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Request for Appraisal Review Office Use Only <br /> Log#: TT2O - 0ti3 <br /> Taxpayer please fill out this side only <br /> Date: I yl I Zn z0 <br /> Filing Deadline is December 7th 2020 <br /> Taken by:' 91 Via. "thataget._ <br /> Please use separate review sheets for each account <br /> Date: / a <br /> Have you appealed to the Board of Property Tax Appeals?: C Yes ('No <br /> Review Requested By(if different than property owner): <br /> Owner Name: Ro 3f(\ �akl.le(S Email: -- Phone: j03-y0&-2, -17 <br /> Owner Mailing Address(complete address): �7 <br /> Street Address of Property for Review: y9/c twee e 1. 4(JN � ISp'3 City: ;py <br /> Map/faxlot#: U7)t ) 2.06bOo.00 Account No.: I/YI la , 3c70 <br /> Real Market Value Requested: <br /> Land: Structures: w,(.s uJs.. Total: <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Lo s� _ - or 4J. <br /> 6, 5 <br /> U1 1/ ,�1 drer. <br /> )1Nr,14<2 i� o.11e110-11(H _ L. . .� : ._ <br /> 1 d„ ri - <br /> Fr.S-C.5ck4-- <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 /> httpi/www.co.marion.or.us/CO/Pages/bopta.aspx <br />