Sabra Health Care Holdings 111, LLC Appeal

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IN THE OREGON TAX COURT MAGISTRATE DIVISION FILED Sabra Health Care Holdings III LLC , ) dba Farmington Square Salem )LIAR 19 2021 Name(s) ) Plaintiff(s), ) MAGISTRATE DIVISION versus ) Marion COUNTY ASSESSOR, ) AND/OR ) DEPARTMENT OF REVENUE, ) Case No. 2.t 0 0 8 S& (for court use only) State of Oregon, ) Defendant(s). ) AUTHORIZATION TO REPRESENT Individual persons who represent themselves,including those who act as trustees of a trust or personal representatives of an estate,may appear before the Magistrate Division of the Oregon Tax Court without completing this form. A taxpayer who designates a representative must complete this form unless the chosen representative is qualified to practice law in Oregon. A taxpayer that is an entity,such as a business or a nonprofit organization,must designate a representative. See TCR-MD I E. Please check the desitnation below that applies to your authorized representative(s): Primary Secondary XA person qualified to practice public accountancy in Oregon(includes CPAs and other licensed accountants) A person qualified to practice law or public accountancy in a state other than Oregon ; An Oregon licensed tax consultant— X An Oregon licensed real estate broker or state certified,licensed,or registered appraiser i A partner designated as the tax matters partner(partnerships only) A shareholder designated as the tax matters shareholder(S corporations only) An employee of the taxpayer regularly employed by the taxpayer in tax matters A designated representative of a nonprofit organization or an organization exempt from taxation A spouse,child who has arrived at the age of majority,or parent of the named party Other: Permission to appear as a representative in the Magistrate Division does not remove the responsibility of persons subject to regulatory agencies to comply with the rules of those regulatory agencies. NOTE: Taxpayers are bound by the things their representatives do and fail to do. A taxpayer represented by someone other than an attorney is bound by all things done by the authorized representative,and may not thereafter claim any proceeding was legally defective because the taxpayer was not represented by an attorney. ORS 305.230(3). Primary Representative: Gregory A.Damico is authorized to represent the above-named I plaintiff(s)as primary representative in this appeal. (Court communications will be directed to the primary representative.) Secondary Representative: Desiree Flanary is authorized to represent the above-named plaintiff(s)as secondary representative in this a peal. (Court communications will be directed to the primary representative.) Signature of Plaintiff(s): �.,a. /0n't Di-to n 073 &O Date I•/6.-4/ Print Title Date I Sign -- Print Title`,,, Signature of Representative(s : i�i A._ _ s 2/ 03/16/2021 Pn MI Date Secondary a Date Primary Representative's Information: Secondary Representative's Information: Printed Name Gregory A.Damico Printed Name Desiree Flanary Mailing Address 203 SE Park Plaza Drive. Suite 230 Mailing Address 203 SE Park Plaza Drive, Suite 230 City,State,ZIP Vancouver,WA 98684 City,State,ZIP Vancouver.WA 98684 Phone (360)750-6884 Fax (360)750-7268 Phone (360)750-6884 Fax (360)750-7268 Email* appealst taxadvisorscpa.com Email* armeals(cD_taxadvisorscpa.com *Notices of Proceedings will be sent by email. Please adjust your email filters to allow emails from: hearing scheduled@ojd.state.or.us; Court Notification@ojd.state.or.us;Hearing Rescheduled@ojd.state.or.us; Hearing_CANCELED@ojd.state.or.us;Judgment@ojd.state.or.us;and efilingmail@tylerhost.net. 1163 State Street,Salem,OR 97301-2563 www.courts.oregon.gov/courts/tax/ (503)986-5650 Fax:(503)986-4507 Rev. 1/19