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2012 <br /> �����pW�7� Exemption Applicatior� �o�a� <br /> R torTax Ex�mptian on ��ai and Per�onal Property by qualifying Organizatioa�� ��� <br /> � ��� 5�����' Read instructians on reverse aide. <br /> �aiiure io properly ccsmplete ar fi4e thfs applicatian in a timely rnanner shail resuft in a disapprbvai pf the ex�mptian. <br /> -ne• rgarization County Ceuny No. 'fype of Owr:erehip <br /> ��� .iARVE57 TIME BAPTIST CHURGH Hall 40 ❑ <br /> � PlonproYit Gcrporatior, <br /> SYr�pe1 or Oth�r Mai;iri�Arldrr;s5 St�le 1Nh�re Ircnrr�nrated � ��har(Specityl <br /> 1125 N BEAL NEBRASKA <br /> Gity Stato 7.ip Cn:�e Actual b'alue Percei or Lpcati�r ID Number <br /> GRAN� ISLAND N� 68801 10Q,224 400096331 <br /> Lagal desuipiicn o`:rea�oraperty and gene;a'description of all tangible p�rsonzl proparty,except licansed moior vehic;es: <br /> TRINITY UNITED METHODIST EA57SIDE 5U6 LT 1 <br /> Title at Otticers, <br /> Nam� Direckors.or Partners Address,City,5t�te,Zip Code <br /> - -----------------------_.••••••--°-------------------------••.•-••-••-•••••-•••••••�----- <br /> - -- - - --- •-•••.---•••..••--•••.--.-.�•-----°---••--•••-�--------- <br /> � �v-/ 1,�1✓1.5v`'►c� rr�S�tk�ki /Q'S dt'1- 3 � �. � � �,e{ Lr <br /> rf£3� ' al,kvr'i5 �Jt. ' 1�/� � c , �r(Z'!Y� ,Ci.�J�cl rJ� �� <br /> £3 <br /> e.,,�1�� ,�: �; /2 1___' /�vR.d;L�- N�..._.... .._... .._.Z�/ <br /> Pieperfij descrii�ad ahrrve is�:s�d iri the follnwiri�exempt catey�iry(��iease rriark th�applicat�l�hexesJ: � <br /> �A�r�cultura!%h[cr,iculiural Socieh!' � Educational �Reiigioue �Charitable �Garnetery� <br /> Giva a detai!cd descr:ption af th�use of ihe prepe�ty: ��t �,�� f� �L I�}EUS ��,V��tiS � /?�r���.p� <br /> [�{i1�^T/��G'�;�^'�� 1 �/�C�'�/�cSS I�MG » /U <br /> ,� Na�s. y�4 s�� �"�U,�.s <br /> "AgriculturalMorticuftural Saciety does nnt need to oamplete the initawing questions. <br /> Ja all oi?he pro�erty usad ext�usively as dsscribed abova? �YES �NO <br /> I:a tiorfinr.�af tMe prcpr_�ty used fnr itie se;e pt elcohuiic beve;ag�s? �Y�S �Nq If Yes,sihie the nurnh��nS hours per week <br /> Is the proparty owned ot used by an organiiatian whlch discrimirates in <br /> mEm�ership pr empl��yrrent b�sed on race,acl�r,er naticna!nrigin? �Y W5 ���lq <br /> Under penalties cf law,I doclare tfiat I have examined t)iic examption appiication and,to 3he hast oT my knowiedga ard beliel;it is carrect and <br /> epmplEte.I a:so declare ihat I ar7��uly autharized ta sign tliis exerriptinn application. <br /> si�n � l �z�- �. <br /> ���r� �Au: r¢ad Signature 7;tle bat <br /> ----- —��W�_-••••••m--_��-----°-°---•-.-__�-•__•-._••--°---•------- -------•_•-•••...•-°•----_-•-•-••••.__-------------------------------------°---••--•.•--°••- <br /> FOR COUNTY ASSESSOR'S FiECt�MPAEN[1A710N <br /> �A'I'HqVA� CONIv1ENT5: <br /> L; A?PROVAL DF A POATiCJN <br /> � DISAPFROVAL � � <br /> Si_ynat e : ouniy Ass�ss0 ❑atn <br /> -----------------------.--_-•_.-•-----�...y.•••�•••-•-•••------•--°..�_�•••--°°.•••-�•-•- -• ••--_-__--------------_.--�_.-,••----•.••••--••_•-••--�-..••--••••-•-��.----------------------------..... <br /> FQR COUNTY 80 QF EQUALIZA7IQN US�t7NLY <br /> I declaYe lhat,tu 9he hest uf my krlUwiedg�and k�eliPf,ihe d�.terrriinaticn hsreby rnade by.f�e Gnunty F,p;�rd n1 Fqualiz.a'li�n is.^,qrrer.t pursi�ant <br /> io,he lav;s of the Wtvte af Nebraska. <br /> �A?PHOVEll C�My1EN'T$: <br /> C; A?PAC3VP.L nF A PCJR71pN <br /> ------_.� _�.••••-.__._ •-.•••---------- -- - <br /> - --•-••••-••••••••••-°-- -- -- <br /> .�: /�U � �m <br /> C 1)lSA4�PHG4�Q k i f1..,M ii ���� ,� ��I�oL <br /> �iy�r�sture of L"ourty ard: eml»r � �"'"`" � ba!e <br /> VsyrbskaGtpar:mentuiRevenue �,9u�o;�(�d fdn . . 'tdt.§77-t02.0! <br /> 36-136-1999%iev.7-'07a SupePSedes 96-135-;989 Rev-7 Y-?�OB � 1^ �� <br /> PLEASE MAKE A COPY FOR YOUR R�COf�DS �;F,;���. ����`��,;,r ���RASOA <br /> ��{t,1�1�i��!..���v:.s.n� <br />