Form 150-310-083 - Application For Proration Of Property Taxes Due To Damage By Fire Or Act Of God/application For Reassessment Of Values Due To Fire Or Act Of God

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Application for Proration of Property Taxes Due to Damage by Fire or Act of God
For County Use Only
Application for Reassessment of Values Due to Fire or Act of God
Date Received
ORS 308.425 and 308.428
INSTRUCTIONS:
• Application for proration of property taxes may be made for the tax year of the property damage/destruction. 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. (See back of form for appeal rights
and Oregon Revised Statute 308.425.)
Applicant’s name
Telephone number
(
)
Mailing address
City
State
ZIP code
LOCATION AND DESCRIPTION OF DAMAGED OR DESTROYED PROPERTY
Assessor’s account number
Deed or
Contract
Location of property (if different from above)
Section
Township
Range
Tax lot number
Description of personal property
Date of damage
Cause of damage
Fire (attach fire department report)
Act of God (describe): _____________________________________
Damage occurred to
Land
Building
Personal property
Manufactured structure
Describe damage
(1)
APPLICATION FOR PRORATION OF TAX
I am applying to have the above property examined for proration of property taxes per ORS 308.425. Application must be submitted
within 60 days of damage or June 30, whichever is later. (See back of form for more instructions.)
Whether my property is damaged or destroyed will be determined by the County Assessor’s office. If the assessor determines my property is only dam-
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
and finalize the tax proration.
(2) (OPTIONAL)
APPLICATION FOR REASSESSMENT OF VALUES
I am applying to have the real market value and assessed value of the property reassessed, according to ORS 308.428. Application
must be submitted within 60 days of damage or August 1, whichever is later. (See back of form for more instructions.)
For property that is destroyed or damaged by fire or act of God between January 1 and July 1 of an assessment year, a property owner may have the
values of that property reassessed as of July 1 if desired, according to ORS 308.428. Reassessment is NOT required to receive proration.
DECLARATION
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
it is true, correct, and complete.
X
Applicant’s Signature
Date
—Applicant will be notified of the county’s decision—
FOR TAX COLLECTOR’S USE ONLY
FOR ASSESSOR’S USE ONLY
Date Received:
Clerk:
Date Received:
Clerk:
Damaged Property:
Land and Improvements:
This Year
RMV before
RMV after
Date rebuild complete: __________ Months prorated: __________
fire/act of God: __________________
fire/act of God: __________________
AV before
Value
Amount of adjustment/refund:
fire/act of God: __________________
percent of loss: __________________
Destroyed Property:
Personal Property:
This Year
RMV before
RMV after
Months prorated: __________
fire/act of God: __________________
fire/act of God: __________________
AV before
Value
Amount of adjustment/refund:
fire/act of God: __________________
percent of loss: __________________
Date property visited: __________________
Damaged
Destroyed
Remarks:
150-310-083 (12-07) Web

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