Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens / Senior Citizens Page 2

Download a blank fillable Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens / Senior Citizens in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens / Senior Citizens with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Clear Form
Page 2—Property Tax Deferral Application
Applicant’s Last Name
First Name and Initial
Social Security Number
–
–
Applicant’s Spouse/Other Joint Owner
First Name and Initial
Social Security Number
–
–
List below all income for the prior year, including income earned in other states or countries. Your
income eligibility is determined by Oregon law. Your total household income must be less than
$32,500 (taxable and nontaxable income) to qualify for 2003.
Information from Tax Year: _____________
Income Worksheet
Read Me
Work and Investment Income
00
1. Wages, salaries, and other pay for work
1
00
2. Interest and dividends (total taxable and nontaxable)
2
00
3. Business net income (loss limited to $1,000)
3
a. Do you have a business located on this property?
Yes
No
00
4. Farm net income (loss limited to $1,000)
4
00
5. Total gain on property sales (loss limited to $1,000)
5
00
6. Rental net income (loss limited to $1,000)
6
a. Is part of your home or property used as a rental?
Yes
No
00
7. Other capital gains (i.e., stocks & bonds) (loss limited to $1,000)
7
00
8. Other income from your federal return. Identify: ___________________
8
00
9
9. Add lines 1 through 8
Retirement Income
10. Total Social Security, Supplemental Security Income (SSI),
00
10
and railroad retirement
00
11
11. Pensions and annuities (total taxable and nontaxable)
00
12
12. Add lines 10 and 11
Other Income
00
13
13. Income of other joint owners (both taxable and nontaxable)
00
14
14. Adult and Family Services (welfare)
00
15
15. Unemployment benefits
00
16
16. Child support
00
17
17. Support from others not in your household. Identify ________________
00
18
18. Veteran’s and military benefits
00
19
19. Gifts and grants. Total amount minus $500
00
20
20. Gambling winnings
00
21
21. Other sources. Identify: ______________________________________
00
22
22. Add lines 13 through 21
00
23
23. Your total household income. Add lines 9, 12, and 22
If the amount on line 23 is more than the household income limit allowed ($32,500 for 2003), you do
not qualify for either the Disabled Citizens’ or the Senior Citizens’ Property Tax Deferral.
Did you file a federal income tax return?
Yes
No
DECLARATION
I declare under penalties for false swearing that I have examined all documents and to the best of my
knowledge, they are true, correct, and complete. I understand a lien will be placed on this property and I will
be charged lien recording fees.
Date
Date
Your Signature
Spouse/Joint Owner(s) Signature
X
X
150-490-015 (Rev. 12-02)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens / Senior Citizens Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens / Senior Citizens Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2010 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2010 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2008 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2008 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2006 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2006 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2007 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2007 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2009 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2009 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2011 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2011 Financial
Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2005 Form 150-490-015 - Property Tax Deferral Application For Disabled Citizens Or Senior Citizens - 2005 Financial
Form 150-490-014 - Property Tax Deferral Application For Disabled And Senior Citizens - 2015 Form 150-490-014 - Property Tax Deferral Application For Disabled And Senior Citizens - 2015 Financial
Form 150-490-014 - Property Tax Deferral Application For 61 Or Younger And Disabled Or 62 Or Older - 2013 Form 150-490-014 - Property Tax Deferral Application For 61 Or Younger And Disabled Or 62 Or Older - 2013 Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2