DSS Application for proration of tax tl am applying to have the above property examined for proration of property taxes per ORS 308.425.Application mustOsubl ►ted within 60 days of damage or June 30,whichever is later. (j (NI Z cc Whether my property is damaged or destroyed will be determined by the County Assessor's office.If the assessor determines my prope js onliam-O CO 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 c4J to dilate Z Cl) and finalize the tax proration. () w OU Q< Declaration M 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 it is true, correct,and comp) e. X dA.....,----). 9r �j Applicant's signature ��V� V Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: Clerk: Date received: /0./3•20 Clerk: 4tl / o6 Damaged property: This year Land and improvements: `�— Real market value RM)before RMV after Date rebuild complete: Months prorated: fire/act of God: .1j ,l� fire/act of God:1 q 4 146113 Assessed value(A\/�1,bef Value Amount of adjustment/refund: fire/act of God: p"L� 10 ,��(� percent of loss: 0 '159 Destroyed property: This year Personal property: Months prorated: RMV before RMV after fire/act of God: fire/act of God: / AV before Value Amount of adjustment/ e!: —266'z' fire/act of God: percent of loss: Remarks: Date property visited: /0 •/q.2o 0 Damaged Vbestroyed OSPM (20741rinii . 150-310-083(Rev.12-15)