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Request for Appraisal Review Office Use Only <br /> Log N: - 0 R <br /> Taxpayer please fillout this side only I <br /> Date: <br /> Filing Deadline is December 7th 2020 <br /> Taken by: <br /> Please use separate review sheets for each account <br /> Date: (&f24 'We <br /> Have you appealed to the Board of Property Tax Appeals?: CYes 1ANo /pyf-� f ,} <br /> Review Requested <br /> By(if different <br /> �than <br /> /property owner): V czU I (yI\ A fpi d tes �4 " 1 prof&icy Bll/i✓J <br /> Owner Name: yth4 YfI QTY YI K��.l pt f ctfk,( 9 do* <br /> r <br /> }- / Q Email: GIOD J mail,d <br /> Owner Mailing Address(complete address): ,-v �� +7� <br /> /H S� , �,rll s �it Al i Qr '4is Vlf <br /> Street Address of Property former Review:Rel�//�� . /i1( E City: <br /> Map/laxlot#: Q574'L egcount No.: / \h" /5 <br /> Real Market Value Requested: J /� <br /> Land: r r ?33 tcW Structures: 24'57690 Total: /(c37( 2/ 0 <br /> pand docum�eIntati n supporting your requested value.Attach additional documents if necessary. <br /> Please provide informationf * rim` q / rl ve ices <br /> sAew' V*V <br /> VV (//N/`I' L <br /> LI <br /> Gfil � 4. 13/gen /zi 2- So' c` ih.Ili Qs �'�( V <br /> ,o �roll ✓ z( be relied -,e--, <br /> 23(Sq 0 1/4 f13, z6c' 69t <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.orus/CO/Pages/bopta.aspx <br />