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• c2 cVl Application for Proration of Property Taxes For ooxty use Due to Damage by Fire or Act of God ' Oregon Revised Statutes(ORS)308.425 1c-).-.5-- 2_ i 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 name Phone Sheryl Reed 971-336-0253 Mailing address Email(optional) 10799 S Ridge Top Dr C-="4.(4_(:�_�!t l�,^x S sheryl.n.reed@gmail.com City State ZIP code Molalla OR 97038 Location and description of damaged or destroyed property Assessor's account number 2 q��b-t40 1-3-Li I eD..tc 0/206 Location of property(if different from above) Section Township Range Tax lot number 9993 North Fork Ln se O2 Cr, 09 oc 9* Description of personal property Lyons, Or 97358 personal home built 1974; metal roof Date of damage Cause of damage 9/7/20 ❑Fire(attach fire department report) E l Act of God(describe): Beachie forest fire Damage occurred to 0 Land 0 Building I Personal property ❑Manufactured structure Describe damage total loss of house, contents, kiln shed, tools, etc, tools, vegetation Application for proration of tax []I am 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 duty to calculate and finalize the tax proration. Declaration 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 complete. x 10/04/2020 ' c�` . � 1t' r�e<:'� Applicant's signature'P Date —Applicant will be notified of the county's decision— For tax collector's use orFor assessor's use only Date received: /1-20-20 Clerk: / Date received: /U'a/-dab Clerk: wy 6 6 Damaged property: This year Land and improvements: Date rebuild complete: 1---- Months prorated: -� Real market value RMV)before RMV after 11'' rl fire/act of God: 11 Si) fire/act of God: I "C U 0 Assessedt of God: (Aj b_ efpre,�n Valuec ' g d Amount of adjustment/refund: '� fire/act of God: I (.� U ent of loss: 0 C5 Destroyed property: a This year Personal property: Months prorated: RMV before RMV after fire/act of God: fire/act of God: AV before Value Amount of adjustment/rafted: —2.0 437 fire/act of God: percent of loss: Remarks: Date property visited: lO a3•Q,0 ❑Damaged /Destroyed a_ ein41/1--ilizi 150310-083(Rev.12-15)