Clear Form
For Department of Revenue Use Only
PROPERTY RETURN
Extension Number
Date Received
O R E G O N
D E PA R T M E N T
EXTENSION REQUEST
O F R E V E N U E
An extension may be granted to taxpayers who are either
If your request is granted, your return must be postmarked
a principal or secondary industrial account appraised by
by April 15. You must fi le your return as follows:
the Oregon De part ment of Revenue, or a taxpayer who
• Personal property returns fi led with the as ses sor’s offi ce
has reporting re quire ments in more than one county.
shall include a complete asset list or summary and have
Note: If real or personal property is being reported by a
value factors applied by the taxpayer according to prop-
leasing com pa ny, the lessor must have sole responsibility
erty clas si fi ca tion, to compute the value.
for payment of taxes charged to all property items.
• Real property or industrial property returns fi led with
To request an extension, complete this form and send it to
the department or the assessor's offi ce shall have trend-
the address shown below by March 1.
ing and de pre ci a tion factors applied to the asset listing
This extension will be in effect for sub se quent years unless
or summary, for reporting purposes where requested.
revoked for suffi cient cause by the department. Returns are
Re tire ments shall be itemized.
subject to audit. You must agree to use the trending and
de pre ci a tion schedules supplied in re port ing your property.
Company Name
BIN Number
EIN Number
County
Contact person for this extension
Telephone Number
(
)
Mailing Address
City
State
ZIP Code
List your reason for requiring an extension of time for fi ling your property forms
Date
Signature
X
SIGN
Title (must be an owner or authorized representative)
HERE
150-301-015 (Rev. 11-04) Web
503-945-8737
–or–
Valuation Section—Property Tax Division
Fax to:
Mail to:
Oregon Department of Revenue
PO Box 14380
Salem OR 97309-5075