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Request for Appraisal Review Office Use Only <br /> Log It: 1 02l - o,z <br /> Taxpayer please fill out this side only <br /> Date: I l I i-I \7 k C'` <br /> Filing Deadline is the first Friday in December t 1 <br /> Taken by. { ,,i,1 a I _. <br /> Please use separate review sheets for each account <br /> f7��rt5 02 C <br /> RECEIVED <br /> Date: I. l'ec <br /> NOV 0 4 2021 <br /> Have you a pealed to the Board of Property Tax Appeals?: 0 YesNo ?f <br /> MARION COUNTY , <br /> Review Requested By(If different than property owner): // ��� ��� �,uASSESSOR r y/ <br /> Owner Name:,, SA,N� r 4 •[e* Email: `1 W4 via.,t}�iZ3D'2i 44 t' Pbone: 1,6 b?I17p- <br /> Jim. nu, 1440 gt-nai I.cc✓+'i <br /> Owner Mailing Addressdd (complete address):^ ! 3111/34 <br /> 7 �.-,,, r <br /> -i''6�J- - ra-ttwf4 F` A v,a, S&✓ ‘4,142,,„,, cc, J'1 X74 <br /> / I Street Address of Property for Review: SO.-y 1`4.1 // City: ek t <br /> Map/Taxlot Al: Account No.: 3 ea 02.8 <br /> Real Market[Value Requested: <br /> Land: 0— Structures: el" 11 \W,Ott) TotaiV I L t)) 6,10 <br /> Please provide additional Information and documentation supporting your requested value.Attach additional documents if necessary. <br /> ' fO•iCt 4Itb . N8 <br /> to Sk.+ \,\ SM-1 146IUneS 1/4 `inLki ;Mltfil � r <br /> girt d 1A/U�/a n_.LS DIA, I.NW `okT «L(.1&d (Ak a I kQ <br /> c p. 1c) 6-3 6 0£�� (6.- M- - Nec",v L/ <br /> (AN, 10‘A-e, -tLit (- ) az),O . e UciA9e- 0"- lc 4--`k <br /> 0.3revw -%- i.,, wqJ 931 o 33. core- vtz 01-141-✓ <br /> \,\..vvtnr.fl con. 4J - K.czor-- Load v -e__ <br /> Please email completed forms ssessor®co.marlon,orus <br /> / <br /> You may also print and mall copies of completed forms to: �( <br /> Marion County Assessor U <br /> P.O.Box 14500 11 <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 /> httpJ/www.co.marlon.ocus/CO/Pages/bopta.aspx <br />