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Request for Appraisal Review Office Use Only <br /> Log N: - <br /> bN <br /> Taxpayer please fill out this side only t „75-1,7020Date: I <br /> Filing Deadline is December 7th 2020 � ^/9N <br /> Taken by: ' ` 6 <br /> Please use separate review sheets for each account <br /> Date: 11/7,2/20/0 <br /> Have you appealed to the Board of Property Tax Appeals?: r Yes TNo <br /> Review Requested By(if different than property owner): <br /> Owner Name: f1P.1/LI Pt&ick__knclrence4A, Email: stlea LQ•f�v�\etrL2�t[ T,K Phone:94-7-370 -5337 <br /> Owner Mailing Address(complete address): I lJ I CO'/YL <br /> r -t (tRcow Cv au: Piw-El it di Q .i.si • -771 <br /> �((�� <br /> Street Address of Property for Review: V@.(CQt11('(UNd (VOA.fN(L LCUA e City: l.o¢vlS <br /> Map/Taxlot#:at3EIIaAvitro Account No.: pipes 54-tt,32- (vJ <br /> Real Market Value Requested: <br /> Land: 7,75 mn Structures: - Total:x75 coo <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Law/U-C2o fut tia p¢cd I w PL8. 2020. A4 -t4 r-ttw 4- 'js j Hoye u l(w. was:i I <br /> PuzkaAe_vitt axv3 Sico,coo. A3 ce lemul-HoP wildfires u,Vzozo <br /> l-hv tbm oytc{(�.a l0.ucQ (so debar u a-( r ) 0r netc <br /> cVw SAf�IV2 1,t5�Aa_fn. dc+Qa- IOflc, 12mu <br /> K# te2, 54c� . ` t tic LOU IleCeCt aANTL2_ wAm a_4 . <br /> Ccsrtcc&oratL%(&es otAcQ l pvrckc d -� fau,Gui af-3c3h.a.vtlzfuza c9 <br /> I SI-. New wi (I be Q(e c cF ()lack 6-eAuc2/3 ih kit <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 />