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"r Office Use Only <br /> Request for Appraisal Review Log#: c N <br /> Taxpayer please fill out this side only Date: Chi a01.0 UrC- <br /> Filing Deadline is December 7th Taken by: --lap- 5- <br /> Please use separate review sheets for each account <br /> Date: IC- 19- ZG2.-0 <br /> Have you appealed to the Board of Property Tax Appeals?: C es /('No(/�/�1,, / � ,,,w <br /> r,. e^ ner): may la CMS O qI.m I rcC ��1� <br /> Review Requested By(if diff,—„t np'op Y^`"' � � <br /> Owner Name: <br /> Email: 'can yez 'ctn etwttil 43- <br /> +f ne:563_6�'q- Eccep 1 <br /> ix7i t, ne e� <br /> Owner Mailing Address(complete address): Ann J4V'oY <br /> Street Address of Property for Review: <br /> X0'30 ()Opp or tree. Loop PG city: �,lerfl C� <br /> Map/faxlot#: ULed wi31D CIHOU Account No.: M 13/ij3 6 <br /> Real Market Value Requested: I � , <br /> Land: Structures: <br /> Total: 0 0 0 <br /> ---- -Pleaseprovideadditional information and documentation supporting your requested value.Attach <br /> additional documents if necessary. <br /> I <br /> Pi\ ift Consuelo Ramirez Perez PddJ saUh <br /> 1( / 000 Lor 15 ,Yo6 �e HoMe, We a � So <br /> r . <br /> nte,35 r�e.MOdeIIn,' <br /> Y1e..e.rJS UPdG �c,S Tie- 11-‘e,11-‘e, � , + Chuen <br /> ipwrc.� az kyr ScMaOw. + y_tww <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 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 />