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Request for Appraisal Review Office Use Only <br /> Loge: ?26 <br /> Taxpayer please fill out this side only <br /> Filing Deadline is December 7th 2020 Date: I /1 Z 70_0 <br /> Taken by: s_../A4114 t r^A%LI <br /> Please use separate review sheets for each account <br /> Date: ;1 /iO/Do z6 <br /> Have you appealed to the Board of Property Tax Appeals?: .*Yes C'No <br /> Review Requested By(if different than property owner): <br /> p <br /> Owner Name: J. �J Crl �oS�Q Email: J�y r�.(3(\4�4r43-• Phone: (;5ciivi)4j lsts'�'� <br /> Owner Mailing Address(complete address):�A <br /> 3 -t2 QJ. a,� dpi,.; � %\€L C3"::,(.,y caccstkaaQ CC <br /> V <br /> Street Address of Property for Review: J ney ‘Th21St. cj City: .y-Zau ,p`,, <br /> Map/Taxlot It: 38 rs NJ 19-C O-\lInc/Account No.: %3 cr_y,q43 <br /> Real Market Value Requested: <br /> Land: .1 J,CSC)-} Structures: Total: <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> hrb_, cA'. Sc.c, et-� . ru(4.s; Fps Ta«.,,,A_ c,,. —2,(37 t, \os <br /> L\R`? , -) SC> ,h. v z\ 3 \ ec<, ri„,.,cck'm <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.ohus/CO/Pages/bopta.aspx <br />