Instructions For Form Ed-50 - Notice Of Property Tax And Certification Of Intent To Impose A Tax, Fee, Assessment Or Charge On Property - 1999-2000 Page 3
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3Form ED-50 Sample
FORM
Notice of Property Tax and
1999–2000
ED-50
Certification of Intent to Impose a Tax, 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
• Be sure to read instructions in the 1999–2000 Notice of Property Tax Levy Forms and Instructions booklet.
an amended form.
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
Must check box indicat-
P.O. Box 2222
Example
O R
9 7 1 1 1
ing the tax is within the
Mailing Address of District
City
State
ZIP
rate or amount approved.
Ann Example
Superintendent
(541) 488-8001
6 / 3 0 / 9 9
Contact Person
Title
Daytime Telephone
Date
PART I: TOTAL PROPERTY TAX LEVY
Subject to Education
Not Subject to
Measure 5 Limits
Measure 5 Limits
X
May certify a rate or
The levy rates or amounts certified in Part I are within
amount. Carry rate out
the rates or amounts approved by the budget committee.
Rate per $1,000 of Assessed
Amount of Levy
Value –or– Total Dollar
in Total Dollar
four decimal places.
The levy rates or amounts certified in Part I are within
Amount Levied
Amount Levied
the rates or amounts republished by the governing body.
1.7000
Amounts and rates
1. Permanent rate limit tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
entered in boxes 1–6
2. Local option operating tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
must equal what is in
3. Local option capital construction tax
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
the resolution.
4. Levy for “Gap Bonds”
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Must be a dollar amount.
5. Levy for pension and disability obligations
. . . . . . . . . . . . . . . . . . . . . . . .
5
$
6,130
6. Levy for bonded indebtedness not subject to Measure 5 or Measure 50
. . . . . . . . . . . . . . . . . . . . . . . .
6
PART II: RATE LIMIT CERTIFICATION
1.7000
7. Permant rate limit in dollars and cents per $1,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8. If new district, date received voter approval for rate limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
PART III: SCHEDULE OF LOCAL OPTION TAXES — Enter all local option taxes on this schedule. If there are more than three taxes,
attach a sheet showing the information for each.
Purpose
Date voters approved
First
Final
Total tax levy authorized
Amount of tax levied
(operating, capital
ballot measure
year
year to
per year by voters or
this year as a result
construction, or mixed)
authorizing tax levy
levied
be levied
rate if tax rate levy
of voter approval
May be used only by
community colleges.
PART IV: SPECIAL ASSESSMENTS, FEES AND CHARGES
Subject to
Excluded from
Description
Education Limitation
Measure 5 Limitation
1
Probably will not be used
by any eduction district.
2
3
If fees, charges or assessments will be imposed on specific property within your district you must attach a complete listing of prop-
erties, by assessor’s account number, to which fees, charges or assessments will be imposed. Show the fees, charges or assess-
ments uniformly imposed on the properties. If these amounts are not uniform, show the amount imposed on each property.
The authority for putting these assessments on the roll is ORS _____________.
(Must be completed if you have an entry in Part IV.)
150-504-057 (Rev. 12-98)
File with your assessor no later than JULY 15, unless granted an extension in writing.
Complete this line only if
there is an amount in
Part IV.
11
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