Form 150-310-013 "Application for Water Association Exemption" - Oregon

What Is Form 150-310-013?

This is a legal form that was released by the Oregon Department of Revenue - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2011;
  • The latest edition provided by the Oregon Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 150-310-013 by clicking the link below or browse more documents and templates provided by the Oregon Department of Revenue.

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Download Form 150-310-013 "Application for Water Association Exemption" - Oregon

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Application for Water Association Exemption
ORS 307.210
Assessor’s Use Only
• File with the county assessor on or before April 1 preceding the tax year. The tax
Date received
year begins July 1.
Approved
• No application is required if all property was exempt the previous year and
By
ownership or use of the property remains unchanged.
Denied
Property Subject to This Request (attach a separate sheet if needed to describe property)
Complete name of water association (Print)
Assessor’s account number (as shown on the property tax statement)
Is this a change of address?
Physical address of property
Yes
No
Representative Who Can Furnish Necessary Information
Name (Print)
Telephone number
( )
Mailing address
City
State
ZIP code
Yes
No
1. Is the association incorporated? .....................................................................................................
2. Does the association operate on a nonprofit basis? ......................................................................
3. Does everyone who receives water service share in the cost of construction, maintenance,
and operation of the system, and in the division of any surplus or reserve funds that
accumulate when the surplus or reserve is not needed for construction or maintenance
of the system? .................................................................................................................................
4. Does the association have any income or investment not related to obtaining, storing,
conveying, or distributing water? If yes, attach an explanation ......................................................
5. Is everyone who receives water service a member of the organization? .......................................
6a. Is voting restricted to one vote per member, or .............................................................................
6b. In proportion to each member’s patronage, as provided by the bylaws? ......................................
7. Is providing domestic or irrigation water services to members the primary purpose of the
association? ....................................................................................................................................
8. How many members does the association have? ..........................................................................
___________
9. How many members are commercial users of the water? .............................................................
___________
10. How much water was used by members of the association during the last calendar year?
Indicate gallons or cubic feet ..........................................................................................................
___________
11. How much of the water (as indicated in #9 above) was used by commercial users in
commercial establishments? Indicate gallons or cubic feet ...........................................................
___________
12. What assessments, dues, or annual charges (other than water service charges)
20______ $__________
were made against members within the last three years? ..........................................
20______ $__________
20______ $__________
150-310-013 (Rev. 04-11)
GO TO THE BACK OF THE FORM TO COMPLETE
Application for Water Association Exemption
ORS 307.210
Assessor’s Use Only
• File with the county assessor on or before April 1 preceding the tax year. The tax
Date received
year begins July 1.
Approved
• No application is required if all property was exempt the previous year and
By
ownership or use of the property remains unchanged.
Denied
Property Subject to This Request (attach a separate sheet if needed to describe property)
Complete name of water association (Print)
Assessor’s account number (as shown on the property tax statement)
Is this a change of address?
Physical address of property
Yes
No
Representative Who Can Furnish Necessary Information
Name (Print)
Telephone number
( )
Mailing address
City
State
ZIP code
Yes
No
1. Is the association incorporated? .....................................................................................................
2. Does the association operate on a nonprofit basis? ......................................................................
3. Does everyone who receives water service share in the cost of construction, maintenance,
and operation of the system, and in the division of any surplus or reserve funds that
accumulate when the surplus or reserve is not needed for construction or maintenance
of the system? .................................................................................................................................
4. Does the association have any income or investment not related to obtaining, storing,
conveying, or distributing water? If yes, attach an explanation ......................................................
5. Is everyone who receives water service a member of the organization? .......................................
6a. Is voting restricted to one vote per member, or .............................................................................
6b. In proportion to each member’s patronage, as provided by the bylaws? ......................................
7. Is providing domestic or irrigation water services to members the primary purpose of the
association? ....................................................................................................................................
8. How many members does the association have? ..........................................................................
___________
9. How many members are commercial users of the water? .............................................................
___________
10. How much water was used by members of the association during the last calendar year?
Indicate gallons or cubic feet ..........................................................................................................
___________
11. How much of the water (as indicated in #9 above) was used by commercial users in
commercial establishments? Indicate gallons or cubic feet ...........................................................
___________
12. What assessments, dues, or annual charges (other than water service charges)
20______ $__________
were made against members within the last three years? ..........................................
20______ $__________
20______ $__________
150-310-013 (Rev. 04-11)
GO TO THE BACK OF THE FORM TO COMPLETE
General Description of Water Service Property Owned by Association
Type of property
Unit or size
Quantity or length
Remarks
Dams and diversion works
Wells and springs
Reservoirs/tanks/towers
Canals/ditches/flumes
Gates and values
Meters/meter boxes
Purifying/treatment facilities
Hydrants
Mains/lines
Pumps
Pump houses
Services
Heavy equipment
Tools (hand and power)
Buildings (describe)
Office furniture and equipment
Materials and supplies
Other (describe)
Attachments
The following must be attached as part of this application:
• Articles of incorporation and bylaws of the association.
• A statement regarding nonmember users.
• A statement or information regarding other income or investment funds that are nonwater service related.
Verification by Association Officer
I declare under the penalties for false swearing, ORS 305.990(4), that I have examined this document and any accompanying
attachments and statements, and to the best of my knowledge it is true, correct, and complete. I hereby certify that the property
described above is being used in accordance with the request.
X
Signature of officer
Title
Date
150-310-013 (back) (Rev. 04-11)
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