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Request for Appraisal Review Office Use Only <br /> Log#:_ 71 _ olo <br /> Taxpayer please fill out this side only Date: 1 f 1212 <br /> Filing Deadline is the first Friday in December <br /> Taken by: p'TZ, <br /> Please use separate review sheets for each account RECEIVED ptn <br /> Date: /Q - � q2 I NOV 01 2021 <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes WNo MARION COUNTY <br /> ASSESSOR <br /> Review Requested By(if different than property owner): <br /> Owner Name: .lose 9 ;4 j Email: Phone: f03 7/O'PIAL <br /> Owner Mailing Address(complete address): O ^� D / <br /> x c Aoherr 4� tie e 4Salmi, / <br /> 8� ff pave v e ,h ✓e NE_ OILY: 5 a /ewl <br /> Street Address of Property for Review: y ,,�v�, 1"p <br /> Map/Taxlot#: (� 72 I4./ 10 06,, Account No.: J()4/ 5 45sy✓5 <br /> 10760 <br /> Real Market/ ✓ <br /> ValuepRequested: p <br /> Land: /0 4 �0 00 Structures: 26 61 a , 0 Total: 1/ 72fl <br /> _._. <br /> Please-provideadditionalinformation and documentation supporting your requested value.Attach additional documents�nece�e/P <br /> C ner refaesled da /ae reduclro0 on neiv// e ri ,p d <br /> h / d % � /beh ', wJ The res ; cleNca lmAt � r/ I as a /I <br /> T T X <br /> l /I e iI L1N /d ikl f was added / O / �e <br /> All U d ✓ el/ ', ngoG4/a00 he ✓'tehas heen rlesulyd <br /> as' deTached reit e --1; 14 '1sAed (116-r) 0 <br /> in a Taxable V lue (Ay) reel ucl; on od $ /N,6j0 and <br /> c ✓ educ7; os4 ,2.41, 6 /0 pi The read al rYJarke7 ✓ u�ue (/ir1111, <br /> Please email completed forms to: assessor@co.marion.or.us <br /> You may also print and mail copies of completed forms to: <br /> Marion County Assessor <br /> P.O.Box 14500 <br /> Salem,OR 97309 THIS IS NOT AN APPEAL <br /> Please refer to appeal rights included with your tax statement. <br /> To file an appeal please visit: <br /> http://www.co.marion.or.us/CO/Pages/bopta.aspx <br />