Form 150-301-014 - Multiple County Property Return Extension Request Form -

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Clear Form
Multiple County
For Department of Revenue use only
Property Return
Extension number
Date received
Extension Request Form
An extension may be granted to taxpayers who have
If your extension request is granted, your return must be
reporting requirements in more than one county.
postmarked by April 15. File your return as follows:
• You must agree to use the trending and depreciation
To request an extension, complete this form and mail,
schedules supplied in reporting your property.
fax or e-mail using the address information shown below.
Submit the completed form on or before March 1.
• Personal property, Real property, or industrial property
returns filed with the assessor's office shall have deprecia-
An extension for administrative need will be in effect for
tion factors applied to the asset listing. Retirements shall be
subsequent years unless revoked by the department.
itemized.
An extension for good cause will be in effect for the current
• All returns are subject to audit.
year only.
Company name
Counties
Contact person's (must include written authorization from the owner)
Telephone number
(
)
Mailing address
City
State
ZIP code
Type of extension being requested
Good cause
Administrative need
List your reason for requiring an extension of time for filing your property returns
Date
Signature
X
/
/
SIGN
Title (must be an owner or authorized representative)
E-mail
HERE
E-mail to: personal.property@dor.state.or.us
Mail to: Oregon Department of Revenue
Personal Property—Property Tax Division
541-966-4471
PO Box 14380
Fax to:
Attn: Personal Property
Salem OR 97309-5075
150-301-014 (Rev. 12-12)

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