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Request for Appraisal Review Office Use Only <br /> Log it: 1 .21—OI6- <br /> Taxpayer please fill out this side only <br /> Date: i- Ztitl <br /> Filing Deadline is the first Friday in December y <br /> Taken by: tjp,„az <br /> Please use separate review sheets for each account <br /> Date: 10/25/2021 RECEIVED (>e4 <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes (: No OCT 28 2D21 C! M1 E <br /> VvrY, <br /> Review Requested By(if different than property owner): MARION COUNTY <br /> ASS ESSOR <br /> Owner Name: Darryl&Gwen Stark Email: darrylwstark@yahoo.com Phone: 562-619-5558 <br /> Owner Mailing Address(complete address): <br /> 2463 Crestmont Cir.S. Salem,Or.97302 <br /> Street Address of Property for Review: 2463 Crestmont Cir.S. City: Salem <br /> Map/Taxlot N: 083W05CD00200 Account No.: 570705 <br /> Real Market Value Requested: <br /> Land: 173,250 Structures: 821,750 Total: 6/9 S ono <br /> IJb ; i�0 I `.I ID <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <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 /> httpi/www.co.marion.or.us/CO/Pages/bopta.aspx <br />