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Request for Appraisal Review OffficeUse Only <br /> q pp Log#: / so -Oil- <br /> Taxpayer please fill out this side only Date: IQi Z 3j 1,020 <br /> Filing Deadline is December 7th 2020 Taken by: MB j-1 �Cyv-ate <br /> Please use separate review sheets for each account <br /> Date: 1012-1 )2-3 <br /> Have you appealed to the Board of Property Tax Appeals?: 0 Yes (q No <br /> Review Requested By(if different than property owner): <br /> Owner Name: 5E012 V C7eap rE SoJ4no&4- Email: Ran-I& c ,tl 0/11-190 3.�x hone:So34yt ytoo <br /> Owner Mailing Address(complete address): <br /> 15 3 41 3 E Ix^[OPP 02 12 at A-01-At o o n 41 23 <br /> Street Address of Property for Review. d 0 SC t S RH est tot tQ 5E City: re¢Feiga.. <br /> Map/Taxlot#: Account No.: Q36v23 y <br /> Real Market Value Requested: <br /> Land: 223 t 3 'i,) Structures: inDo0 00 Total: 7 131 37 0 <br />---- _Please provideadditional information and documentation supporting your requested value.Attach additional documents if necessary. <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 /> 1� THIS IS NOT AN APPEAL <br /> ` IJ '1 [ktufryi e s I i L _ 1! Please refer to appeal rights included with your tax statement. <br /> �l..y lll% vv"tt�J To file an appeal please visit: <br /> http://www.co.marion.or.us/CO/Pages/bopta.aspx <br />