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Request for Appraisal ReviewOffice Use Only <br /> Log#: TZI u3� <br /> Taxpayer please fill out this side only Date: 11(1212 t <br /> Filing Deadline is the first Friday in December Taken by: SO <br /> Please use separate review sheets for each account <br /> flto p2 <br /> Date: I\tntat <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes \KNo <br /> Review Requested By Of different than property owner): Sky./mi. 3ohnsoh Pot) <br /> Owner Name: $e;..\� FCont Email: gVie.rry _ `Oha9Son aof 3 Phone: 503-cI n0-once <br /> d Jyvtioo.c o.,1 <br /> Owner Mailing Address(complete address): J <br /> I ltc4 5is,..u. D r. f3 I SetSr>,e I OR 47138 <br /> Street Address of Property for Review: I9OO Nieh� E Ni �a City: NubLi^r<l <br /> Map/Taxlot#: On 041\J7700) 01coo Account No.: 131acc <br /> Real Market Value Requested: <br /> Land: --- Structures: cj 0 Total: 91 Q7 ((row, T$G) <br /> Please-rovide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> per pOk ssts ` c�^ a.r Wrre �_ RMV :� Inc-.rrec �•.a- 10 erfa r.l <br /> ASSCSS et\ V okry-t- ray,A Tntl 4moV+1� 'rP C <br /> t 1 d.ateAo y CO rwtc 0.1 pcycctteA �.:Qor\ Vo1r-� too hs1A+ . <br /> D�.p1...1..t Se,dzn Sw-A VeJL-� 0 , <br /> 134'S.- ISO'/o odd. ? <br /> Jolt ', <br /> Rt.kt* v 1 ,. ts <br /> '->a-'3 P1/4-QA",‘,:,� `"7P1 -6,u. . <br /> 1% ok. <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 />