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� Zo� 2 <br /> a��F���a W�T� Exemptivn �4ppli�atia� �o�r� <br /> v��� tcsrTax Ex�mptian an Ff�al and Persanal Praperty by Qual's�fyirrg Drganiz�tion� .q <br /> QUNTY A5SES5QR Read instructiona an reverse sldc. �� 1 <br /> Faikure!o praperly complete or fite this appficatipn in a timely manner shalf resull in a disapprovaf ot the exemption. <br /> \3me Otgari2alion County Goun;�No. -�ype ot O•r�r:ership <br /> � ESIA EVANGELICA PENTRC05TES REDENCIO ETERN H�II 40 � �J,=,nprciit Coiporstior, <br /> utreei or Qih=r�,9ailin�Arldre=s 5taie 1Ni�ere irc�rt�oraied � Other(SpeciYyi <br /> 318 W 3RD Sl� NEBRASKA <br /> �.ijy Staio Zip C�ide Actual Value parcei or LocaCior.ID NurriL-er � <br /> GRAND 15LANQ NE 6�8n� 176,539 400367009 <br /> Legal description af real nrc�perry and genera!description af a31 tan�ible parsonal propert�,ezuept licensed motx veh�cies: <br /> ZILLER BUB LT 2 <br /> 7itle of QHicers, <br /> Na�-ne Directors.or Partners Address.City,State,ZIp Cade <br /> ----------�-------------- --- --� -- ---------------- —__._•_-•••••••••••••••-•.-••_•.••-••-•-- --------------------- •-°•-•-•.-••••-•- -- <br /> br� 1� �F�rri ���5 r�ti.u. 1 \ r�v� 6ra_w�c.�T �r�.vu�. i1.7 _ - <br /> 1�-14_ c, . t- `{O� ��� 5� �ra_u� l v�d-- � �1 g�� ( <br /> ...1-1l�X�..�.__L�!�S�s.�rT.��:qdD-----�r��S.L�._�_ �{(9 S �-�'�-�—�-----.�?.i_s�,a1�--�--�S�ci�-[-�---�-�-�-----�°__/�_�_$O.�..._.... <br /> Prepe.ty cescti�r�d�t�nva is usad in the followiri�eacrrnnt�.ategpry(��iease rnrark the applicable bexesj: <br /> �A�r'cultura!/hEcr.icultural 5oc:ety° � Educa*.io�ial �Religious �Charit3hils �Csmeter� <br /> Giva a dafsiled d�scription of th�use of the property: ^ . - <br /> {z��1�\Ua Sfr�iCF� �v-ft,!�Slti��p � S�n�at/ ��a�-, <br /> P�p.�i rtc� ,�n�����t�j S , �j��L c�-ti,n g :?S�t d 1a��� Fo� <br /> C�-���.���aS P�'r P u S� o+.�,� . <br /> 'Agricuftural/Harticultural Society daes not need to cs�mplete the falluwing questions. <br /> Is all pi the prr�erty usad ezc;usively aa descrl6ed above? �Y�u �NO <br /> Is�{iartlnr.of the prc(}erty�usad iur TtiF saie nt alwhaiic beverages? �Y�S �NO �1Yes,strte the nurnkF�o:hrxirs per week '3b — D �OU f`S . <br /> Is the pr�perty owned a�used by an organiaation whlch dlscrlmirates in <br /> memCership or empla,yment busod on tace,cclor,or naticna!origin? �YES �Pd0 <br /> Undar penalties cf laov,I declare that I have:examined this Qxemption appiication and,to th�b�st of rry knowiedga ard beliei,it is correct and <br /> rnmplete.I aiso declare that I arn culy autt;r,rized to slpn this esern��fi«n applicatinn. <br /> �~�, <br /> ._. .� � <br /> sigr� � . � ...� -����t�.�-- ���t�2 l [-z � —u <br /> -- - - -- - .� <br /> ���� Authoriz�d5ignature 7i41e Daie <br /> --------------------__--�___•°--°••••-•_--•••_°---------------------- -----------�---- _•.---°---__��__��_----------------------.-�•_-••-....•--��.._�...._ <br /> FC1R COt1NTY ASS�SSDR'S RECOMMENI]AT30N <br /> I�; A?PROV.AL COMMEfJTS: ��;a�'}� ..,.._� <br /> � ` <br /> [� A?PROVAL OF A PORTIJN <br /> C DiSAP?ROVAL _�_--�,� --��,� <br /> Siqr.atura = ounty Assessor Date <br /> I �- •--°---------•_-••.-°-----..�.._---..�.._.�. ,----------------------------- ---�..........••••••-•••••--.-••_•••••--.._.�. ,•--...-•••.°-----------------,�................ <br /> �'OR CAUNTY 80AR F Ef�4JALIZATIpN USE ONLY I <br /> ___ --- -- - - —----- - _ . .... ..._. _..�.�._1 <br /> 1 decfare ihat,t�}The hest.uf my Rnr�wiedys and beliet,ihe dePerrriinalicn herehy rade by:he Cniinry P.o:�rd rrl FquaEizaiion is cerreci pursuant <br /> io th�lav s of the�tate af Nebraska. <br /> �Ai'PROVEU COMMENTS: <br /> � A?PA�VP.L OF A PbRT10N <br /> C LlISAPPHGV�D _J �'��-^�� <br /> Si�nature oi L" ur[y •.d: eml�er � <br /> IehraskaGspar:mentufamd^nue ;iz 7, z.pi <br /> ;6•135-1989�ev.7-"Ot�Supersedes 96-735-1999 Rev.11-20�E � .. . <br /> PLEASE MAKE A COPY FOR YDUR R�COf�DS NOV 2 2 2D11 <br /> HALL CQUIVTY ASSE�SpR <br /> GRANDISLAND,NEBRASKA <br />