Form 150-309-024 - Application For Designation Of Land As Forestland
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3Clear Form
For Assessor’s Use Only
Application for
Date received
Designation of Land as Forestland
and for special assessment as provided by
Approved
Denied
ORS 321.257 to 321.367 in western Oregon
Date: __________________ By: ____________________
and ORS 321.805 to 321.848 in eastern Oregon
Instructions:
• Your application must be filed with the county assessor’s office by April 1.
• Read and complete both sides of this form. General information is located on page 3.
Filed with the ___________________________________County Assessor for the tax year beginning July 1, 20____.
Name (last, first, MI)
Telephone
(
)
(
)
Day:
Evening:
Street address
City
State
ZIP code
Description of Property
Fill in the boxes below to show the property you want to have designated as forestland. If you are applying for only a portion of the land
described, please indicate the area by providing a drawing on page 2 of this form. List the acquisition date if any portion of the property
was acquired within the last five years. In order for the land to qualify, the area to be designated must be at least two contiguous acres
in one ownership [OAR 150-321.358(4)].
Assessor’s account number
Map and tax lot or parcel number
Date acquired
Acres applied for
Total applied for:
acres
Additional requirements on the back
➛
Declaration
As owner of the above described land, I indicate by my signature that I am aware of the potential tax liability involved when the land
ceases to be designated as forestland. I declare under the penalties of false swearing [ORS 305.990(4)] that I have examined this appli-
cation (and any accompanying documents), and to the best of my knowledge, it is true, correct, and complete.
Forestland owner’s signature
Forestland owner’s name / title (print)
Date
X
Forestland owner’s signature
Forestland owner’s name / title (print)
Date
X
For Assessor’s Use Only
Comments:
150-309-024 (Rev. 02-11)
For more information, contact your county assessor’s office.
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