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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. Applicant's name Phone Kele. —.&7- ©. .46i- - 1 ---A) 503 — 5-602- If-2,47 Mailing add Email(optional) KD, SOX /000 City State ZIP code i 1, , 0a473 - 7 oc- ion and description of damaged or destroyed property Assessor's account number 5'41 z6,3 Location of property(if different from above) Section Town hip Range Tax lot number 24302 5'7 1 ROAD Z 1S 2 E 54(Z<3 Description of personal property Gyo/Os , o2.. 973S8 Ed,�eyr i wo, oldAfr, ,o-D�5�3 Date of damage Cause of damage �• 61-7-- z02.,22 ❑Fire(attach fire department report) ,ct of God(describe): FDP.kST— Fl 02E.. Damage occurred to Oland 'Building ,•Personal property ❑Manufactured structure Describe damage true G.4 OO i-) 7D76244y 4‘l eD i 4“._ Qu I L_oNt eS W6e D s-r2Oye eD 4S, : ,q-a- 0i out�.� s,9N,,,t-z. ifs ki‘r-e- . Application for proration of tax Xam applying to have the above property examined for proration of property taxes per ORS 308.425.Application mus be submitted within 60 days of damage or June 30,whichever is later. EC� ,/� Whether my property is damaged or destroyed will be determined by the County Assessor's office.If the assessor determines my property is only''af<t>`D 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 theiro calculate and finalize the tax proration. v 2 O O MARION CO(JNn, Declaration ASeESSOR I declare un• penalties for false swe 'ng[ORS 305.990(4)]that I have examined this document and to the best of my knowledge it is true,c• . Aiiimple Applican sig ure it —/ —2020 Date —Applicant will be notified of the county's decision— For tax collector's use only For assessor's use only Date received: i2-2.4-TO Clerk: Date received: Clerk: Damaged property: This year Land and improvements: Date rebuild complete: r Months prorated: J Real market value(RMV)before RMV after 'l fire/act of God: fire/act of God: 232, % DO Assessed value(AV)before Value p Amount of adjustment/refund: `� fire/act of God: percent of loss: 118 I 5— Destroyedproperty: This year Personal property: MonthsRMV before RMV after prorated: q fire/act of God: fire/act of God: AV before Value Amount of adjustmen refund 4q7'5—y fire/act of God: percent of loss: Remarks: Date property visited: ❑Damaged ( Destroyed 4(45; 61 ' ► i 1 1 0 —Perth.. 17/I12o to 150-310-083(Rev.12-15)