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RECEIVED <br /> C!_.!, 3 1 2025 FOR.ASSESSOR'S USE ONLY <br /> Form OR-C-RHSA-2 Date Received <br /> I Page 1 of 1, 150-303-009 Oregon Department �+'iuM COUNTY ri Approved Denied <br /> (Rev.07-26-24) ASSESSOR <br /> Date• By; <br /> Attestation for Continued Qualification of Rebuilt <br /> Homestead Special Assessment Currently Specially Assessed? Yes, No <br /> As provided by Chapter 94,Oregon Laws.2024(SB 1545) <br /> Comments' <br /> Instructions: <br /> l ; •Attestation forms must be filed with the county assessor. <br /> •Contact your county assessor with questions on how or when'to'file:the attestation. <br /> •Additional information about this special assessmentprogram can be found on-Form OR-C-RHSA Instructions, 150-303-007-1. <br /> Filed with the Marion County Assessor forthe tax year beginning July 1,20 25 <br /> E I Part A—Description of homestead(please print or type) <br /> Fill in the boxes below to show the property you want to have specially assessed under the rebuilt homestead program. <br /> Property tax account number Map,-tax lot,or parcel number Homestead situs(physical.address) <br /> 26267 Taylor Park Rd SE <br /> 540922 09E11CD01200 <br /> Part B—Written-attestation <br /> ;SB 1545 Section 1 (9)states"Eligible property shall be assessed and taxed as other property similarly situated is assessed and taxed <br /> beginning with the property tax year that immediately succeeds the earliest of: <br /> (a) The date on which the rebuilt homestead is no longer occupied by the owner as a hdrnestead,except when the owner is <br /> required to be absent'by reason of health or active military-service; <br /> (b) The date on which the rebuilt homestead is rented to another person for any duration;or <br /> (c) The date on which the rebuilt homesteadis transferred to new ownership." <br /> SB 1545 Section 1 (7)(b)states"For each subsequent property taxye"ar'for which the specially assessed value is claimed,the owner <br /> of the rebuilt homestead must file an,attestation,'under penalties for"false swearing,that the owner will continue to occupy the rebuilt <br /> ;homestead as the,owner's principal dwelling'for the entirety of the property tax year." <br /> (owner) Greg Kramer and Mia Mohr <br /> (please print)indicate by my signature I will continue <br /> to occupy the rebuilt homestead as my principal'dwelling for the entirety of the property tax year.As owner of the above-described <br /> property, I.acknowledge I understand the circumstances that may disqualify the property from special assessment and that I must <br /> ?file anattestation annually to,continue the-special assessment'in the'future. I declare under the'penalties'for false swearing[ORS <br /> .305.990(4)Jthat I have examined this document, and to the best of my knowledge, it is true;correct,and complete. <br /> sin Applicant signature <br /> here I Date <br /> fjj 23/ /2 <br /> I ` <br />