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Request for Appraisal Review Office Use Only <br /> Log#: <br /> Taxpayer please fill out this side only - IZ(tl <br /> Date: 1 <br /> Filing Deadline is the first Friday in December Taken by: QTL � <br /> Please use separate review sheets for each account <br /> CEIVED (1)D\,) <br /> Date: Ott 29, aoar NOV 01 2021 ryy'1 <br /> '� <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 /> I I ///��� ,pet <br /> Owner Name: PlL rJiarI??Jn anne PFFFu, Email: rp fa. a_ 0. domea,stPhone: 77�dew — <br /> 95'64 <br /> Owner Mailing Address(complete address): <br /> /oo'7 /V PPrsivn5 St MountAnJe4, OR, 973602 <br /> Street Address of Property for Review: /O07 /✓ Per-shiny -s'( City 4dartipid <br /> l�61003CM 358551 km hccoco"04\ r <br /> Maplfaxlot#: Account No.: <br /> 02✓00� 5'O 2 21 <br /> Real Market Value Requested: <br /> Land: Structures: Total: <br /> Pleaseprovide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> The ,s/ze of 74e house on e but3/406 ,oermrt and <br /> 71- e blue grin& are cioretti '4tc1i /Ae Size of Me <br /> //arse you) belie en /je. 71Zrx recarn/s. .� be/i ✓e o/ie <br /> Rouse .s srral,(er #la-n shvtn 6n 7kx reaeraLs, <br /> n <br /> Please email completed forms to: assessor@co.marion.or.us L`' -JR' <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.orms/CO/Pagesibopta.aspx <br />