Form 150-310-083 - Application For Reassessment Of Destroyed Or Damaged Property - Oregon Department Of Revenue

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APPLICATION FOR REASSESSMENT OF
DESTROYED OR DAMAGED PROPERTY
As provided by ORS 308.146(6)
INSTRUCTIONS:
• Application for reassessment can only be made for property that was destroyed or damaged on or after January 1 and on or before
July 1 of the assessment year.
• This application changes the assessment date for your property to July 1 for only this year. If you plan to make major improvements
to your property before July 1, you may want to keep your assessment date on January 1. Please read the pertinent law on the
reverse side.
• File this application with the assessor of the county in which your destroyed or damaged property is located.
• Your application must be filed within 60 days of the damage or by August 1, whichever is later.
Filed with the ______________________________County assessor for the assessment year starting January 1, _____.
Applicant’s name
Telephone number
(
)
Mailing address
City
State
ZIP code
DESCRIPTION AND LOCATION OF PROPERTY
Assessor’s account number (as shown on your county property tax statement)
Township
Range
Section
Tax lot number
Address of property (if different from above)
Description of taxable personal property
1. The property described above was destroyed or damaged on _______________ by
Fire*
Other _______________________
*For property destroyed or damaged by fire, attach a copy of the fire department’s report.
2. The destruction or damage occurred to: _____________
Land
Building
Manufactured Structure
Personal Property
3. Describe the destruction or damage:
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
FOR ASSESSOR’S USE ONLY
Date Received:
Clerk:
January 1 Real Market Value:
July 1 Real Market Value:
Land:
Land:
Improvement:
Improvement:
Manufactured Structure:
Manufactured Structure:
Personal Property:
Personal Property:
Total:
Total:
Remarks:
150-310-084 (12-07)

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