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540153
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Last modified
2/24/2025 8:21:36 AM
Creation date
10/15/2020 3:38:21 PM
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Template:
Assessor
Account Number
540153
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
084E32BC01500
Assessor Section
Rural
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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 16' '.i() IN V <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 /> Appl is name <br /> c Phone <br /> pr in nog. c). 46r. �3�13! 95,14, <br /> fndressg ad \ au,_ <br /> 5 LAY- m.) F- S lt'Cv1,141 Cer0 e24'1('-i° <br /> City St ziprev55.6 <br /> L. <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> -g- 'f015 3 540153 <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> 3a 09 4-E 01500 <br /> Description of personal property <br /> Date of damage Cause of damage <br /> 7-6- ZU El Fire(attach fire department report) Zrket of God (describe): W i I(j Jam., <br /> Damage occurr d <br /> ❑Land uilding CO(Personal property , Manufactured structure . <br /> Describe <br /> /�damage <br /> ` W0,.. 12 , <br /> Application for proration of tax <br /> Ii4l)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 /> 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 i e • ect plete. <br /> 1r <br /> App can igna ate DX) <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: (I-2U-Z0 Clerk:Pr Date received: 1,3'2A , 2_1) Clerk: (J <br /> Damaged property: This year Land and improvements: O <br /> -�' Real market value(RMV bef re RMV after Q <br /> Date rebuild complete: Months prorated: fire/act of God: 'b 0 fire /act of God: 5-1 13e) <br /> Assessed value(A beforr Value <br /> Amount of adjustment/refund: '—" fire/act of God: I S9 /I() percent of loss: 0,(osii3 <br /> Destroyed property: This year Personal property: <br /> Months prorated: 9 RMV before RMV after <br /> fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of adjustment/0 q 20/ fire/act of God: percent of loss: <br /> Remarks: Date property visited:Jo .2 b,Z j) ❑Damaged Destroyed <br /> pr., <br /> 150-310-083(Rev.12-15) <br />
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