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Request for Appraisal Review Office Use Only <br /> log i 2i- Oft <br /> Taxpayer please fill out this side only Date: IU/Z1/2� <br /> Filing Deadline is the first Friday in December Taken by: OTC <br /> n Pleaseleuse separate review sheets for each account 1J <br /> ' <br /> Date: /O 2 I? " 9, I ��, J e'B11 <br /> Have you appealed to the Board of Property Tax Appeals?: C' S Yes (gNSCANNED <br /> Review Requested By(if different than property owner): Sot ,u G <br /> ,t • <br /> Owner Name: lose_(' Ah ��/7 IU iQz Email: Phone: <br /> Owner Mailing Address(complete address): <br /> s),K node- Ave NF ca len, r9R 97x0/ <br /> Street Address of Property Review: <br /> ,/' 7, <br /> 757 A ,✓w/p LAI N Sr E City: Sa �e r <br /> Map/Taxlot#:072kL / Al,o67ULAccount No.: ! nr( "�j- 56.)d13 <br /> Real Market Value - - <br /> �7• • - <br /> Land: 93:00 Structures: z '! ? 2 7�2 -7 Total: J ? 6�/, 270 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> LA) nPrs A ) o , %k ; s Alsip is t O // 0 avid ©ol/ <br /> 100, 7s v 9il '-tie is/ek; ; cal NSF D he htA ; I <br /> ,�/ A : daT el^ rir esrar <br /> r 7 <br /> n ex clJ0Q 7 ne sa �„ e T, hi e, <br /> Hs N cTeci rP+ <t , i ocorrec°7 A I/, Ow net 1✓Jvt /S -n ;s <br /> n "ff- <br /> cet r >a c f <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.ords/CO/Pages/bopta.aspx <br />