Form 150-310-088 - Application For Real And Personal Property Tax Exemption - 1996

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APPLICATION FOR REAL AND PERSONAL PROPERTY TAX EXEMPTION
For Specified Institutions and Organizations
As provided by Oregon Revised Statute 307.162
• File with your county assessor on or before April 1.
See ORS 307.162 and OAR 150-307.162 on the back of this form.
FOR ASSESSOR’S USE ONLY
Date Received
Reviewed By
Name of Organization
Approved
Denied
Mailing Address
Telephone Number
Amount of late filing fee paid
Exemption begins
City
State
ZIP Code
in tax year 19
$
A property tax exemption is requested under the following Oregon Revised Statute (mark only one box):
307.115
Nonprofit corporation public parks*
307.147
Senior services centers*
307.130
Literary, benevolent, charitable, scientific
307.150
Burial grounds, cemeteries, crematory
institutions*
associations*
307.136
Fraternal organizations*
307.160
Public libraries*
307.140
Religious organizations*
307.580
Industry apprenticeship or training
307.145
Child care facilities, schools, student housing*
trust*
*Attach a current copy of your organization’s articles of incorporation, by-laws, and 501(c)(3).
PROPERTY DESCRIPTION
Name of Property Owner
Assessor’s Account Number (as shown on your property tax statement)
Property Situs (street address, city)
Note: Attach a list of all real and personal property for which an exemption is claimed.
The purpose of this organization is:
The property is used for the following purpose:
Example: church services, offices, sales, etc.
Is the property used by others?
Yes
No
If yes, explain. Identify the portion of property used and give the percent of time used.
Does the property include a parking area?
Yes
No
Is use of the parking area permitted free of charge?
Yes
No
If no, explain how often a fee is charged
Is a late filing fee attached?
Yes
No
Amount of the fee paid $
.
Note: The late filing fee is a minimum of $200 or one-tenth of one percent of the real market value, whichever is greater.
DECLARATION
I declare under the penalties for false swearing (ORS 305.990(4)) that I have examined this document and to the best of my knowledge, it is
true, correct, and complete.
Name (please print or type)
Title
Signature
Date
X
150-310-088 (Rev. 3-96)

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