Form 150-310-026 - Environmentally Sensitive Logging Equipment Qualifications

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Environmentally Sensitive Logging
Equipment Qualifications
Business name
Account identification number
Location address of personal property
City
State
ZIP code
Description of Property
Percent of
time used for
For
Manufacturing
Year
Model
Purchase
Cost when
qualifying
assessor’s
Item of property
& serial number
manufactured
number
year
purchased
purposes
use only
Declaration
Invalid if not signed. I declare under the penalties of false swearing [ORS 305.990(4)] that I have examined this document and to the
best of my knowledge, it is true, correct, and complete. The items listed above are not used for more than 20 percent of the year
for non-logging activities.
Signature
Name / title (print)
Date
X
150-310-026 (Rev. 11-10)

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