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Request for Appraisal Review Office Use Only <br /> Log#: T�l-O2G' <br /> Taxpayer please fill out this side only <br /> Date: II SI/I <br /> Filing Deadline is the first Friday in December <br /> Taken by: Lithaa, <br /> Please use separate review sheets for each account <br /> Date: II- <br /> a <br /> Have you appealed to the Board of Property Tax Appeals?: (t'Yes C No In tool S otid mate vi /w'""` <br /> Review Requested By(if different than property owner): \ PrI jI rti <br /> Owner Name: )40I I'� t/�re, C q it ni ) Email: hp it,/ 'live, /JDPhone: 5503 so &0a/V <br /> majOwner Mailing Address(complete address): <br /> J J J O / <br /> '5 Ir Covredakte D✓ 5, cc atom c /Cl309f� - / <br /> Street Address of Property for Review: 5161& Co vvedai e Dr S, Sale" ' ? Ole City: 5G`^e <br /> ry- <br /> Map/Taxlot#: p$y-WoloDOIAD g- AccountNo.: 6331aa0 617 3oa- <br /> Real Market Value Requested: <br /> Land: aCT 5/ D 0 o Structures: F l j300, OO 0 Total: /, 595", 000 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> X am •eAncAosul 3 prope4,lies ` ;-, v- /dew? go/c/ and <br /> GIv5ed rn 2o2I, The h4gh,csf y 0- OroaerkAsj <br /> Said 4' I/L(r S � /. Z9S, DOO I h / ;evc we &o€ JJ <br /> be Ue-ti to ajtt 1 / 5S7poo If we wore 7o Paf <br /> O ux Inv DI Se ✓ Su le. Pt, kik. late n Thin d a raYhit <br /> cwbs-1aitheai p4 of DIAA sc& -Fvatai:e is a base intritand <br /> bPs!atbowl Coi,v+-4r I2IIS tee reaslrion . ThanKljott <br /> �r ol' -Hine Gtl , d Cons d al-MI- <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 RECEIVED <br /> NOV 05 2021 THIS IS NOT AN APPEAL <br /> MARION COUNTY Please refer to appeal rights included with your tax statement. <br /> AS`:,c SEOP To file an appeal please visit: <br /> http://www.co.marion.or.us/CO/Pages/bopta.aspx <br />