Electronic Overlapping Debt Report Request Form
District Name:
Primary County:	BakerBentonClackamasClatsopColumbiaCoosCrookCurryDeschutesDouglasGilliamGrantHarneyHood RiverJacksonJeffersonJosephineKlamathLakeLaneLincolnLinnMalheurMarionMorrowMultnomahPolkShermanTillamookUmatillaUnionWallowaWascoWashingtonWheelerYamhill
	- County where the district has the    highest (or primary) True Cash Value.
Report Dated as of:
	- Enter dates as MM/DD/YYYY.
Report Requested by:
Phone:
Email Report to:
Special Instructions, Comments, or Questions: