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17-, • Request for Appraisal Review Office use Only <br /> Logo: 1'20-tytZ <br /> Taxpayer please till out this side only Date: it I Z 1 QO20 <br /> Filing Deadline is December 7th 2020 Taken by: -.1Mad {) '(? <br /> Please use separate review sheets for each account <br /> Date: )0122)1 207,6 <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes a No <br /> Review Requested By(if different than property owner): R(nM,( (�(tuner <br /> Sen01��! t I ackc, 1' I 5y1-32(0- <br /> Owner Name: Email: Phone: I Ila <br /> 1-lGlCn � <br /> Owner Mailing Address(complete address): <br /> G-1 `o c))01-/tm-1i=-1- C + `) F c)e-AIP,n-\ 1 0P-, G730(o <br /> • <br /> Street Address of Property for Review: 3n0-P, 0,5 i <br /> S ra 111 cl/t City: <br /> Map/Taxlot#: 083W'I S - 0#_-bZSixoAccount No.: ' \ 1(055 J1 <br /> Real Market Value Requested: <br /> Land: Structures: Total: 9-1.)01 Don <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Reoko i\ Tickk our I-4-1-1V be C-L-evaluated , We purc,hoDed <br /> -1-k15 p(ope'r+`i on 7 ( al2OLo -Cor 1;' 31g1000a Fur-01 gives <br /> Door e)Y' v5 a(e, brA7-3erA on 011202o VctlUt jl Hou Card <br /> Ce._ C(oM 43e, all-och2a The. moos alb IIs-hedl Cor 5 mos. <br /> ir1 mia - 1a+-2, 2_oIq cc000�399 cloo fo 53c09 , gioo 0001 s llf <br /> Aa no-i- sail . I+ CI I(9 ,Oka Cleo v5) uokien it wa,5 (e- Ii51 CCT <br /> on 0101 2r1 ( 2020 c c t3F37 / 000 Cscile prxk <br /> Rice, c, 3 t3,-)915) <br /> Vie, pI-4 CA Ia( e arti-)ovr+ down So aY- I Ctpeca134 \ waive,'' <br /> was �a�,+Qd our bank . we. L /2, cal Ve 4, j fo n <br /> r`o� or- <br /> kaeller�, Our tuf(� <br /> a a (coy aim15 k <br /> ‘rsackion. S� see�5 Ivu01Z, I6, OIStqr +6pk <br /> 1 `ri ,Please email completed forms to: assessor@co.marion.or.us „e- <br /> 1 <br /> e1 VK--fe, <br /> Utx'.5 cin 04-1-er k DL) , oe <br /> You may also print and mail copies of completed forms to: GOO r -1-1 -1n -I-oI Lc11 os�' L\r10(5 +b , 15 la/ 2� <br /> Marion County Assessor fro t e- '-' � �{ 43--,e, 1._.r coe clot- b-sex\ <br /> P.O.Box 14500 5L'<_ SLu 10->kna-I- p<Ic2, r over I tart 1-o sell. <br /> Salem,OR 97309 C5 c G41nne \ <br /> GC� J THIS IS NOT AN APPEAL <br /> ' . / Please refer to appeal rights included with your tax statement. <br /> �' ��� 1� ' - To file an appeal please visit: <br /> http://www.co.marion.or.us/CO/Pages/bopta.aspx <br /> -(TO ilk <br /> irr.,Acel A".. v.l„c <br />