Form 150-310-021 - Application For Construction-In-Process Enterprise Zone Exemption
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APPLICATION FOR
CONSTRUCTION-IN-PROCESS ENTERPRISE ZONE EXEMPTION,
as provided by ORS 285C.170
Filed with the Oregon Department of Revenue for 20_______.
Filed with the _______________________________County Assessor for 20_______.
Account # __________________
• File this application with the county assessor on or before April 1.
ASSESSOR’S USE ONLY
• If this is for primary or secondary industrial property (ORS 306.126), you
Received by
Date
Approved by
Date
may file this application with the Oregon Department of Revenue by April 1.
(The Oregon Department of Revenue will forward the application to the county
assessor for processing.)
Assessed Value Cancelled
• This exemption applies to buildings, modifications, and any machinery or equip-
Building or addition _____________________________________________
ment inside the enterprise zone that is expected to receive exemption under
Machinery and equipment _____________________________________________
(ORS 285c.175) at the location identified in the approved Oregon Enterprise Zone
Total ____________________________________________
Authorization Application, form #150-303-029.
• See other side for applicable statute.
Name of authorized business firm
Code
Telephone number
(
)
Address
City
State
ZIP code
DESCRIPTION OF PROPERTY
Account number(s)
Map and tax lot number(s)
You affirm that the facility or portion of the facility subject to exemption:
• Is qualified property for the enterprise zone exemption;
• Has been exempt from taxation for no more than the current tax year;
• Is in the process of construction on January 1;
• Is not in use or occupancy on January 1;
• Has not been in use or occupancy at any time prior to such January 1 date;
• Is constructed, modified, or installed to produce income;
• Is not centrally assessed (utility) property;
• Is not to be operated as a hotel, motel or destination resort; and
• Construction is not considered begun until any demolition is completed.
Owner of land (if different from owner of structure)
Telephone number
(
)
Street address
City
State
Address of improvement (street)
City
State
Cost of building, structure, or
Starting date of construction
Date of demolition, if any, completed at building site
Estimated completion date of construction
addition $ _________________.
Describe use of building, structure, or addition:
Attach a list of all machinery and equipment located at the construction site on January 1 of the year noted above, that is or
will be installed in or attached to the above-described building, structure, or addition. Use the following format:
Machinery/Equipment
Serial
Purchase
Purchase
Date
Make/Model/Type
Number
Date
Price
Installed
Was the above-named machinery and equipment included on your personal property return?
No
Yes, the report was made in the name of _________________________________________________________________________
DECLARATION
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document (including any accompanying
statements) and to the best of my knowledge, it is true, correct, and complete.
Signature of owner or officer of authorized business firm
Name (please print or type)
Title
Date
X
150-310-021 (Rev. 10-10)
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