Application For Cancellation Of Assessment On Commercial Facilities Under Construction Or Construction-In-Progress Enterprise Zone Exemption Form

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APPLICATION FOR
(check one):
c
CANCELLATION OF ASSESSMENT ON COMMERCIAL FACILITIES UNDER CONSTRUCTION,
as provided by OAR 307.330 and 307.340
c
CONSTRUCTION-IN-PROGRESS ENTERPRISE ZONE EXEMPTION,
as provided by ORS 285C.170
Filed with the Oregon Department of Revenue for 20_______.
Filed with the _______________________________County Assessor for 20_______.
Account # __________________
• File application with the county assessor on or before April 1.
ASSESSOR’S USE ONLY
• Applications for primary or secondary industrial property (ORS 306.126) may
Received by
Date
Approved by
Date
be fi led with the Oregon Department of Revenue on or before April 1. (Applica-
tions received by the Department of Revenue will be forwarded to the county
Assessed Value Cancelled
assessor for processing.)
Building or addition ________________________________________
• This exemption applies only to buildings that are being constructed in further-
Machinery and equipment ________________________________________
ance of the production of income. Also applies to any machinery or equipment on
Total ________________________________________
the construction site that is or will be installed in or attached to the building.
• See other side for applicable administrative rules and statutes.
Applicant’s (building owner’s) name
Code
Telephone number
(
)
Address
City
State
ZIP code
DESCRIPTION OF PROPERTY
Account number(s)
Map and tax lot number(s)
You affi rm that the facility:
• Is either new or an addition to an existing structure;
• Has been exempt from taxation for no more than the current tax year;
• Is in the process of construction on January 1;
• Is not in use or occupancy on January 1;
• Has not been in use or occupancy at any time prior to such January 1 date;
• Is constructed to produce income;
• Is to be fi rst used or occupied for not less than one year from the time construction begins for nonmanufacturing facilities (excludes
manufacturing facilities and authorized enterprise zone business fi rms); and
• Construction is not considered begun until any demolition is completed.
Owner of land (if different from owner of structure)
Telephone number
Street address
City
State
Address of improvement (street)
City
State
Starting date of construction
Date of demolition, if any, completed at building site
Estimated completion date of construction
Describe use of building, structure, or addition:
Cost of building, structure, or addition $ _________________.
Primary use of the building, structure, or addition:
Manufacturing
Nonmanufacturing
Attach a list of all machinery and equipment located at the construction site on January 1 of the year noted above, that is or will be installed in or attached to the
above-described building, structure, or addition. Use the following format:
Machinery/Equipment
Serial
Purchase
Purchase
Date
Make/Model/Type
Number
Date
Price
Installed
Was the above-named machinery and equipment included on your personal property return?
No
Yes, the report was made in the name of _________________________________________________________________________
DECLARATION
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document (including any accompanying
statements) and to the best of my knowledge, it is true, correct, and complete.
Signature of owner or offi cer making application
Name (please print or type)
Title
Date
X
150-310-020 (Rev. 3-06) Web

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