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Request for Appraisal Review Office Use Only <br /> Q pp Log N: — 03.1. <br /> Taxpayer please fill out this side only I ® Z <br /> Date: <br /> Filing Deadline is the first Friday in December _ 5 <br /> Taken by:_y 3 <br /> Please use separate review sheets for each account � -^—tl C f� <br /> Date: Nov 12,2021 I th 05 a1= U <br /> StAHit` <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes (i7 No <br /> Review Requested By(if different than property owner): <br /> Owner Name:John P Storme Email: Phone: 503-983-4529 <br /> Owner Mailing Address(complete address): <br /> 6107 Brentwood Dr.SE Salem,OR 97306 <br /> Street Address of Property for Review: same City: Salem <br /> Map/Taxlot p: Account No.: 127655 ^J2I <br /> Real Market Value Requested: <br /> Land: 0 Structures: 0 Total: 0 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Mr.Storme believed that the account was valued at$2,000 lump sum and wasn't supposed to be trended. He <br /> thinks the structure has now deteriorated to the point that it has no value. <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 />