Instructions For Form Ed-50 - 2005-2006 Page 3
ADVERTISEMENT
1
2
3Form ED-50 Sample
FORM ED-50
Notice of Property Tax and Certification of Intent to Impose a Tax,
2005–2006
Fee, Assessment or Charge on Property for Education Districts
Sample
To assessor of ______________________ County
• File no later than JULY 15.
Check here if this is
an amended form.
• Be sure to read instructions in the 2005–2006 Notice of Property Tax Levy Forms and Instructions booklet.
Sample School District
The __________________________ has the responsibility and authority to place the following property tax, fee, charge or assessment
District Name
Sample
on the tax roll of ______________________ County. The property tax, fee, charge or assessment is categorized as stated by this form.
County Name
P.O. Box 2222
Example
OR
97111
Must check box
Mailing Address of District
City
State
ZIP
indicating the tax is
Ann Example
Superintendent
(541) 488-8001
6/30/04
Contact Person
Title
Daytime Telephone
Date
within the rate or amount
approved or box
CERTIFICATION—Check one box.
indicating budget was
X
The tax rate or levy amounts certified in Part I are within the tax rate or levy amounts approved by the budget committee.
republished.
The tax rate or levy amounts certified in Part I were changed by the governing body and republished as required in ORS 294.435.
PART I: TOTAL PROPERTY TAX LEVY
Subject to
May certify a rate or
Education Limits
amount. Carry rate out
Rate –or– Dollar Amount
four decimal places.
4.7000
1. Permanent rate limit tax (per $1000)
1
0.0500
2. Local option operating tax
2
Excluded from
Amounts and rates
3. Local option capital project tax
3
Measure 5 Limits
entered in boxes 1–5
Amount of Levy
4. Levy for “Gap Bonds”
4
must be the same as
$
4,000
what is in the resolution.
5a
5a. Levy for bonded indebtedness from bonds approved by voters prior to October 6, 2001
$
1,000
5b
5b. Levy for bonded indebtedness from bonds approved by voters after October 6, 2001
$
5,000
5c. Total levy for bonded indebtedness not subject to Measure 5 or Measure 50 (total of 5a + 5b)
5c
PART II: RATE LIMIT CERTIFICATION
Boxes 5a, 5b, and 5c
4.7000
must be dollar amounts.
6. Permanent rate limit in dollars and cents per $1,000
6
7. Date received voter approval for rate limit if new district
7
8
8. Estimated permanent rate limit for newly merged/consolidated district
PART III: SCHEDULE OF LOCAL OPTION TAXES — Enter all local option taxes on this schedule. If there are more than two taxes,
attach a sheet showing the information for each.
Purpose
Date voters approved
First year
Final year
Total tax amount –or– rate
(operating, capital project, or mixed)
local option ballot measure
levied
to be levied
authorized per year by voters
Operating
May 16, 2000
2000
2004
$
0.0500
Must be completed if you
have local option tax.
150-504-075-6 (Rev. 12-04)
(see the back for worksheet for lines 5a, 5b, and 5c)
File with your assessor no later than JULY 15, unless granted an extension in writing.
12
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial