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Request for Appraisal Review Office Use Only <br /> Taspayerpl oseflloutthisside arty 77 I ' UN <br /> Filing Deadline Is the first Friday In DecemMr Date: 10/29/Z <br /> Please use separate review sheets for each account Taken by: viivt <br /> Date: to)t-?1 J/ � en 1 re <br /> Have you appealed to the Board of PropertyTax Appeals?: ryes ,7 NO � SCANNED <br /> Review Requested By Of different than property owner): / <br /> Owner Name: FRED ¶ruu/cIkr Email: f, "DSYPIOOYES NII.e l one: 6-03`9g4/2501 <br /> Owner Mailing Address(complete address): <br /> ?las El/rico!', ed idooc//iu.rn or 9771 /291YS!Hm/citl✓v A'46vc/ 973, <br /> Street Address of Property for Review: 29941 5h ich" LW trhr✓ci ! alt OR <br /> let <br /> Map/Taxr: Of/Liu/7f / 0ie0O Account No. R47 '3ó, '4P 9703e— <br /> SI <br /> 7032 <br /> 5115113 (:p44m <br /> Real Market Value Requested: <br /> Land: Structures Total: <br /> Please�provide additional information and documentation supporting your requested value.Attach additional documents If necessary. <br /> T <br /> f IP4se Adfu5t TAX 5t"afemP+ff > 5N7t4✓ oNy 7-,Vh Li/cty 4.4ftnn) <br /> AtAl /*yarm?Nts 4nc/ 72X-e o4 aflame() `I°9- 67a <br /> VV r_ <br /> T!✓mnk Va.( . <br /> TJX* c <br /> aph <br /> Please email completed tones to: assessor@co.marlon.or.us <br /> You may also print and map copies of completed forms to: <br /> Martin 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 11www.co.marion.or us/CO/Pages/boptaaspx <br />