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124113
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Last modified
12/10/2021 11:54:38 AM
Creation date
11/29/2021 8:25:20 AM
Metadata
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Template:
Assessor
Account Number
124113
Assessor Doc Type
Review
Log Number
T21-045
Tax Year
2021-22
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Request for Appraisal Review Office Use Only <br /> YSTaxLog#: 11-11- WS-- <br /> Taxpayer please <br /> payerplease fill out this side only <br /> Date: 11 I'7,1-41 Z <br /> Filing Deadline is the first Friday in December <br /> Taken by: Q t-�acki OTC <br /> Please use separate review sheets for each account <br /> 0.0 02- <br /> Date: /// / <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes jXNo <br /> Review Requested By(if different than property owner): <br /> 503 b'e,a , ly <br /> Owner Name: • I • /, Email: V�C(^rblt <(�� �C <br /> � rylTPhone: <br /> • <br /> Owner Mailing Address(complete address): <br /> 35 &6 "Tesifreue Pe) ,S , <br /> Street Address of Property for Review: -Sriy�C City: ,�' (f rn <br /> Map/Taxlot#: Account No.: )( 27/7.5 <br /> Real Market Value Requested: <br /> Land: C'',' Structures: j 922 /77(7hp/ffZio / Total: V / O 00Jrrcc./-i-1 -en rcn4rd lar/ <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> neee/9 .Cif_ 01 079.GsaarS , /7 /n r)wrubet , Cods cr <br /> (U-t? I2 1n' pk/Lccl cT /41: t L bJ '' /7/Cu7L/ *urn Li,S rct< <br /> ([./ 4fccs/ cnt 1)-c0kt7w most. /I r'en/ & Airr/c/ a rNunt/, t )1t1,-f <br /> ( t ) /x(/)r'21o1S cL peC1S Fr((r/ts ,� <br /> Inc ds -I-bi-e 2 (icpniie1 vc. v)1 ei <br /> 4'1-o'e to be__ i 'CeC/ k t-3's I l PIU 9 el Ulf V Pyr-tum k h,o <br /> w . Jae utal tkCC rich Gc)i- C art_ CV-AnC Q W\ <br /> J(ct1 IcxY))/- ws 1/4Ac-Ll-re cmc &ei'*c t Av€akt '3 cal r r <br /> 1 4 poi/ 1- c Vts > zv-S-' «a✓- °crick • ] cft (11.0C-2, (111 d <br /> civ \ \>'--(.ftcc1/4-11l- � wyl� 1/4:3( On w / ( �,� d _ �e �f�d�lfi <br /> jQ p\ \-Th f utrtc A)vAk' �Sy Cct IIL kwdr 4p2 <br /> Please email completed forms to: assessor@co.marion.or.us '* '-AcAL-7 Vt1T- LC.s C.A Z.-r3 1114-Cr <br /> \j‘""kl.sEL c LtnCU L \'1 ,19-9 <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/bopta.aspx <br />
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