Clear Form
Multiple County
For Department of Revenue use only
Property Return
Extension number
Date received
Extension Request Form
An extension may be granted to taxpayers who have re-
If your request is granted, your return must be postmarked
porting requirements in more than one county.
by April 15. You must file your return as follows:
• Personal property returns filed with the assessor’s office
To request an extension, complete this form and mail or fax
shall include a complete asset list and have value factors
to the address or number shown below by March 1.
applied by the taxpayer according to property classifica-
An extension for administrative need will be in effect for sub-
tion to compute the value.
sequent years unless revoked by the department. Returns
• Real property or industrial property returns filed with
are subject to audit. You must agree to use the trending and
the assessor's office shall have trending and depreciation
depreciation schedules supplied in reporting your property.
factors applied to the asset listing or summary for report-
An extension for good cause will be in effect for the current
ing purposes, where requested. Retirements shall be
year only. Returns are subject to audit. You must agree to
itemized.
use the trending and depreciation schedules supplied in
reporting your property.
Company name
Counties
Contact person (must be an owner or authorized representative)
Telephone number
(
)
Mailing address
City
State
ZIP code
Situs address
City
State
ZIP code
List your reason for requiring an extension of time for filing your property returns
Date
Signature
/
/
X
SIGN
Title (must be an owner or authorized representative)
E-mail
HERE
–or–
Fax to: 541-966-4471
Personal Property—Property Tax Division
Mail to:
Attn: Personal Property
Oregon Department of Revenue
PO Box 14380
Salem OR 97309-5075
150-301-014 (Rev. 12-11)