Form 150-310-063 - Real Property Petition - 2004-2005 Page 2
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1
2Real Market Value (RMV) from
Real Market Value (RMV)
tax statement or assessor’s records
you are requesting
$
$
Land
27
$
$
Buildings, machinery, etc.
28
$
$
Manufactured structure
29
$
$
Total RMV
30
Most property is not specially assessed. Please read the instructions to see if this section applies to your property.
SAV from assessor’s records
SAV you are requesting
Total SAV of Specially
31
$
$
Assessed Portion
Assessed Value (AV) from
Assessed Value (AV)
tax statement or assessor’s records
you are requesting (see instructions)
$
$
Total Assessed Value (AV)
32
Attach documentation such as copies of recently recorded deeds, listings, appraisals (attach
Evidence of Property Value
complete report), construction bids, etc.
33
Why do you think the value of your property is incorrect?
(Answer the question in the space provided or by attaching additional pages. Provide
enough information to support the value(s) you are requesting. Be specific.)
34
Did you purchase the property within the past three years?
Yes
No
If yes, complete the following:
Date purchased: ________________________________________ Purchase Price: __________________________________________________
Did you purchase the property through a real estate office?
Yes
No
Name of real estate office: __________________________
35
Have you attempted to sell your property within the past three years?
Yes
No
If yes, complete the following:
Asking price: ___________________________________________ Dates offered for sale: _____________________________________________
Was the property listed with a real estate office?
Yes
No
Name of real estate office: ___________________________________
36
Has your property been appraised within the past three years?
Yes
No
If yes, complete the following:
Appraised value: ________________________________________ Date of appraisal: ________________________________________________
Purpose of appraisal: ____________________________________ Name of appraiser: _______________________________________________
37
Have you made any changes to your property within the past three years?
Yes
No
If yes, complete the following:
Changes made: ________________________________________________________________________________________________________
Dates of construction: ____________________________________ Cost of new construction: __________________________________________
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document, and to the best of my
Declaration:
knowledge, it is true, correct, and complete.
38
Signature and name of petitioner
or petitioner’s representative (attach authorization if necessary)
39 Date
X
Sign name
Print or type name
Please return this petition to:
When and Where to File your Petition
Appeal petitions must be filed with the board of property tax
appeals by
January 3, 2005.
File your petition with the
county clerk
in the county where the property is located.
Do not file your petition with the county assessor. Mail or
deliver your petition to the address shown in the box.
150-310-063 (Rev. 9-04)
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