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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 /> �auA27 F Quli(cr)J503 861- ctz 11 <br /> Mailing address Email(optional) <br /> 3265 ({►l( i - Lane 5E J(NI ty,(ririgaco+natet,net <br /> City State ZIP code <br /> Set tort DP. 97302- <br /> _ <br /> Location and description of damaged or destroyed property <br /> Assessor's account number <br /> 540141 / R40141 <br /> Location of property(if different from above) Section Township Range Tax lot number <br /> Bare land 32BC 08S 4E 2800 <br /> Description of personal property <br /> Lyons, OR <br /> Date of damage Cause of damage <br /> t Yj ,2020 ❑Fire(attach fire department report) L1ct of God(describe): (3'e-c41-%"‘e Cirezk '1're. <br /> Damage occurred to <br /> El Land ❑Building Cl Personal property ❑Manufactured structure <br /> Describe damage <br /> gec tcc Cir C bury+ -t5 Va eALre lot of apex l56--lear-al <br /> Dockstos -.r. <br /> Application for proration of tax — ec- <br /> 04 am applying to have the above property examined for proration of property taxes per ORS 308.425.Application IT>be gbbmif� <br /> within 60 days of damage or June 30,whichever is later. 1.1.10 CO <br /> oi <br /> Whether my property is damaged or destroyed will be determined by the County Assessor's office.If the assessor determines my p erty iionly <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 tlljiuty dip alc <br /> in <br /> and finalize the tax proration. CC CO < <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,rrfcompte. <br /> X ill . b. f 12.` 2-0 2-0 <br /> Appli - ature Date <br /> — ' •p'hcant 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 /> AV before Value <br /> Amount of adjustment/refund: fire/act of God: percent of loss: <br /> Remarks: Date property visited: ❑Damaged ❑Destroyed <br /> 150-310-083(Rev.12-15) ------ ------ <br />