Laserfiche WebLink
Request for Appraisal Review Office Use Only <br /> Log#: ] <br /> Taxpayer please fill out this side only Date: I1IBlZ`31 <br /> Filing Deadline is the first Friday in December Taken by: (]TG <br /> Please use separate review sheets for each account <br /> p 'x11#1 <br /> Date: /1-d8-asap, <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes y'No <br /> enc. <br /> Review Requested By(if different than property owner): � n/SO 4u`sr v�co PAAe-A7 CO e <br /> �+ <br /> �y Sa 3 7cAi aa9de- <br /> Owner Name: G? VON L..�/✓2l, Email: Phone: <br /> Owner Mailing Address(complete address): <br /> Po 80c '{2/35 Pd,ert 44Nr)) O 9 zaV.a <br /> Street Address of Property for Review: 3oS Lrt M'7 •.;T Ate City: SS04-Le-A^ <br /> 0734102.a t)c 047174-0 89a/d <br /> Map/Taxlot p: Account No.: <br /> l p ',..,1T) Real Market Value Requested: <br /> '7 <br /> Land: to o 0 Structures: Total: A'es'?coo <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> /lM 01#/#4/n r vafj l!E riot -rival -4 cia UY— <br /> F/u NC- /NF-0 O/Vt,V yrs <br /> /NCt-t' / & c G Pew nief £ '09'e-cocA•V <br /> -n96-'7'Nec Ort- ? e2, yta , o-ed <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.carnarion.or.us/CO/Pages/bopta.aspx <br />