540981 - Laserfiche WebLink

Home Browse Search

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. Appliis name Phone c4( Aw� l)ru,cG l�oaksi5 -51)3- 6 i -07-24/ Mailing addressIAO Email(optional) �-3� S LJ 4LI /- b tJ / J a►t\ cu.._ F-Lcb Mor-rzts 0 Co�trA-s"4,c City Stcte ZIP code Pa ,�*t�., .3 Gig 17 231 Location and description of damaged or destroyed property Assessor's account number R40981 / 540981 Location of property(if different from above) Section Township Range Tax lot number 728 Pioneer Rd SE 16 09S 2E 500 Description of personal property Lyons, OR 97358 C416/ �� r VI j J/v 5-11) . t. 21%i It.11 S,r./l-ly i.- to 0 L5 D to of Flamage Cause damage r t. °1 �c) Fire(attach fire department report) _2t of God(describe): {_r Yt – D mag occurred to ..0'('and j13uilding ersonal property 0 Manufactured structure Describe damage i C-Aa,N A-,o0 3 ��- w st2✓�`-044-5 L-0 ,vtt Gv 0,0(.(-.}([11 �4-S'EMCo v40N041-1,,,i . -N r s, r-'h,a y`� lrhrJ./t1 rJ Fl K ty . ��(..� T. VH 641.. U .� 1:2140 ei z► '—] ✓1 N i/9 I,, 13.x.. 1 , ci-ks kit 4. L4F-i- . 1 Application for proration of tax aam applying to have the above property examined for proration of property taxes per ORS 308.425.Application must be submitted within 60 days of damage or June 30,whichever is later. 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- 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 ty to calcula e and finalize the tax proration. �] C 111 <NJ N 0 O Ou) Declaration 0 O I declare under the penalties for false swearing [ORS 305.990(4)]that I have examined this document and to the best Cy kr o8vledi Q it is t ue, correct,and complete. CC O i X tievlicrA qt.— keit„ 0, a_l ( 20 App cant's signature Datb I —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: I i-zr_Z0 Clerk: /0- Date received: /0•/3.010 Clerk: W v 06 Damaged property: This year Land and improvements: eal marketDate rebuild complete: Months prorated: fie/act of God value(RM b for RMV after fire/act of God:0W Assessed value(AV)before Value Amount of adjustment/refund: fire/act of God: / (o,36 percent of loss: Q Destroyed property: This year Personal property: MonthsRMV before RMV after prorated: fire/act of God: fire/act of God: AV before Value Amount of adjustment/refund: ^ 0 fire/act of God: percent of loss: Remarks: I Date property visited:/0• t 0 Damaged Destroyed a'Atoo. eAV< Rn150-310-083(Rev.12-15) jcijijc/