Form 150-310-092 - Application For Correction Of Maximum Assessed Value Due To Error In Square Footage

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Application for Correction of Maximum Assessed Value
Due to Error in Square Footage
As provided by ORS 311.234
Instructions:
• File this application with the assessor in the county in which the property is located on or after July 1, but not later than
December 31 of the tax year for which you are requesting relief.
• Complete a separate application for each property or portion of property (land, building, etc.) for which you are
requesting relief.
• Please print or type the information on this application.
• See back of form for appeal rights and Oregon Revised Statute (ORS) 311.234.
Filed with the _____________________________ County Assessor for the tax year beginning July 1, ___________.
Name of property owner or person obligated to pay taxes
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)
Map and tax lot number
Address of property (if different from above)
Description of property or portion of property with square footage error
Square footage from assessor’s records as of January 1 assessment date
Square footage asserted by taxpayer as of January 1 assessment date
DECLARATION
I declare under penalties of 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.
Date
Signature of applicant
X
FOR ASSESSOR’S USE ONLY
Date received: ______________
Initials: __________
Application:
Approved
Denied
Initials: __________
Property BEFORE Correction
Property AFTER Correction
Percent Change
Square footage: _____________________
Square footage: _____________________
Square footage: _____________________
MAV: _______________________________
MAV: _______________________________
Remarks
150-310-092 (Rev. 08-11) Web

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