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Request for Appraisal Review Office Use Only <br /> pp <br /> Log#: <br /> Taxpayer please fill out this side only Date: i(tolB9l7p nQ� � <br /> Filing Deadline is December 7th 2020 Taken by:"Cir..n1-ry1'I V l-4 ^e— <br /> Please use separate review sheets for each account '',- ,Jv <br /> Date: Aeit) f 0,20 <br /> Have you appealed to the Board of Property Tax Appeals?: fl Yes (/1 No <br /> Review Requested By(if differentntthan property owner): 11 9� <br /> Owner Name: � <br /> .� 'V05 i CtI eG/ Email: Alo,5c i/ C'G/ Ci Phone: 3/f� ✓ZI <br /> Owner Mailing Address(complete address): I � 3a �,6 i(,(r/ <br /> '�, (� . - dy, �6��d Co �/� laf,I/ 0 I 70w- c)!y/ `1 0 ��I <br /> Street Address of Property for Review: /3 tr, yc'd/ 5I'' City <br /> Map/iaxlot#: Account No.: <br /> 23W?-3y5.- 7 oC? <br /> Real Market ValueRequested:Requested: <br /> Land: Structures: /,5 c9 !S1 Total: <br /> Please provideaddtNonal information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Jde�/ or ,zo-AI �SPd <br /> lA �1ur iwie � far4 ; � ; t W2S ct <br /> on ,ri ; Sin (orMa 14 drPM GOH/ ra <br /> 1 ),04, Ll � rl'1..o h txceATo„ a/Lie of .11. 64 24- should <br /> 6e, re0401),4 C <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 />