Form Drws - Disaster Relief Data Collection Worksheet
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1
2FORM DRWS
November 2012
Disaster Relief Data Collection Worksheet
Block:
County:
Lot:
District:
Qual:
Map Page:
Property Class:
Property Location:
Owner's Name:
Assessment Reduction Code Guidelines
Special
Observed
Assessment Reduction
Tax
Description
(place X to
Code)
Code
5% reduction to Improvement Assessment
H71
Minimal Basement Flooding
Moderate Basement Flooding
10% reduction to Improvement Assessment
H72
15% reduction to Improvement Assessment
H73
Moderate 1st Floor Flooding
30% reduction to Improvement Assessment
H74
Significant 1st Floor Flooding
Minimal Structural Damage
5% reduction to Improvement Assessment
H81
20% reduction to Improvement Assessment
H82
Moderate Structural Damage
60% reduction to Improvement Assessment
H83
Significant Structural Damage
90% reduction to Improvement Assessment
H84
Extreme Structural Damage
100% reduction to Improvement Assessment
H85
Total Structural Damage
Manual reduction required in CAMA
H86
Accessory Damage Only
External Obsolescence
10% reduction to Land Assessment
H91
25% reduction to Land Assessment
H92
External Obsolescence
50% reduction to Land Assessment
H93
External Obsolescence
NO DAMAGE OBSERVED
Date Inspected:
INTERIOR INSPECTION
Inspector Name:
Inspector Notes:
For Official Use Only
Date Photographed
Date Photograph uploaded
Approved
Denied
Date Worksheet entered
Assessor Signature
Worksheet entered by
Date
This form has been promulgated by the Director, Division of Taxation, and may not be altered without the approval of the Director.
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