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Request for Appraisal Review Office Use Only <br /> Log#: 2.0 _06-- <br /> Taxpayer please fill out this side only <br /> Date: 1 l(/2 I2olO <br /> Filing Deadline is December 7th 2020 y , _44,0,./ O'TL <br /> Taken b <br /> Please use separate review sheets for each account <br /> Date: 11 ilajao <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes p'(No <br /> Review Requested By(if different than property owner): , ` <br /> Owner Name:uocudfe. DuAncLYY\ Email: Phone:503'1 V1 <br /> Owner Mailing Address(complete address): <br /> Icsaa LtrAtn &nkiGum 'i\y SE <br /> Street Address of Property for Review: '1 City: 3n.tcCtax.Ot <br /> Map/faxlot#: 091 EI3 Ao OO Account No.: 5'i D 51 <br /> Real Market Value Requested: f <br /> Land: 15jt©(7V Structures: �� Total: / 5 000 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> v.3 `..\ 0-Ker e , ©00 'P( 1ar\c <br /> 0acce.SS N‘S o1iCC; 1t \ceCccuS-e <br /> cJ4�1 cmc' \oc tj. kink wo± <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 />