541478 - Laserfiche WebLink

Home Browse Search

(VAC,��Q 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 . \— (Z—ZO2?) 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 SkczS c1TE duPtZEAtic Ph LAT Mailing-� ._ O- 6t L_./ (1 k 4.3 VV w0t7 E . Email address (optional) C7 U �l R- S-� I,tl Ur , G6 .t, City (-�j ovi.„5 State ZIP code 5g Location and description of damaged or destroyed property Assessor's account number '.=�(+ 1 (f-I B 1Z 1 i +7 g Location of property(if different from above) Section Township Ran e Tax lot number LgAb 6q c— 0)-100 Description of personal7property es CVEf-1 Ir"i jf36- Date of da a Cause of damage a Pin Tz_ *ire(attach fire department report) ❑Act of God(describe): Damage occurred to ,Land %Building j$Personal property 0 Manufactured structure Describe damage 1 t b (pxII n y)F �/ jo 6_t' 7v-04_6_0--See.4�.i - 6.5410)42,4 jai° 1rl�w�µ_ �I��C�G^i (AV Sr Application for proration of tax XI 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 / t1EV20ID Ap res nature Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: 2-17-Z1 Clerk /' Date received: '/-3Q-20 Clerk: - O tr No Damaged property: J This year Land and improvements: Date rebuild complete: Monthhh��,,, \^ Real market value RM before RMV after 1010t`�r fire/act of God: 6/b (o 1() fire/act of God: I I Q 00() :1100 YrAssessed value(AV')I bef4r� Value �`e m ----+ fire/act of God: /Cla ��11� Q percent of loss: dk Destroys sel0 This year Personal property: PP JJJJJJ�w��+++^��_ `?G Months prorated: RMV before RMV after Nfl VXANIA fire/act of God: fire/act of God: AV before Value Amount of adjustment/refund: fire/act of God: percent of loss: ^/ Remarks: Date property visited: /ol .e?a vl 0 Damaged estroyed ditta, et:j j PUM,Itdi 150-310-083(Rev.12-15) �L3pnf t'\c d OC' 1, ,',0'S rc'G S K C „(mei--C-7(