Form 150-303-075 - Request For Supervisory Review
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Request for Supervisory Review
For Conference Unit use only
Under Oregon Revised Statute (ORS) 306.115
Petitioner’s name
Telephone number
Telephone number to call for conference
(
)
(
)
Address
City
State
ZIP code
E-mail address
Use e-mail for correspondence?
Yes
No
Property address (if different from above)
City
State
ZIP code
County where property is located
Assessor’s account number(s)
Tax year(s)
Type of property
Residential
Farm
Forest
Commercial
Industrial
Machinery/Equipment
Personal
Other
Supervisory standards
The department has limited supervisory authority to consider your request, and can only order corrections for the current and two
immediately prior tax years. Tax years run from July 1 through June 30.
Before the department can consider a request, one of the standards below must be satisfied. Complete the section or sections
relating to the standard under which you are requesting a review. Be complete and accurate. Attach additional pages if necessary.
The department may make a decision based solely on the facts you provide on this form.
“The parties to the petition agree to facts indicating a likely error on the roll.” List the fact or facts to which
Standard 1—
you believe the parties (the assessor and the taxpayer) will agree:
Standard 2—“I was taxed on nonexistent property, property that is exempt without an application, or property outside the taxing
jurisdiction.” Identify the property that was subject to tax and explain why you think the assessment is incorrect:
Standard 3—“I made a computational or clerical error in reporting the value of personal property on a personal or combined industrial
property return.” Provide detailed information regarding the error on your return:
Standard 4—“I was a bona fide purchaser and had no notice of a roll correction.” When did you purchase the property? When was
the roll corrected?
150-303-075 (Rev. 04-12)
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Parent category: Financial