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REV 64 0003 (4/21/2017) 1 <br />Taxpayer’s Claim for Reduction of Assessments <br />Resulting from Destroyed Real or Personal Property or <br />Loss of Value in a Declared Disaster Area <br />Chapter 84.70 RCW <br />This claim for reduction of assessments and for abatement of taxes must be filed with the county assessor <br />within three years after the date of destruction or loss of value. <br />Contact your local county assessor’s office if you have questions or need help filing this form. This is to notify you that I am claiming relief under the provision of Chapter 84.70 RCW and petition for <br />adjustment in the applicable assessment and for the applicable abatement of taxes. <br /> <br />Taxpayer (please print) Phone Number <br /> <br />Mailing Address Property Address (if different from mailing address) <br /> <br />City, State, Zip Code <br /> <br />Parcel No: (From tax statement) <br /> <br />Legal description: <br /> <br /> <br /> Real Property Personal Property <br /> Mobile Home Commercial <br />Description of property destroyed: <br /> <br />Date of destruction: <br /> <br />Describe in what manner the property was destroyed (e.g. fire damage, flood damage, wind damage, snow damage, property owner tore down structure, etc.) <br /> <br />I declare under the penalties of perjury provided by the laws of the State of Washington that the foregoing statements are true and correct. <br /> <br />Date & Place (City/Town) Signed Taxpayer Signature <br />Assessor’s Use Only <br />Claim: Qualifies for destroyed property and abatement Date filed with Assessor <br /> Qualifies for destroyed property only <br /> Does not qualify because: <br /> <br />