Form # 19
Last Revised: 09/22/2020
File Location: I:ALL/City Forms
Senior Citizen
Assessment Deferral
Dallas City Code 3.300-3.325
Applicant’s Name
Complete Address
Phone Email
Applicant’s Date of Birth
Please provide a description of the property subject to assessment.
Amount of the unpaid assessment $
Date of the assessment you are requesting to defer
List the book and page of the public record in the office of the Polk County clerk that states
the applicant’s interest in the assessed property:
Book Page
I, the above-named applicant do hereby certify and declare that the assessed property listed
above constitutes my primary residence. Further, I certify that I am the sole occupant of the
property / head of the household at that property (
strike the statement that is not applicable) and I am
retired from employment and maintain myself on a static or fixed income.
By signing below, I certify that the information contained above is true and correct to the best of
my knowledge.
Date
Applicant’s Signature
Official Use Only
File #
Date
City Manager's Office
187 SE Court Street
Dallas, OR 97338
503-831-3502
sam.kaufmann@dallasor.gov
Please return completed form to:
click to sign
signature
click to edit
Form #
Last Revised: 8/24/2020
Location: I:\ADMIN\CITY MGR\FORMS FOR WEBSITE\2020 Forms Project\Revised Forms
3.300 Definition. For the purpose of sections 3.305 to 3.325, "senior citizen" means a natural
person, sixty-five year of age or older, not employed on a full-time basis, and maintaining himself
or herself on a static or fixed income.
3.305 Deferral of Assessment. A senior citizen living alone or as the head of a household, who is
the owner of not less than an undivided one-half interest in the fee of real property as a tenant
in common or by the entirety, and who maintains his or her residence on real property that has
been or may be assessed for a share of the costs of a public improvement, may apply to the
city manager to defer payment of the assessment.
3.310 Application Forms. Application forms shall be prepared and furnished by the city
manager. The application form shall include:
(1
) The name, address, and birthdate of the applicant.
(2) A description of the assessed property.
(3) The amount of the unpaid assessment.
(4) The book and page of the public record in the office of the Polk County clerk that states
the applicant's interest in the assessed property.
(5) A statement that the assessed property constitutes the primary residence of the applicant.
(6) The status of the applicant as sole occupant of property, or as head of a household.
(7) A statement that the applicant is retired and on a static or fixed income.
(8) Any other information the city manager may require from the applicant bearing on the
question of whether the payment of the assessment will constitute a hardship on the
applicant to justify the deferral of the payment.
3.315 Council Review.
(1) The city manager shall review each application for deferment of the payment of
assessments and make a recommendation to the council not later than 21 days from the
receipt of the application.
(2) The council shall accept or reject the recommendation and grant or deny such deferral.
If the council fails to act within 21 days after the receipt of the city manager's
recommendation, the application for deferral will be considered denied.
(3) The council may deny any application for the deferment of the payment of an assessment
for a public improvement for any reason. Acceptance will be based only on a finding by
the council that a hardship exists.
3.320 Application Approval. If the council grants the application for the deferment of the
payment of an assessment, the effect will be as follows:
(1) The applicant will not be required to make any payment of principal or interest on the
assessment after the date the application is granted, except as otherwise provided in
sections 3.300 to 3.325.
(2) The assessment will continue to be a lien against the property assessed to the same extent
and with like effect as in the case of other assessments for public improvements, except
that payment shall be deferred as provided in subsection (1) above.
3.325 Term of Deferral.
(1) The deferral of the payment of the assessment shall continue from the date it is granted
until the happening of any one of the following events:
(a) The disposal of the property subject to the assessment by the applicant by sale, gift, or
otherwise.
(b) The abandonment or relinquishment of the property subject to the assessment by the
applicant as his or her primary residence.
(c) The death of the applicant.
(2) From the granting of the application for the deferral until the happening of any of the
events contained in subsection (1), no proceedings will be instituted by the city to
foreclose the assessment.
Dallas City Code Section 3.300 - 3.325