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Form OR-B-RPP For official use only Page 1 of 2,150-310-063 Petition number and date received (Rev.12-02-20) Oregon Department of Revenue Oregon Board of Property Tax Appeals Real Property Petition for Marion County 22-009 •Read all instructions carefully before completing this form. •Please print or type the requested information on both sides of this petition. •Complete one petition form for each account you're appealing. •Return your completed petition(s)to the address shown on the back. •Use this form for manufactured structures, not the Personal Property Petition. •Include a copy of your tax statement. Petitioner(person in whose name petition is filed) 1 Check the box that applies: Owner. r.Person or business,other than owner,obligated to pay taxes(attach proof of obligation). 2 Name—individual,corporation,or other business 3 Email address(optional) James Wilson&Teresa Foster jimilagro@gmail.com 4 Phone number Daytime 720-394-9909 !Evening 303-652-7286 5 Mailing address(street or PO Box) 1255 Reserve St Unit 150 6 City 7 State 8 ZIP code Silverton OR 97381 For 9 Name of person acting for corporation,LLC,or other business 10 Title(for example,president,vice president,tax manager,etc.) business use only If a representative is named on line 11,all correspondence regarding this petition will be mailed or delivered to the representative. Representative Complete this section when the petition is signed by an authorized representative of petitioner.Only certain people qualify to act as an authorized representative.See the instructions for a list of who qualifies. 11 Name of representative 12 Email address(optional) 13 Phone number Daytime (Evening 14 Mailing address(street or PO Box) C �' CO 15 City 16 State 17 ZIP code •` 18 Relationship to petitioner named on line 2 19 Oregon state bar number 20 Oregon appraiser license number 21 Oregon broker license number 22 Oregon CPA or PA permit or S.EA number Any refund resulting from this appeal will be made payable to the petitioner named on line 2 unless separate written authorization is made to the county tax collector.However,if a representative is designated,any refund will be sent to this individual or business,not the petitioner. Attendance at hearing 23 Will you or your designated representative attend the hearing? Li Yes �X No If you choose not to be present at the hearing,BOPTA will make a decision based on the written evidence you submit. Property information 24 Assessor's account number(from your tax statement) 25 Assessor's map and tax lot number(from your tax statement) 600785 6O07 061w35ac9001iiiC 26 Street address and city where property is located 27 Property type Residential D Commercial ; Farm 1255 Reserve St Unit 150 f I Mfd structure ❑Multi-family ❑Forest 1__1 Industrial