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Request for Appraisal Review Office Use Only <br /> Log It: " v2 1 <br /> Taxpayer please fill out this side only <br /> Date: IIft)yI Qd 2O <br /> Filing Deadline is December 7th P` <br /> Taken by: ...van U5 <br /> Please use separate review sheets for each account <br /> Date: Id/e2 s/a-c.) <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes RNo <br /> Review Requested By(if different than property owner): <br /> e.tACer MA .r <br /> vt)-oCt <br /> Owner Name: 3OLetucvc CY /yr 6-to e5z 3 Email: Phone: 5.5 0i 26C 2407 <br /> Owner Mailing Address(complete address): p / <br /> 1 `1 / 9 o,, Sar 1/1/ay �W0Ckb � rr\ 5r 176 _7i <br /> Street Address of Property for Review: 14, 999 Javt,S c.st. o__ t2t2 q City: L.0004 u & <br /> Map/faxlot A: Account No.: M 1 <br /> Real Market Value Requested: <br /> Land: Structures: Total: <br /> Please provide additional information and documentation supporting your requested value. <br /> Attachadditionaldocuments if necessary. <br /> �tc ouSL o� the. Can.G< i4td& GC OA/ '-Id ^^.�Cb <br /> t i C /f. ck. ✓2 / '71 /S <br /> �c+ Li . orfh 12t&V cth <br /> 5 IV‘ CIL (X5 "Mc 55e fled t/a1Jc a na� <br /> lNc ulj I tICt Sorot QAe, fro* yauv' efiFc)Ce, -F c, ea loop 14 <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 />