Form 150-303-031 - Authorization To Represent
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1Board of Property Tax Appeals
Clear Form
Authorization to Represent
File this form with the petition. A petition filed without a properly signed authorization will be returned for correction.
The owner, an owner, or any person who holds an interest in the property that obligates the person to pay taxes imposed on
the property, may authorize another person to sign a petition and appear at the hearing to act on their behalf. The persons who
may represent a petitioner are listed on the back of this form.
If you are not the owner of the property, but are obligated to pay the taxes imposed on the property, you must also provide
written proof (a lease, contract, etc.) of your obligation to pay the taxes. Such proof entitles you to appeal the value of the
property and authorize the person designated below to sign your petition and represent you at the hearing.
Owner
Check the box that applies:
Person or business, other than owner, obligated to pay taxes (attach proof of obligation)
Name—individual, corporation, LLC, or other business
Telephone number
(
)
(
)
Daytime
Evening
Mailing address (street or PO Box)
City
State
ZIP code
E-mail address (optional)
}
Name of person acting for corporation, LLC, or other business
Title (i.e., president, vice president, tax manager, etc.)
FOR
BUSINESS
USE ONLY
I hereby authorize and provide power of attorney to the following person to represent me in any matter relating to property
value or late filing penalties before the county board of property tax appeals.
Name of representative (please print or type)
Telephone number
(
)
(
)
Daytime
Evening
Mailing address (street or PO box)
City
State
ZIP code
E-mail address (optional)
Qualifying relationship to petitioner—check the box that applies:
Relative
Oregon certified appraiser
Oregon licensed public accountant (PA)
Lessee
Oregon licensed appraiser
CPA authorized to practice in Oregon under
Oregon licensed
Oregon registered appraiser
Substantial Equivalency Rule
real estate broker
Oregon licensed certified public accountant (CPA)
License or permit number (if applicable):
I authorize the above named person to represent me before the board of property tax appeals:
For all appeals filed in ___________________________ County, Oregon.
Only in the appeal of the property listed here (if necessary, attach a page with additional account numbers):
Assessor’s account number
Map and tax lot number
For all property I own or which I am legally entitled to appeal in the state of Oregon.
Signature of Petitioner
I certify under penalty of false swearing that I am the owner, an owner, or a person who holds an interest in the property that
obligates me to pay the taxes for the property which is the subject of this appeal, and as such, am authorized to grant to the
above named person this authorization to represent.
Signature and name of petitioner
Date
X
Sign name
Print or type name
(over)
You can also access this form electronically at
150-303-031 (Rev. 10-12)
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