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Request for Appraisal Review �TO'ffice Use Only <br /> Log#: 1-20_ D3 <br /> Taxpayer please fill out this side only Date: I I I i6l 20Z(7 <br /> Filing Deadline is December 7th 2020 <br /> Taken by:_Wyli OTC- <br /> Please use separate review sheets for each account <br /> Date: I( I ( 12 120 Zcj <br /> Have you appealed to the Board of Property Tax Appeals?: (`.Yes NRNo <br /> Review Requested By(if different than property owner): <br /> Owner Name: Icq(tcl AI — Alcodyn Email: Alcl illy e�Jq\1u'v .C a..t Phone:i:Sa5- 4t+J- lZov <br /> Owner Mailing Address(complete address): <br /> Street Address of Property for Review: S gib? 'J,nmMe(\Akt SI 1 City: 9412w) <br /> Map/raxlot#: Account No.: rj 91/000 <br /> Real Market Value Requested: <br /> Land: —77—c0 v0 Structures: 29v. 9° Q Total: —2...12 9 <br /> • crL0 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> /2 So / ' r cc; p 1-Q S <br /> 353 cl / Cn A -e <br /> S,,->, ' l L atcu C I1 <br /> 12 (3 cS nevi G 6 <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.onus/CO/Pages/bopta.aspx <br />