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11- Office Use Only <br /> Request for Appraisal Review <br /> Log#: f7 — OH <br /> Taxpayer please fill out this side only <br /> Date: liI I&/Mb <br /> Filing Deadline is December 7th 2020 <br /> Taken by: 05 0] <br /> Please use separate review sheets for each account <br /> Date: \ 3.` 'C3 -Z0 to <br /> Have you appealed to the Board of Property Tax Appeals?: ('Yeso <br /> Review Requested By(if different than property owner): <br /> Owner Name C: \GS Or 0.0 tJG.r \ Email: UNJ-t� � ev'. <br /> Phone:S -6st <br /> 1/4-(C-1/4-AA .0c.or` <br /> Owner Mailing Address(complete address): <br /> Po CI-- C"0-)X s c ��h- cQ ti-k <br /> Street Address of Property for Review: (p Q1 L0.• \W c U - t- S C City: So.-\p tr <br /> Map/Taxlot#: 0(63 ).r,/ tv-FG-Q Z\oo Account No.: t_:).i\VS\ <br /> Real Market Value Requested: <br /> Land: v\\p \FbQ Structures: 0 Total: C\lp Cl c)-)0 <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> For Q & N r J Y -V44' <br /> K 2 S f Q r c\ t <br /> 41 p_011.\.1 <br /> jar ullts - wain-A-5 Cance Q KtAhe,w aft-or I idszplettArd <br /> edtte:4\3 QMV novo Lc)on`+ qwe anj 'cA� .E afke,rkQ <br /> d& no' s '�* n. Q � J <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 19500 <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 />