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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 + { <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 /> Harr fel- Le_vQ-e Su3 _ e €, 3 ._ 3 ki`f4 <br /> Mailing address Email(optional) <br /> 15 / 53 st,i) shr(0 1.t1c�� <br /> City State 'ZIP code <br /> ' <br /> YYtrV'YIrvir1l/i ( O q-1 17 e D (7 /2 9 <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> R / ' -73 / r�=�'t` — <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> J1 / 73 bo y'c,�/c�ord C;y-c- SE I <br /> Description of personal property <br /> { ct c._-ey-e, a•.z., / A 0(A S',8 / S k.ed <br /> Date of dam ' Cause of damage <br /> e 1 <br /> C� - - ,a o o ❑Fire(attach fire department report) XAct of God(describe): t c1 Y e's lL <br /> fire _ <br /> Damage occurred to <br /> ,Land &Building i:Personal property ❑Manufactured structure <br /> Describe damage <br /> IN o 04,2- afn 4 sl,-,x etv¢,eve leL-t k c !.4-t'0 cJ-e ei <br /> U e 5�'10`'`li j t�tS 4TH1( rlc�C W Z <br /> J cr <br /> > N O wO <br /> Application for proration of tax W ci° 0 <br /> •.--4z w� <br /> am applying to have the above property examined for proration of property taxes per ORS 308.425.Application must Esubefeted O w <br /> within 60 days of damage or June 30,whichever is later. Lu <br /> Whether my property is damaged or destroyed will be determined by the County Assessor's office.If the assessor determines my propes 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. •7 <br /> X / � ,'�' 1. 1S - a o za <br /> Applicant's signature Date <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: Clerk: Date received: Clerk: <br /> Damaged property: This year Land and improvements: <br /> Real market value(RMV)before RMV after <br /> Date rebuild complete: Months prorated: fire/act of God: fire/act of God: <br /> Assessed value(AV)before Value <br /> Amount of adjustment'refund: fire/act of God: percent of loss: <br /> Destroyed property: This year Personal property: <br /> RMV before RMV after <br /> Months prorated: fire/act of God: fire/act of God: <br /> I <br /> i AV before Value <br /> IAmount of adjustmentirefund: fire/act of God: percent of loss: <br /> Remarks: 1 Date property visited: 0 Damaged 0 Destroyed <br />