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1ti <br /> Request for Appraisal Review Office Use Only <br /> n <br /> Log a: crao ' v3V <br /> Taxpayer please fill out this side only Date: I( 1)lol2nit <br /> Filing Deadline is December 7th 2020 Taken by: ��j BH Q'tC <br /> K.9. <br /> Please use separate review sheets for each account <br /> Date: \ 1 ( )(, 179 -0 <br /> Have you appealed to the Board of Property Tax Appeals?: C'Yes pCNo <br /> Review Requested By(if different than property owner):Ic ^^/'\ 1/ <br /> W <br /> Owner Name: C 1 Al -A(c,inyA <br /> v\ Email: 41.caCtV\ Q \7ALA Co-M Phone: '01 -7 -J2.o0 <br /> Owner Mailing Address(complete address): J <br /> .lt <br /> intaw <br /> sre��9<<-e 51 ' . + R9ceeml x.24 3t' v-Z <br /> Street Address of Property for Review: I 73 3� SCs�7S-.1H-e S City: g91,,,„,,, <br /> MapiTaxlot N: Account No.: 5 goc3 <br /> Real Market Value Requested:Land: <br /> Land: 7-CJ v—. Structures: T C)\/ Total: 97 0 k, <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> / 3 "C- el S(iC v� & CTh -RgoSv,reldeshri") <br /> 4,T� su <br /> Sui <br /> { sE gold i0/2q/to (2. ggii7� J+ot& <br /> `1tf2 - ( 4Y I >Sr ( ca Thtee l ✓� — Rtortbst> - to/r4daa <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.ocus/CO/Pages/bopta.aspx <br />