Laserfiche WebLink
Request for Appraisal Review Office Use Only <br /> Log#: - <br /> Z 0 5�'� <br /> Taxpayer please fill out this side only Date: L j L i <br /> Filing Deadline is the first Friday in December Taken by:�,41jN <br /> Please use separate review sheets for each account <br /> ric/9 61D <br /> Date: D3 D6L ?,4)2-4 � 0 <br /> the Board of Property Tax Appeals?: C Yes 0 No '+c <br /> 11 <br /> Have you appealed to <br /> Review Requested By(if different than property owner): <br /> Phone:Ks-05) /w-854 <br /> Owner Name: Wea/Gac!-1 (-7 l•6m/ JO Ai?I Jo.1 c!LL itsiail: <br /> J00I4../. CO <br /> Owner Mailing Address(complete address): <br /> 67 6 /✓e o/ J 7 A✓C n /. CR i <br /> FeAli i,61ae::› F14-4 . ACZ /,J KE (a-4 L.7 City: k c1 Lam✓ <br /> Street Address of Property for Review: ��/Z�j 0, /4'+tl2XiM`"Z) t %b L <br /> FAt /O <br /> Map/Taxlot#: ✓ A V ta0.;Z 3/ /C l.' Account No.: 52 5 <br /> 0-4?jornee O 1 -so 0 - _S • . ' <br /> Real Market Value Requested: n n nn <br /> Land: 4r/00 00 <br /> QQ Structures: !�• tJ Total:l oO (✓ D0 V <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> lif„ c,Le, 51 ll <br /> RECEIVED <br /> rf,r,fi 70 e3-efs (---P DEC 4 $ 2.JZ1 <br /> ii <br /> J-/ MARION COUNT`! <br /> , + ASSESSOR <br /> 4-11-d <br /> k_____AAA/0/1- fit. <br /> Gotta 60 ef -(59 \-3\n1Q5CL-(9 <br /> Please e <br /> % 1 i <br /> You may also print and mail copies of completed forms to: AkA,V) �� <br /> 0 JA Marion County Assessor <br /> \e <br /> 0 W. <br /> 31 <br /> P.O.Box 14500 n V <br /> (1VSalem,ORR9797309 / <br /> 1)(-- <br /> rnt. <br /> Please <br /> To file..,...,-,-, r._..__ .___ <br /> http://wwl,v.co.marionm.us/CO/Pages/bopta.aspx <br />