Form Ur-50 - Notice To Assessor - 2009 - 2010

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2009–2010
FORM
UR-50
NOTICE TO ASSESSOR
Check here if this is
• Submit two (2) copies to county assessor by July 15.
an amended form.
Notification
_____________________________________________________________ authorizes its 2009–10 ad valorem tax increment amounts
(Agency Name)
by plan area for the tax roll of ____________________________________________________________________________________________.
(County Name)
_______________________________________ ______________________________________ _______________________________________
(Contact Person)
(Telephone Number)
(Date)
______________________________________________________________________________________ ________________________________
(Agency’s Mailing Address)
(Contact Person’s E-mail Address)
Part 1: Option One Plans (Reduced Rate).
[ORS 457.435(2)(a)]
Amount from
Plan Area Name
Special Levy
Special Levy Amount
Division of Tax
100%
Yes
No
100%
Yes
No
100%
Yes
No
Part 2: Option Two Plans (Cascade Locks Agency Only).
[ORS 457.435(2)(b)]
Plan Area Name
Special Levy
Special Levy Amount
Yes
No
Part 3: Option Three Plans (Standard Rate).
[ORS 457.435(2)(c)]
Amount from
Plan Area Name
Special Levy
Special Levy Amount
Division of Tax
$
Yes
No
$
Yes
No
$
Yes
No
Part 4: Other
Standard Rate Plans [ORS 457.010(4)(b)]
Plan Area Name
Amount from Division of Tax
100%
100%
100%
Part 5: Other Reduced Rate Plans [ORS 457.010(4)(a)]
Plan Area Name
Amount from Division of Tax
100%
100%
100%
150-504-076-5 (Rev. 12-08)

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