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Request for Appraisal Review Office Use Only <br /> Log a: 20 - OZ`� <br /> Thxpay.r pins.fill outthls side only Date: 1020 <br /> Piling Deadline Is December 7th 2020I <br /> Takenb V 9 <br /> Please use separate review sheets for each account <br /> Date: ID -30 -a4JA <br /> Have you appealed to the Board of PropertyTax Appeals?: C Yes y%'No <br /> Review Requested By(if different than property owner): R^ J <br /> Owner Name: r JJJ JP )fy Email: Cggvieieffef &copea.*.N4-Phone:65.3t4715- <br /> Owner Mailing Address(complete address): <br /> t&5S < ordOA) Rd NE Salem oil q-/305 <br /> Street Address of Property for Review: 4g3t CorddA) Ra NE City; 5a,lem <br /> Map/raxiot#: 074 W 0 S-AO-o130D Account No.: 54 701 <br /> Real Market Value Requested: <br /> Land: — 112,0b0. Structures: LAD/7a70 Total: 17$ 7$0 <br /> Please provide additional Information anddocumentationsupporting your requested value.Attach additional documents if necessary. <br /> the. hurtle bµfAled UoWN Decen" Oer I al4 . if has bee. <br /> 1Nhabi}able {o,- heli -this +ax L'ee'r. <br /> we art Ir.) 4-4r middle Df Re uildiNi <br /> Please email completed forms to: assessor@co.marlon.or.us <br /> You may also print and mall copies of completed forms to: <br /> Marlon 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.marlon.or.us/CO/Pages/boptaaspx <br />