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Request for Appraisal Review Office Use Only <br /> Lag lt: ; 1 - 038 <br /> Taxpayer please fill out this side only Date: I h /2/ <br /> Filing Deadline is the first Friday in December Taken by: OT[; <br /> Please use separate review sheets for each account n� �^ <br /> I Wp-'� <br /> Date: Jr'/ 7 -to z, <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes tT No <br /> Review Requested By(if different than property owner): <br /> CIOM <br /> 47C S t.- / 0, Phone: ;(gc�trow,/3 <br /> Owner Name: /1-7e�^ � Si Email: <br /> Owner Mailing Address(complete address): <br /> '(D 'f�.iC pi 27, St _LJ> l„4 r 17); 97ScgS— <br /> Street Address of Property for Review: 5' /'9 City: <br /> Map/Taxlot 4: Account No.: 35C <br /> Real Market Value Requested: / OJ <br /> Land: Structures: Total: fa i l 5 1 C <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <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 />