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' Request for Appraisal Review Office Use Only <br /> Log/t: Tu-a�2 <br /> Taxpayer please fill out this side only I( 12,120,0 <br /> Date: <br /> Filing Deadline is December 7th 2020 <br /> Taken by: .4Wal{ '(,19QJ <br /> Please use separate review sheets for each account <br /> Date: )012$31207-b <br /> OI2I202 ' <br /> Have you appealed to the Board of Property Tax Appeals?: C YesI 'C No <br /> Review Requested By(if different than property owner): 'Pr (-k_A <br /> Tenn 4 t S ac 1" 511 3 <br /> Owner Name: 1-Iel( lnEmail: Phone: I1�7g <br /> � <br /> Owner Mailing Address(complete address): <br /> (17 `� Sl nrnl5l C + R `)r-A14> I l>em G 7 O(o <br /> Street Address of Property for Review: 5aoe, ON5 °caill/)t7� city: <br /> Map/Taxlot H: 0 83\,715 - p C-U�.;{b Account No.: 59 I(4,55 J` <br /> Real Market Value Requested: <br /> Land: Structures: Total: <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> lReque54-- -I-1-,Aa- our I3n'W bt, We poichc,Deok <br /> 4-kls p(op.e 4 On 7 ( zI 2oLo -co( ffi3-7q I OOO. Fur-0givc,() <br /> t.1oor e)mVe ave, brAsecA on 11112.02_0 voloE3l 900 Card <br /> Ste, c(um khe a-1-I-cch2d The, kacy�21,43 115-i` for S m03. <br /> ) n mia - led-t 2019 cc6r,.lt399 clop to t3( q ,goo ono1 5-C! it <br /> aka nal- set . S+ -Ptnal(ci ,4)Ia C +o vs) wken w7t.3 re- IiS_t <br /> on (nal Zql ZOO -Por X3137 / 000 (se,Le p/ic c.rxa5 ' 1")9(./.1) <br /> We pv- ala( e- amovnf- down 3o Gpfral5c(. \ woiveft <br /> wa5coni--ed -9 Our loom, , We, Lut/_e, nol velol-1--ea +0 nor <br /> k ot, acller5, Ourucc,a <br /> -k-Nrse,c-kan. S�' 5ee�f) It C. �6n-v a a 1 11 (C'a'r °G "" 15 Le <br /> Please email completed forms to: assessor@co.marion.or.us l Z I 69 ° `J tar -FooI h , <br /> ut—cis oil9 -��rI�,�-�t,r I1 DU jQ� <br /> You may also print and mail copies of completed forms to: ,CFA r -1-rt1n +ol d c L c1o15 'f1 ,- IS (Ql0.o� <br /> Marion County Assessor rifvto(Z- L��d�"��I ✓1 r-icCve vi Oj. �j2,CiY J� <br /> P.O.Box 14500 5�« -cu1 e341-k-4-1- ,lpcice, -1-ur over I Ile-f 1-1-osell, <br /> Salem,OR 97309 (S G't -6tchmeit) <br /> (Ste, THIS IS NOT AN APPEAL <br /> Please refer to appeal rights included with your tax statement. <br /> (b 'Z Z� To file an appeal please visit: <br /> --c)/70 <br /> http://www.camarion.or.us/CO/Pages/bopta.aspx <br />