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Request for Appraisal Review Office Use Only!IA <br /> Taxpayer <br /> Logn: �/ - L !I(9 <br /> Taxpayerplease fill out this side only <br /> Date: / � �'. �(i� �� <br /> Filing Deadline is December 7th 2020 <br /> Taken by: C <br /> Please use separate review sheets for each account <br /> Date: JO- J - 70 <br /> Have you appealed to the Board of Property Tax Appeals?: QYes tri No 81:21 <br /> P \ <br /> Review Requested By(if different than property owner): \SAAlrJR A !JR / kJ / 9 7. C 0 , A , ) <br /> Owner Name: F/A/Ine ke? rn Email: c d ii,vnde r ann Phone: 97/-Lim- e,SZt <br /> Owner Mailing Address(complete address):re q �/ <br /> /362 -J /u//A Ci N E A uEo PA 6i cr/ /OOrp <br /> /363.2- n <br /> Street Address of Property for Review: - � '//A City: Atwo Y,4l k <br /> Map/faxlott di f iv B CQo�Accccoount No.: gfl 9 7 -7/01)516-1-1 <br /> Real Market Value Requested: <br /> Land: G3 0 0 O Structures: 41- Total: z .5 (3 06 <br /> Pleaseprovideadditional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> .. 71) <br /> -ct.�..� .x.�i�.�J -a.•�.t `.�'a-.r-�¢. -c... .-Y.1t=� Jae_�/ii�-rn-� <br /> QAdC c� eye 7 .-Sz�,s�>,-n <br /> —44/ e_g_itLattz <br /> /0'" -fY�c,w -�o - .- i �� ( {� cL <br /> "Z'ftt, -fir �a- -.�-t-el <br /> c�a-e-e n7Q-4_e <br /> /A,�. _-t—c.ti� <br /> . a.. ✓.-e�� .-C —fr„_dGE <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 />