Form Or-Ap-Cert - Oregon Enterprise Zone Certification Application Page 2
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Existing employment
Annual average number of employees working at the facility___________________________________. (This can serve as base
number subject to adjustments and stipulation in written agreement with the zone sponsor—see second commitment check box below).
Commitments by applicant/business firm
All must be checked below to be certified:
By the end of the calendar year in which the facility is placed in service, the total cost of property and improvements (including
what is newly acquired but not exemptible) will equal or exceed: (a) an amount equal to 1% or 0.5% of the value of all nonexempt
taxable property in the county, up to but not more than $25 or $12.5 million, or (b) $200 million—relative to the facility location and
corresponding minimum for new hiring. See OAR 123-690-4000.
Within the applicable time frame (usually by the third year after the year in which operation of the facility begins), at least 10, 35, 50, or
75 new employees (whichever applies), who each work more than 32 hours per week (not equivalents), will have been hired and will
then be maintained by the firm to work at the facility (temporary and seasonal workers don’t qualify) in addition to the base number of
existing full-time firm employees (if any) as stipulated in written agreement with the zone sponsor. See OAR 123-690-4200.
Not later than the fifth year after the year in which operation of the facility begins and for the remainder of the exemption period, the
average of annualized compensation (with benefits) for all employees at the facility will be equal to or greater than 130% or 150%
of the county average annual wage as most recently available and final from the Employment Department at the time that this
requirement is initially met, and from that point forward, the average wage of all facility employees in each year of exemption will
also equal or exceed the most recently available county average wage at that time. See OAR 123-690-4600 and 123-690-5000.
All additional requirements or conditions contained in the written agreement with the zone sponsor will be satisfied. See OAR 123-690-2000.
Information and appropriate verification, including, but not limited to, actual levels of investment cost, employment, payroll, etc., that
pertain to the above commitments will be presented in writing to the local zone manager and county assessor, when each is initially
satisfied, on or before the mandatory time as noted above or as contained in applicable law and rules, or otherwise upon request by
state or local officials. See OAR 123-690-5200.
Declaration
I declare under penalties of false swearing [ORS 305.990(4)] that I have examined this document and attachments, and to the best of
my knowledge they are true, correct, and complete. If any information changes I will notify the enterprise zone manager and the county
assessor and submit appropriate written amendments. I understand that my business firm will receive the property tax exemption for
property in the enterprise zone, only if the relevant requirements are satisfied and maintained, and if my firm complies with all local,
state, and federal laws that are applicable to my business.
Signature of authorized representative of business firm
Date
X
Regular property tax returns must still be filed.
Approval
To be filled in by the local zone manager and the county assessor after the above commitments are completed.
The board of county commissioners adopted a resolution approving the property tax
Date
exemption for the facility. (Attach a copy of the resolution and indicate the date of
adoption in the box to the right.)
1
Date
The city council adopted a resolution approving the property tax exemption for the
facility, if it is located within corporate limits. (Attach a copy of the resolution and indicate
the date of adoption in the box to the right.)
Date
The business firm has entered into a common written agreement with all of the city,
port, or county governments that sponsor the enterprise zone, including co-sponsors in
2
addition to those adopting resolutions in #1 above. (Attach a copy of the agreement and
indicate the date the agreement was concluded in the box to the right.)
Date
At the time the written agreement in #2 above was executed, the facility was located
in an existing rural enterprise zone and in a county with chronically low income or
unemployment or that meets definition of a qualified rural county. (Attach confirmation
3
from Oregon Business Development Department and indicate the date of the letter in
the box to the right.)
Signature of local enterprise zone manager
Date
X
Signature of county assessor
Date
X
Zone manager/County assessor: After signing, send copies of this form and all attachments to:
(1) Business firm; (2) Oregon Department of Revenue; (3) Oregon Business Development Department
150-310-073 (Rev. 10-17)
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