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Request for Appraisal Review Office Use Only <br /> Taxpayer please fill out this side only Log#: � - OLIe <br /> Filing Deadline is December 7th 2020 Date: l 11/ZI 1O2_� <br /> Please use separate review sheets for each account Taken by: Hi1ei l E <br /> Date: k \/ t�( l 0 2- 0 <br /> Have you appealed to the Board of Property Tax Appeals?: Sic es <br /> r No <br /> Review Requested By(if different than property owner): <br /> Owner Name: o s`t-a\ Email: S I y c3 O(1`'4%®r{, • one: J <br /> Owner Mailing Address(complete address): <br /> L\r37.2. � S e. 12L1-z(s� S-AsA.o.\e:WZ gs2c <br /> Street Address of Property for Review: 51 <br /> \� �'�,ca11 eSt j City: ea`QV<v <br /> Map/Taxlot#: O$ Account No.: 3rscA r4.41 <br /> Real Market Value Requested: <br /> Land: / ��� <br /> Structures: °-\ 2 '3 ) �, Total: f--1 <br /> Ck <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> (r)�� CEJ <br /> y cr 2.2 o V, X2.5 r�c1 v <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.asbx <br /> p: WWW.co.ma • .• .• <br /> •.•- bo ta.aspx <br />