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Request for Appraisal Review Office^Ilse Only <br /> � <br /> Log N: 1 40 _036 <br /> Taxpayer please fill out this side only <br /> Date: ii20.6 <br /> Filing Deadline is December 7th 2020 Taken by: '?Jif1f/ UDO <br /> Please use separate review sheets for each account <br /> Date: 11 ( (�A 12.0 —o <br /> Have you appealed to the Board of Property Tax Appeals?: (`Yes pCNo <br /> Review Requested By(if different than property owner): ^1\ `' <br /> Owner Name: q�1 c, Al " *'t�41.xyv\ Email #644)�Csv\� Q fq`100 -C�r✓i Phone: Cal -/W —Jto0 <br /> Owner Mailing Address(complete address): J 7 <br /> kf! 62 LAAa nt(10Ad..e � J 161-1 I v✓c( �f 3°Lik <br /> 7y <br /> Street Address of Property for Review: 13S Stb�y-.1tit-C C,\ ,) City: <br /> Map/Taxlot#: Account No.: 5 g0`s3U <br /> Real Market Value Requested: ( p <br /> Land: 7-0 Structures: `T v Total: 70 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> f ° Sc /� S I Sc.A1.\-l& c T' <br /> -,1-1ce, z - S ( 8& }.40,nc4i r\ti1 S� <br /> I ` q2 _ ( 9vU >Sp Liz —11<e l ✓� <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.orus/CO/Pages/bopta.aspx <br />