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Request for Appraisal Review �fOf'ficeUseOnly <br /> Log#: /'21/' Y-/6 <br /> Taxpayer please fill out this side only <br /> Date: \\- ) ( - ZbZ <br /> Filing Deadline is the first Friday in December <br /> Taken by: V___(),L "i~`jC <br /> Please use separate review sheets for each account I <br /> Date: i‘(a.01?l0a l <br /> Have you appealed to the Board of Property Tax Appeals?: C,Yes C No <br /> 1'.r <br /> stk4 <br /> Review Requested By(if different than property owner): L C p��Pyl - �,- r j sil <br /> - N-S3s� <br /> Owner Name: iii ,MI:,;,;ill :..��a...•�" I� Email: n 1 Phone: <br /> Owner Mailing Address(complete address): <br /> SWA108,` U �� � U <br /> P.o . 6'DY- X5`1, -b3,na,t8-4 6'i ci-7ae, <br /> Street Address of Property for Review: ;2. I 0?4 MO hits SA-. ne City:j) <br /> Map/Taxlot#: Account No.: N1( 3a4\ / 3 31L-14 0 - e cit e rvp. <br /> Real Market Value Requested: a <br /> Land: Structures: ,c3-'. Total: �` <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> c I I <br /> ACe d +0 rn;We <br /> c s\ud r •Pre._ te.10.-+ <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 />