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Request for Appraisal Review OfficeUseOnly <br /> Log#: / ZI- 05O <br /> Taxpayer please fill out this side only <br /> Date: Dec 1,2021 <br /> Filing Deadline is the first Friday in December <br /> Taken by: Phone:SR#94 <br /> Please use separate review sheets for each account <br /> Date: Dec 1,2021 <br /> ,p-‘? �lp- <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yes (: No <br /> Review Requested By(if different than property owner): <br /> Owner Name:Amsden,Arnold L. Email: Phone: <br /> Owner Mailing Address(complete address): <br /> 728 Oak St,Silverton,OR 97381 <br /> Street Address of Property for Review: Same City: Silverton <br /> Map/Taxlot#:061 W35BD04100 Account No.: 5y7-335— 51 -7 7 3 c) <br /> Real Market Value Requested: <br /> 2 �1 c q 0 <br /> 3* 3 <br /> Land: 117,000 Structures: S �zi 'i~c+ Total: 31 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> DGAF added as exception for 2021-222 is not finished and should have been added as a DGAU. <br /> TD6 F aced a s e x Ce Ito IA l - - 1 /�z /..S `� r(7/ vlI5; <br /> gAnda- 1,4' QS p6u <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 />