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Request for Appraisal Review Office Use Only <br /> Log#: ' _C) <br /> Taxpayer please fill out this side only Date: .:111 'j i, <br /> Filing Deadline is December 7th 2020 Taken b . • <br /> Please use separate review sheets for each account <br /> 4 , <br /> Date: /2—/ FEB 01 2021 <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes (: No MARION COUNTY <br /> ASSESSOR <br /> Review Requested By(if different than property owner): <br /> Owner Name: Jose Mosqueda Email: mosqueda_ref@hotmail.com Phone: 5039317461 <br /> Owner Mailing Address(complete address): <br /> 2612 goodin pl s <br /> Street Address of Property for Review: 2612 goodin PL City: Salem <br /> Map/Taxlot#: 083W08C004001 Account No.: 334409 <br /> Real Market Value Requested: <br /> Land: Structures: 5 1/ `�j v ? Total: 5r/r <br /> d- <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> a-X� 17f. 5 e e c/c l to- .E Rave 3G Oak-5 a� <br /> e5 p <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 />