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Request for Appraisal Review Office Use Only <br /> Logs: eral —030 <br /> Taxpayer please fill out this side only <br /> is) <br /> Filing Deadline is the first Friday in December Date: Ill V <br /> Taken by: OT <br /> Please use separate review sheets for each account <br /> Caw) WI <br /> Date: <br /> //-0.8—.,Gba/ LS <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes X No <br /> Review Requested By(if different than property owner): L/A/bOaitST JD9 I/ yoM6MT' co ivc, <br /> n3 ?O mac? <br /> Owner Name: <br /> _Crate,/ � QLe"sr- Email: Phone: <br /> Owner Mailing Address(complete address): <br /> R2 602c 44=243.5-- A42?-4 4/v2) o't 97o'Va <br /> Street Address of Propertyefor Re'viieew�13o.S� '/�se7y ST nee- City: S�GfiM <br /> 073 IWOC. 7TT� V��fot#: ount Naafi O 70' 7 <br /> p� Real Market Value Requested: <br /> Land: T.T Structures: /, 82?, 9 Total: / er897o <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> S89ao� <br /> Sifta/a 1tni) divv,V 71064 u N fr <br /> Seco s - i r n° v Asti C er essen <br /> Sf -770 lg-T-{-fti2 Z. $ &, ?Chl,Ott <br /> Please email completed forms to: assessor@co.marion.or.us <br /> You may also print and mail copies of completed forms to: <br /> Marlon County Assessor <br /> P.O.Box 19500 <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.orus/CO/Pages/bopta.aspx <br />