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o� 1 Request for Appraisal Review Lag . xOfficeUse eOOnly <br /> Taxpayer please fill out this side only 1 <br /> Date: I C 5/alto O1C <br /> Filing Deadline is December 7th <br /> Taken by: --tut.M- <br /> Please use separate review sheets for each account <br /> Date: (Cr- IQ- Zc?,c. <br /> Have you appealed to the Board of Property Tax Appeals?: °'es C'No <br /> Review Requested By(rFdifetierit-thatalaSnee Qy Coo Sc.)-e.b q{'at((vet Ye►ze <br /> Owner Name: Email: VcAn41YCZ �C.Y 79 /jn& one: j3_6(�Q S��y <br /> Owner Mailing Address(complete address): -N *W,It ne e6 <br /> 43...'c S\a)cnr <br /> Street Address of Property for Review: SO Y (,oppe.1 &Yee loop 0C City: 6elerft C)R. <br /> Map/Caxlot H: Uica teal 01) OO Account No.: M ,3/11 6 <br /> ti:) 71, Real Market Value Requested: <br /> Land: Structures: Total: ' ci 0 00 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> /V)co, (t Con5uelo RcArviireZ Pc-1- Pad a amour <br /> 0E I6) 000 Tor � Lt1S Moble HOME, GISo <br /> needs uPdG S dike 's K ' + Cne_n nfe@S reModC.elon <br /> iPu(cln-a ,-eci4 m✓" So,rotaatg.. +k-bi Krww <br /> Please email completed forms to: assessor@co.marlon.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 />