Form Ur-50 - Notice To Assessor - 2012-2013
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2012–2013
FORM
NOTICE TO ASSESSOR
UR-50
Check here if this is
• Submit two (2) copies to county assessor by July 15.
an amended form.
Notification
_____________________________________________________________ authorizes its 20____–____ ad valorem tax increment amounts
(Agency name)
by plan area for the tax roll of ____________________________________________________________________________________________.
(County name)
_______________________________________ ______________________________________ _______________________________________
(Contact person)
(Telephone number)
(Date)
______________________________________________________________________________________ ________________________________
(Agency’s mailing address)
(Contact person’s e-mail address)
Part 1: Option One Plans (Reduced Rate).
[ORS 457.435(2)(a)]
Increment
100% from
Special Levy
Plan Area Name
Value to Use*
Division of Tax
Amount**
$
OR
Yes
$
OR
Yes
$
OR
Yes
$
OR
Yes
Part 2: Option Three Plans (Standard Rate).
[ORS 457.435(2)(c)]
Increment
100% from
Special Levy
Plan Area Name
Value to Use***
Division of Tax***
Amount****
$
OR
$
OR
$
OR
Part 3: Other Standard Rate Plans.
[ORS 457.010(4)(b)]
Increment
100% from
Plan Area Name
Value to Use*
Division of Tax*
$
OR
Yes
Yes
$
OR
$
OR
Yes
$
OR
Yes
Part 4: Other
Reduced Rate Plans [ORS 457.010(4)(a)]
Increment
100% from
Plan Area Name
Value to Use*
Division of Tax*
$
OR
Yes
Yes
$
OR
Yes
$
OR
$
OR
Yes
Notice to Assessor of Permanent Increase in Frozen Value.
:
Effective 2012-2013, permanently increase frozen value to
Plan Area Name
New frozen value
$
$
*All Plans except Option Three: Enter amount of Increment Value to Use that is less than 100 percent or check “Yes” to receive 100 percent of
division of tax. Do NOT enter and amount of “Increment Value to Use” AND check “Yes.”
**If an Option One plan enters a Special Levy Amount, you MUST check “Yes” and NOT enter and amount of “Increment to Use.”
***Option Three plans enter EITHER an amount of “Increment Value to Use” to raise less than the amount of division of tax stated in the 1998
ordinance under ORS 457.435(2)(c) OR the “Amount from Division of Tax” stated in the ordinance, NOT both.
****If an Option Three plan requests both an amount of “Increment Value to Use” that will raise less than the amount of division of tax stated in the
1998 ordinance and a “Special Levy Amount,” the “Special Levy Amount” cannot exceed the amount available when the amount from division of tax
stated in the ordinance is subtracted from the plan’s Maximum Authority.
150-504-076-5 (Rev. 11-11)
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