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Request for Appraisal Review Office Use Only <br /> Log#: lo — p?.o <br /> Taxpayer please fill out this side only <br /> Date: il/z/ 7040 <br /> Filing Deadline is December 7th 2020 <br /> Taken by: (4N5 <br /> Please use separate review sheets for each account <br /> Date: /0 — 2-o 2-0 <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes •No <br /> Review Requested By(if different than property owner): Chgn Lpf Ya- Af�fY�O(� h <br /> Owner Name:rngyv v-a A Email: Cq(Pc„s�12LLC(?cvw2f, Phone: a et-t1%1r <br /> Owner Mailing Address(complete address): <br /> o7-1I CV) 12-03e�mowx`•IL c-4- < 13faveva'ot^ r ol2/� /�l `I 04" <br /> Street Address of Property for Review: 3'f ¶ C S:tl/eY.`-u n (2-() /Ute City: Sty re IA— <br /> Map/faxlot#: Account No.: S-1.33 <br /> 01-2 Wig — 0D-3-O-0 <br /> Real Market Value Requested: /, <br /> Land: R S () COO Structures: C o S c o O Total: Ili X-re O a <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Du e. Cow 0- ( ) cue SARA efac. n0M6ors <br /> ev-A- Ve� loci , ¢ � � veL_) t -h <br /> iittortoXkc 1rar Lair- ORo cQ @ustt.,.e3s <br /> dowv` • U' kPnVf — Co <br /> Val✓ 2 u L- t.-c 6tv_A C v i c k.)t"e) � C-e cox S L <br /> Gus v•- 1 f5 k0.v'" Q - - C✓ v \.v'f.•..ir t..tAv <br /> Please email completed forms to: assessor@co.marion.or.us U <br /> C226--0Q2; H o - Vah Ic c. <br /> You may also print and mail copies of completed forms to: (� <br /> Marion County Assessor tk c--�".ok l^-k'JL�A xA _ ^ <br /> P.O.Box 14500 P+ -OV'^^ <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 />