Assessor Eligibility Questionnaire Form

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Department of revenue use only
Date Received
Assessor
eligibility QuestionnAire
Approved
Denied
X
Signature/Title
This questionnaire is used to establish your eligibility as a candidate for election, re-election, or appointment to
the office of county assessor (see ORS 204.016 on page 4). You must submit this questionnaire in time for the
Department of Revenue to determine your eligibility and to notify the appropriate county clerk’s office prior to the
filing deadline. Please complete this questionnaire and return it to the address shown below.
Name
Street Address
City
State
ZIP Code
Y
N
es
o
(✓)
(✓)
1. Are you a qualified elector under the Oregon Constitution?
(See qualifications of electors below) (Not applicable for appointed assessors) .................................
2. Have you been a resident of the county in which you are seeking election to
the office of county assessor for a period of one year preceding the election?
(Not applicable for appointed assessors) ..............................................................................................
3. Are you a registered appraiser under ORS 308.010? .............................................................................
4. Are you an appraiser trainee under ORS 308.015? ................................................................................
5. Have you been previously certified by the Department of Revenue as eligible to run
for the office of county assessor?* (Not applicable for appointed assessors) .....................................
6. In what county will you be appointed to or be a candidate for the office of county assessor? ______________________
7. Calendar year in which either election or appointment is sought. _______________________
* If you answered “Yes” to question 5, you do not need to complete the rest of this questionnaire.
sign and date this questionnaire on page 3 and return it to the Department of Revenue at the address below.
If you have not previously been certified by theDepartment of Revenue, complete pages 2 and 3 of this questionnaire.
sign, date, and return it to the Department of Revenue at the address shown below.
Qualifications of Electors—from the Oregon Constitution, Article II, Section 2
(1) Every citizen of the United States is entitled to vote in all elections not otherwise provided for by this constitution if such citizen:
(a) Is 18 years of age or older;
(b) Has resided in this state during the six months immediately preceding the elections, except that provision may be made
by law to permit a person who had resided in this state less than 30 days immediately preceding the election, but who is
otherwise qualified under this subsection, to vote in the election for candidates for nomination or election for President or Vice
President of the United States or elector of President or Vice President of the United States; and
(c) Is registered prior to the election in the manner provided by law.
150-800-065 (Rev. 07-07)
Return your completed questionnaire to:
Appraisal taxation standards training unit
Property tax Division
oregon Department of revenue
Po box 14380
salem or 97309-5075

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