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Request for Appraisal Review Office Use Only <br /> Log#: j - 699 <br /> Taxpayer please fill out this side only 21%/jap <br /> Date: <br /> Filing Deadline is December 7th 2020 <br /> Taken by:_1f3 ) (k9�?j <br /> Please use separate review sheets for each account <br /> Date: 12-2, - Zozo _-// <br /> Have you appealed to the Board of Property Tax Appeals?: r Yes t5No <br /> Review Requested By(if different than property owner): <br /> Owner Name: 04,v, L x Mi L 00. 1 ) Email: o Phone: <br /> tll'l5vtn t�rta . �Cllml�dl ty 503 3R3-c(79$ <br /> Owner Mailing Address(complete address): l <br /> Street Address of Property for Review: Cn 13 \ A \ , lidanA Sc City: 5e„,..4- 1 <br /> Map/faxlot#: Account No: <br /> Real Market Value Requested: <br /> da eo <br /> Land: Structures: Z� 1 S Oa Total: 2_2I SOO <br /> Please provide additional information and documentation supporting your requested value.Attach additional documents if necessary. <br /> - 15 I 5 0- Lt."s 9 On 5 rvi Pt-Wc MD 6; I e k� LS <br /> -`}' <br /> he 5 Ov <br /> bi [Iticl-i G.t,CC (�T LJa_1 - 14 ) c-i •„-_T't� <br /> 4j k 5 no* IDS r n-y+`It CJ k S Dfrtiu nc. . L(>! n cf dV_ZS R.r1 <br /> •e--Utr '4t ii9 in4 av LV Leet- cow pet A.n$ 4. p cAeL IR2��— <br /> Id\1 et 54- aue.f.r,Y;.,S was LI a_ 19,e-,4 -- efl."- cit.,- <br /> a (, coo, <br /> b'tu nicer lnsw¢ kDui k sil/e-- ! entre ae.. ..,.� <br /> vda Lo Jd LL k_a Fh ct54-S.Se'r I I <br /> ` ..3 o lqj— w,.d el p G, .-, 1 �`Ep-a /IswP lv <br /> Please email complete formsto: assessor@co.marioin.lar.us 14- 8S 1 7 k� 1.�/. <br /> You may also print and mail copies of completed forms to: ` 17 //.. Y� "t <br /> Marion County AssessorL/04A.- <br /> P.O.Box 14500 <br /> Salem,OR 97309 RECEIVED ; � } eI.4-e neat. <br /> DEC <br /> DEC 0 7 2020 THIS IS NOT AN APPEAL <br /> Please refer to appeal rights included with your tax statement. <br /> MARION COUNTY <br /> ASCESSOR To file an appeal please visit: <br /> http://www.co.marion.or.us/CO/Pages/bopta.aspx <br />