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Request for Appraisal Review Office Use Only <br /> Log#: 5V0 <br /> Taxpayer please fill out this side only <br /> Date: 1 9-- <br /> Filing Deadline is the first Friday in DecemberHTaken by: 6 <br /> Please use separate review sheets for each account <br /> O <br /> Date: D3 DEL 7,02 / ` q o <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes •No pitko <br /> Review Requested"n� By(if different than property owner): <br /> Owner Name: Wes (i i .t (7 1.L/J./07(/0.1s;L.L.email: co/foA ivi:cr./y L Phone:(?05) fw-este <br /> 4..I. co pawl <br /> Mailing Address(complete address): <br /> J,N <br /> /676 A/co/A Jr 'J S, /.,„ DR 7730 / <br /> , JcpJ ep A4.4K. .*2 /J KO(a:6 4:7 ) <br /> Street Address of Property for Review: fE/Z,vWmp Attax.0-2 / (13;6 G:fR /0 ) City: A..14.e.✓ <br /> Map/Taxlot#: p 7314/02 3,800/0 D Account No.: 52 0,2 -5 <br /> Real Market Value Requested: 60 <br /> /� <br /> Land: y 1DDj D 2O Structures: (/- 00 Total:0_1 0 a/O, 00 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> RECEIVED <br /> DEC 0 8 2621 <br /> MARION COUNTY <br /> ASSESSOR <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/bopta.aspx <br />