Form 150-310-090 - Multi-Unit Rental Housing Special Assessment Application And Election - Or

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Clear Form
Multi-Unit Rental Housing (Low Income Housing)
Special Assessment Application and Election
ORS 308.701 to 308.724
Instructions:
For assessor’s use only
• File this statement with the assessor in the county where your
Date received
Received by
Approved
property is located on or before April 1.
Assessor’s account number
• If filed after April 1 but by December 31, a late filing fee is required.
Denied
• A separate application is required for each qualifying property.
Briefly explain reason for denial
• Include all account numbers for qualifying property.
Application form
Name of property owner
Telephone number
(
)
Mailing address
City
State
ZIP code
Contact person
Title
Telephone number
(
)
Mailing address
City
State
ZIP code
Qualifying property
Street address
City
County
State
ZIP code
Account number(s)
Date that government restriction expires
Does the account(s) listed above include any property that is not government restricted multi-unit rental housing?
Yes
No
If yes, please describe
Type of program (check all that apply):
Low income housing tax credit under IRC, Section 42.
Low interest loans under 42 U.S.C. 1485.
Financing derived from exempt facility bonds, IRC, Section 142.
Rural development 515 multifamily loan.
Financing derived from 501(c)(3) non-hospital bonds.
Other: ______________________________
_____________________________________
Low interest loans under Section 235 or Section 236 of national housing act.
You must attach documentation, for example—deed declaration, restriction covenant, contractual agreement, etc.
Election of method of assessment
(Check the appropriate box.)
I elect to have my specially assessed value (SAV) determined through an income approach method using actual income and
stabilized expenses. (Attach three years of operating statements and the rent roll for December of last year, or a pro forma
for a newly constructed property.)
I elect to have my SAV determined through a ratio method using a ratio of restricted rents to market rents. (Attach the rent roll
for December of last year.)
For more detailed information regarding the two approaches, please refer to Oregon Administrative Rule 150-308.712.
Briefly explain any special circumstances that might affect the valuation of your property:
Declaration
I declare under penalties of false swearing [ORS 305.990(4)] that I have examined this document and attachments, and to the best of my knowledge
they are true, correct, and complete. If any information changes, I will notify the county assessor and submit appropriate written amendments.
Name (please print or type)
Title
Signature
Date
X
150-310-090 (06-08)
Multi-unit app, page 1 of 4

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