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Request for Appraisal Review Office Use Only <br /> Log 4: <br /> Taxpayer please fill out this side only Date: <br /> Filing Deadline is December 7th 2020 taken by <br /> Please use separate review sheets for each account <br /> Date: /i / /it;-, ; <br /> Have you appealed to the Board of Property Tax Appeals?: c'Yes 5i;No <br /> Review Requested By(if different than property owner): <br /> ..tt f/M1Li l • COr^�l <br /> :yG. , • Email: J/Gi/t r ,JlI //)U Phone:503 bi3/:75 SI <br /> Owner Name:� , (' <br /> p /% Y_l�r dLd:..�— <br /> Owner Mailing Address(complete address): <br /> Street Address of Property for Review: To City: -jqp'4,,,) <br /> 1 <br /> Map/Taxlot ft: O 3 31L) / 3 -['n- o i gJ Account No.: .5 3 2 2 7 <br /> Real Market Value Requested: <br /> Structures: j /LT O /i Total: .L20----; 5-1 emo <br /> Land: _52� �'�n .') r � <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> Q70111 P era y Cets a oi&u 4 eo�,s L c_M 'The 42-4 44" yr/"7",�— <br /> t�. <br /> Gsea/%i -R+.- gavel w.1w' lra+*e:.'sar ¢are¢w.n-'tr siGe:1 -44w/41 ¢t`' w.r--vL'--f 144.4t.“ . <br /> a' <br /> Ire gals 4 �srv� by OL, Bio, edmkev <br /> C'd'r!¢,. ° 36zr 27t2 <br /> IUDV -20(9? Arw[v,sre by [04- .::t7 „cet 41,- 165, o00 <br /> Please email completed forms to assessor@ca.marior.onus <br /> • <br /> 'You may also print and mall copies of completed forms to: <br /> 'Marlon 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.marionor.us/CO/PagesThopta.aspx <br /> , <br />