Form 150-303-066 - Petition For Waiver Of Late Filing Penalty
ADVERTISEMENT
1
2Petition for Waiver of Late Filing Penalty
For official use only
Approved:
Date:
for
County
Penalty waived:
• Please print or type the requested information on this petition.
• Return your completed petition(s) to the county in which the property is assessed.
Denied:
Date:
• Please attach a copy of your tax statement (if applicable).
• Read all instructions carefully before completing this form.
• Complete one petition form for each account you are appealing if you meet the following criteria:
A. You have never filed a personal property tax return in this state;
B. You failed to file a property tax return for one or more consecutive years; and
C. You have not previously received relief from property tax late filing penalties under ORS 308.295(7) or 308.296(8).
An application for relief from property tax late filing penalties shall include a statement by the taxpayer setting forth the basis for relief from property tax late
filing penalties, and a statement under oath or affirmation that the basis for relief from property tax late filing penalties as stated in the application is true.
The decision of the assessor is final. There is no further appeal from this decision.
Petitioner
(person in whose name petition is filed)
Owner
1 Check the box that applies:
Person or business, other than owner, obligated to pay taxes (attach proof of obligation)
2 Name—individual, corporation, LLC, or other business
3 Telephone number
(
)
(
)
Daytime
Evening
4 Mailing address (street or PO Box)
5 City
6 State
7 ZIP code
8 Name of person acting for corporation, LLC, or other business
9 Title (for example—president, vice president, tax manager, etc.)
The assessor’s decision will be mailed to the petitioner at the address on lines 4–7 unless a representative is named on line 10. If a
representative is named, the decision will be mailed to the representative at the address on lines 12–15.
}
Representative
To be completed when petition is filed by an authorized representative of petitioner.
10 Name of representative
11 Telephone number
(
)
(
)
Daytime
Evening
12 Mailing address (street or PO Box)
13 City
14 State
15 ZIP code
16 Relationship to petitioner named on line 2
17 Oregon state bar number
18 Oregon appraiser license number
19 Oregon broker license number
20 Oregon CPA or PA permit or S.E.A. number
Any refund resulting from this petition will be made payable to the petitioner named on line 2 unless separate written authorization is
made to the county tax collector.
Mark which return the waiver is for:
Real property
Personal property
Combined industrial
21
22 Assessor’s account number
23 Code area number
$
Penalty Assessed:
24 Situs
Why were you unable to file your real or personal property return by the filing deadline? (Answer the question in the space provided or by attaching
25
additional pages. See the back of this form for additional information.)
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document, and to the best of my
Declaration:
knowledge, it is true, correct, and complete.
26 Signature and name of petitioner or petitioner’s representative (attach authorization if necessary)
27 Date
X
Sign name
Print or type name
150-303-066 (05-08)
Petition for Waiver, page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 83-t-619 - Petition For Waiver Of Interest And Penalty Under 10,000.00 Dollars - City Of Philadelphia Department Of Revenue
Financial
Petition For Waiver Of Interest And Penalty - City Of Philadelphia - Department Of Revenue
Financial
Form Pto/sb/64 - Petition For Revival Of An Application For Patent Abandoned Unintentionally Under 37 Cfr 1.137(a) Note: A Petition For Revival To Accept The Late Payment Of Issue Fee May Alternatively Be Filed As A Web-based Epetition
Legal
Related Categories
Parent category: Financial