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Request for Appraisal Review Office Use OnlyLog#: 21-026 <br /> Taxpayer please fill out this side only Date: I /4/1_1 <br /> Filing Deadline is the first Friday in December Taken by: GrAlck r4rnsT( (- <br /> Please use separate review sheets for each account C, "n, t� <br /> 1 `� tJ/ <br /> Date: I I/S/3_02I <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes •No <br /> Review Requested By(if different than property owner): SA wr; kn I Zen <br /> q laG <br /> Owner Name: rkc ouyebur �d�� [(.G Email: Phone: 503-1360-21{ r}s(H9 <br /> Owner Mailing Address(complete address): <br /> ac C Otitdoor AdverF;sigig LA-C 71c NE Evereft St , Thrtlo„d o2 97232 <br /> Street Address of Property for Review: 1."Tol -2731 I ft Sf SE / Sq ie.." City: S4 Gear( <br /> Map/Taxlot#: 073c✓340Doo4okAccount No.: S66#716 <br /> Real Market Value Requested: <br /> Land: Q Structures: O Total: C2 <br /> Please-provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> lox f 4+eel 6;11kag/A was re+ noveal. 7/7/--O.27 <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.or.us/CO/Pages/bopta.aspx <br />