Form 150-310-064 - Personal Property Petition - 2002-2003

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Board of Property Tax Appeals
For Official Use Only
Petition Number and Date Received
2002–2003 PERSONAL PROPERTY PETITION
Click Here to Clear Form
for
County
Please print
or
type
the requested information on both sides of this petition.
• Complete
one petition
form for
each account
you are appealing.
• Return your completed petition(s) to the address shown on the back.
• If you wish to appeal the value of a manufactured structure, use the Real Property Petition (150-310-063) instead of this petition.
Please attach a copy of your tax statement.
• Read all instructions carefully before completing this form.
Petitioner
(person in whose name petition is filed)
Owner
1 Check the box that applies:
Person or business, other than owner, obligated to pay taxes (attach proof of obligation)
2 Name—individual, corporation, or other business
3 Telephone number
(
)
(
)
Daytime
Evening
4 Mailing address (street or PO Box)
5 City
6 State
7 ZIP code
8 Name of person acting for corporation or other business (i.e., president, vice president, etc.)
9 Title
FOR
BUSINESS
USE ONLY
Member-managed LLC
Manager-managed LLC
10 For Limited Liability Companies only:
The hearing notice and order will be mailed to the petitioner at the address on lines 4–7 unless a representative is named on line 11. If a
representative is named, the hearing notice and order will be mailed to the representative at the address on lines 13–16.
Representative
(to be completed when petition is filed by an authorized representative of petitioner)
11 Name of representative
12 Telephone number
(
)
(
)
Daytime
Evening
13 Mailing address (street or PO Box)
14 City
15 State
16 ZIP code
17 Relationship to petitioner named on line 2
18 Oregon state bar number
19 Oregon appraiser license number
20 Oregon broker license number
21 Oregon accountant permit or S.E.A. number
Any refund resulting from this appeal will be made to the petitioner named on line 2 unless separate written authorization is made to the
county tax collector.
Attendance at Hearing
Check this box
if you do not
wish to be present or be represented at the hearing. If you choose to not be present at the hearing, the board
22
will make a decision based on the written evidence you submit.
Property Information
23 Assessor’s account number (from your tax statement)
24 Code area number (from your tax statement)
25 Street address and city where property is located
26 Property type
Retail
Industrial
Floating Property
Office
Motel/Apartment
Small Manufacturing
Food Service
Other
150-310-064 (Rev. 9-02)
Please turn over—form continues on back

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