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Request for Appraisal Review Office Use Only <br /> og#: <br /> Taxpayer please fill out this side only 'BI2 <br /> Date: <br /> Filing Deadline is the first Friday in December <br /> Taken by: 07C <br /> Please use separate review sheets for each account <br /> �1_se-s' / Cep M <br /> Date: LS <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes )(filo <br /> Review Requested By(if different than property owner):r) G//✓I�QK rS 7- Z cVe -4J$° tt.4MT Co /"Z <br /> Owner Name: S7c /&4f L/N/)OLtNp r Email: Pho : 7c.161 c9.49 dre? <br /> Owner Mailing Address(complete address): r. <br /> 750 gat Va/3s /pogn.ane c /c <br /> 9 -Va <br /> Street Address of Property for Review: 3S3' L/ec,�-y ST N& City: Ssq L. <br /> vy <br /> 0 73 LU cPcP 1C O di 5 49vat <br /> Map/Taxlot#: Account No.: <br /> Real Market Value Requested: �-y / <br /> Land: c? 'rT'/3O Structures: Total: �/.' zr 3Q <br /> Please provide additional information and do✓cumn�renstataion supporting your requested value.Attach additional documents if necessary. <br /> ,y woniIereit -rtlCS <br /> ce1 tar - <br /> F/CIA✓6 girt-tU i reS-+4 Q ebre-P t f L- <br /> / Arckabtime.) /ry ‘dr-c- edsotoist 6tboc >9 c,u.rrr <br /> SDG>� -ra&rt/c t 641- < 0)0 'Ode °We <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 />