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Request for Appraisal Review Office Use Only <br /> Taxpayer please fill out this side only Log# cr.,2 ' <br /> Date: 1241/1.021 <br /> Filing Deadline is the first Friday in December <br /> Taken by: .s 4 t H <br /> Please use separate review sheets for each account <br /> Date: 11 -.Z 9 -t 2l/ l) <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes l�,No <br /> Review Requested By(if different than property owner): R o be r +€15 <br /> t.n ol-e" L Js dr) <br /> 5T)3 - b5'1 — <br /> Owner Name: ETQ Cn ?LIM 1�T Vlt$"{— Email: mat a 1Cl u16 come etS4^Phone: 9121 <br /> III5 El J <br /> Owner CMaCiling Address(complete address): <br /> net <br /> l9 55 Saiear N it as }}coy SUtlA- ±..Lof7 Sal ern ©2 et1301 <br /> Street Address of Property for Review: 325 to to N c11v ✓1 b✓�- Rd, S E city: So its o <br /> Mapfraxlot#: 093E 02 0C 00700 Account No.: 541331 <br /> }J�� �j Real Market Value Requested: <br /> Land:W2it3 88a Structures: y G,51oct0 Total: 30 Sl 650 <br /> •Please provide additional information and documentation supporting your requested value.Attach additional documents R necessary. <br /> O [e aoe. 0 ct, Hu cS ec/ & --e` a-rid <br /> p kirks . <br /> , <br /> RECEIVFD <br /> DEC 01 2021 <br /> MARION G7.:nl <br /> Please email completed forms to: assessorecomarion.or.us AS?ESSOP <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 /> http7/www.co.marion.or.us/CO/Pages/bopta.aspx <br />