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2023
Form OR-PDTA, Property Tax Deferral Application, Instructions
Instructions Property’s physical address. List the address
or where the property is physically located in
• Print or type your application.
the county.
• Complete the application in full, including
the required household income and asset Manufactured structure. If the property is a
worksheet on the back. manufactured structure, complete the follow-
• Sign and date your application. ing information on the application: model year,
make, home ID number, and serial number.
• Attach a copy of your 2022–23 property tax
statement. Eligibility questions. Fully complete questions
• Individuals with disabilities: Attach a copy 1−6.
of your Social Security Disability award Household income worksheet. List your yearly
letter received before April 15 (we won’t ac- household income for 2022. Household income
cept your 1099 SSA statement or new benefit consists of all income of the applicant(s) and
statement). their spouse(s) that reside in the home. Include
• File your completed application with the income earned in other states or countries.
county assessor’s office after January 1 Your household income must be less than
and by April 17. Late filing is allowed from $55,500 (taxable and nontaxable income) to
April 18 to December 1 with payment of a late qualify for the 2023–2024 property tax year. We
filing fee, determined by the county assessor. may require verification of the information you
Applicant section. Check the box to indicate provide in this section.
whether you are applying as: an individual, Taxable and non-taxable combined household
joint applicants, surviving spouse, adding a income must be included on the income work-
spouse, or applying as a disabled heir. sheet for all applicants (and their spouse) that
Social Security number (SSN). The request for live in the home.
your SSN is authorized by United States Code Asset worksheet. We may require verification
Section 405, Title 42. You must provide this
of the information you provide in this section.
information. It will be used to establish your
identity for tax purposes. List the total net worth of all applicants. Net
worth means the sum of the current market
Current residence address. State the current
value of all assets includ ing real property, cash,
mailing address you receive your mail at. If
savings accounts, bonds, and other invest-
your current residence is different than the
ments after deducting outstanding liabilities.
property’s physical address, indicate the rea-
son. If you’re living away from the property Don’t include the value of your home, the
for medical reasons, you must include a letter cash value of life insurance policies on the life
from your doctor written on letterhead stating of an applicant, or tangible personal property
that you are required to be away from home for owned by an applicant (for example, furniture
medical reasons. or vehicles).
150-490-014-1 (Rev. 07-25-22) 1 Form OR-PTDA Instructions
