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Request for Appraisal Review Office Use Only <br /> WO: I-2o-0. 3 <br /> Taxpayer please fill out this side only <br /> 1.11 1 Filing Deadline is December 7th 2020 Date: <br /> Taken by:cifilt Utt 20`t0 <br /> �l <br /> Please use separate review sheets for each account <br /> Date: 'l\ O / ': c,-c., <br /> Have you appealed to the Board of Property Tax Appeals?: g'es r No <br /> Review Requested By(if different than propeirtyyowner): <br /> Owner Name: Sy 1,„(a. 00.4a) Email: S1,y�o.r�`{$ genas\0-4one: C4n <br /> Owner Mailing Address(complete address): <br /> ) p <br /> S45^c.2 � %c_ci.l1vsaw\22i S1/4¢A-40 SGU\k=731ixeC <br /> Street Address of Property for Review: s C— Ma T s¢. C. <br /> dun City: Yj,\Ls -t` <br /> Map/Taxlotk:083 W—L,o gip—iii.)„, ccount No.: 5c <br /> Real Market Value Requested: <br /> Land: •) Z Structures: 11. 00r0 Total: =-AC1) (SO C2 <br /> Please provide additional information and documentation supporting your requested value.Attach additionaldocumentsif necessary. <br /> ink csiQ)S Csar-N,lr �. �j-A Z,c) KOC WSDbO <br /> Please email completed forms to: assessor@co.marion.or.us <br /> You may also print and mail copies of completed forms to: <br /> Marlon 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 />