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Request for Appraisal Review tOffice Use Only <br /> Log#: 19o'" O6 <br /> Taxpayer please fill out this side only <br /> Date: ‘o11pil.�b3D <br /> Filing Deadline is December 7th 2020 <br /> Taken by: #60 ;O U- ! <br /> Please use separate review sheets for each account `1--� <br /> Date: (0/2e/2B00 �S'GS`V <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes (7No 61 �a 202 <br /> Review Requested By(if different than property owner): — 14‘P" $NE Or <br /> Owner Name: Ka/ire/1k_ K . () re.N YIQjimail: bagRa5 3 3 Mai( cowl Phone:503424- [l(� <br /> Owner Mailing Address(complete address): <br /> 5/5'f- Gemini Ai ,/t, Sa(e✓i , ok 91.305 <br /> Street Address of Property for Review: b(S4 6 en? 41l Ave NE City: Salem <br /> Map/Taxlot#: 012.W 05- 46-11306AccountNo.: -7) 5 (, /19 <br /> Real Market Value Requested: <br /> Land: y 75,000 Structures: p di o,000 Total: $ 34-S Q 00 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> 5ee attokcI � <br /> -ol cocd .waa-6JG n e Sa �L td (l5fi'utyi vv. " <br /> Z r p coca -Goy Litt 2_0H cvyLol gozkiAn Zo 262 . <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 />