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Request for Appraisal Review Office Use Only <br /> Logit: 1 — 02_9 <br /> Taxpayer please fill out this side only <br /> Date: I 04680 <br /> Filing Deadline is December 7th 2020 `� <br /> Taken by:' 1/4/1-4 <br /> /� Please use separate review sheets for each account <br /> t <br /> Date: p � (a020 ��// <br /> Have you appealed to the Board of Property Tax Appeals?: C`.Yes (/•No <br /> Review Requested By(if different than property owner): 64 •a ' /� / <br /> Owner Name: J OS�R �Cf Email: I iLo$c4 GC/ L"� Phone: 9 f'tn ryJ p�j� <br /> c/o/. LO!/l/1 / <br /> Owner Mailing Address(complete address): <br /> . 36>c i?)6y9 S UL ON 97 -6 oe 0;64e/ <br /> Street Address of Property for Review: <br /> Fl�,o^Jl 57.; # 7,2a•10 City,sCj , � <br /> Map/Taxlot ft: Account No.: 23tI y7/ / 7 <br /> Real Market Value Requested: <br /> Land: Structures: Total: <br /> Please provide additional 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 /> 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 />