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559770
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Last modified
3/3/2022 9:59:51 AM
Creation date
11/18/2020 4:15:18 PM
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Template:
Assessor
Account Number
559770
Assessor Doc Type
AOG
Tax Year
2020-21
MTL
093E25DC03800
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I s <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 Phone <br /> Jon Beilstein 503 585 6966 <br /> Mailing address Email(optional) <br /> 8763 Shaw Square Rd josamast@msn.com <br /> City State ZIP code <br /> Aumsville OR 97325 <br /> — <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> R59770 `-S9 -7-7� <br /> Location of property(if different from above) Section Townshi Range Tax lot number <br /> �,1 <br /> 33732 Railroad Ave. OMDC 6' ;3E. 03 dW <br /> Description of personal property <br /> Gates og- q134(0 <br /> Date of damage Cause of damage <br /> 9/7/20 O Fire(attach fire department report) ❑Act of God(describe): <br /> Damage occurred to <br /> ®Land RI Building ®Personal property ❑Manufactured structure in <br /> Describe damage Ill 0 0C <br /> Burned by Beachie Creek fire > N 0 u�) <br /> CC) 0 u) <br /> LLI c•1 zI <br /> Application for proration of tax cc <br /> c <br /> ISI I 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 is true,correct,and complete. <br /> X 9/23/20 <br /> Applicant's � re Date <br /> i4: <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: 1-11-2-1 Clerk: fir Date received: /so . J .3.20 Clerk: 0 4 NV <br /> Damaged property: Thi Land and improvements: <br /> ���C Q Real market value(R1 befor RMV after [, <br /> Date rebuild complete: Months r G ,,{{ fire/act of God: c2(,50� fire/act of God: 7139, <br /> 13 i[/ <br /> W`Ov Assessed value(AV) for Value ^l <br /> Aria/t327103 fire/act of God: 7(GP (DO percent of loss: V <br /> Destroyed property This year Personal property: <br /> N Months prorated: RMV before RMV after <br /> fire/act of God: fire/act of God: <br /> AV before Value <br /> Amount of-adjustment/refund: fire/act of God: percent of loss: <br /> Remarks: " Date property visited: /0 14,...v ❑Damaged Destroyed <br /> 06Fr ..Usha <br /> 150-310-083(Rev.12-15) <br />
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