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Request for Appraisal Review Office Use Only <br /> Log#: 7:2I—OZO <br /> Taxpayer please fill out this side only Date: III Zi <br /> Filing Deadline is the first Friday in December Taken by: Ch IifsI <br /> Please use separate review sheets for each account <br /> Date: <br /> II/63 / '725z ( (Lvfa9- 15,60 <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes *No <br /> Review Requested By(if different than property owner): <br /> Owner Name: - _ }-��}/r�. Email: a6iL.4-1,I95Tx�,F-eI( Phone: j -7_cr, aczk <br /> Owner Mailing Address(complete address): <br /> S7/ Nle 71 5` / e 14 -7 /C e-tl a Or �7Zo <br /> 0 <br /> Street Address of Property for Review: 26°37 2.( 0°/7 /7l e Y�,tc. Cd SC City: Le"5 <br /> Map/Taxlot#: 69 a LI 051919 Account No.: !>9 3X7? <br /> 153jgf0y <br /> Real Market Value Requested: <br /> Land: Structures: Total: <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <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 <br /> 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/borita.aspx <br />