Form 150-310-020 - Application For Cancellation Of Assessment On Commercial Facilities Under Construction Or Construction

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APPLICATION FOR
CANCELLATION OF ASSESSMENT ON COMMERCIAL FACILITIES UNDER CONSTRUCTION,
as provided by ORS 307.330 and OAR 150-307.330
Filed with the Oregon Department of Revenue for 20_______.
Filed with the _______________________________County Assessor for 20_______.
Account # __________________
• File this application with the county assessor on or before April 1.
ASSESSOR’S USE ONLY
• If this is for primary or secondary industrial property (ORS 306.126), you
Received by
Date
Approved by
Date
may file this application with the Oregon Department of Revenue by April 1.
(The Oregon Department of Revenue will forward the application to the county
Assessed Value Cancelled
assessor for processing.)
Building or addition _____________________________________________
• This exemption applies to buildings that are being constructed to produce income.
Also applies to any machinery or equipment on the construction site that is or
Machinery and equipment _____________________________________________
will be installed in or attached to the building.
Total ____________________________________________
• See other side for applicable administrative rule and statute.
Applicant’s (building owner’s) name
Code
Telephone number
(
)
City
ZIP code
Address
DESCRIPTION OF PROPERTY
Account number(s)
Map and tax lot number(s)
You affirm that the facility:
• Is either new or an addition to an existing structure;
• Has been exempt from taxation for no more than the current tax year;
• Is in the process of construction on January 1;
• Is not in use or occupancy on January 1;
• Has not been in use or occupancy at any time prior to such January 1 date;
• Is constructed to produce income;
• Is to be first used or occupied for not less than one year from the time construction begins for nonmanufacturing facilities; and
• Construction is not considered begun until any demolition is completed.
Owner of land (if different from owner of structure)
Telephone number
(
)
Street address
City
State
City
State
Address of improvement (street)
Starting date of construction
Date of demolition, if any, completed at building site
Estimated completion date of construction
Describe use of building, structure, or addition:
Cost of building, structure, or addition $ _________________.
Primary use of the building, structure, or addition:
Manufacturing
Nonmanufacturing
Attach a list of all machinery and equipment located at the construction site on January 1 of the year noted above, that is or will be installed in or attached to the
above-described building, structure, or addition. Use the following format:
Machinery/Equipment
Serial
Purchase
Purchase
Date
Make/Model/Type
Number
Date
Price
Installed
Was the above-named machinery and equipment included on your personal property return?
No
Yes, the report was made in the name of _________________________________________________________________________
DECLARATION
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document (including any accompanying
statements) and to the best of my knowledge, it is true, correct, and complete.
Signature of owner or officer making application
Name (please print or type)
Title
Date
X
150-310-020 (Rev. 01-10)

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