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2012 <br /> o s�Fi�.�awi�� EX�:'11i""i�1#101"1 l�j3p�lG��I��'1 �o��� <br /> Y��� forTax Exemption nn Reai and personal Proper#y by Qualitying Organizations .�g <br /> COUN7Y AS5�S50R Reed instructions on reverse side. �� 1 <br /> Faiiure Ya psroperiy complete or fi{e this applicatinn in a timely manner shalk resuit in a disappravaE of fhe exemptian. <br /> �Vame of Clrgarization G'ounty Ceun'.ry fVo. -fype of O�rmarship <br /> KANSASINEBR AS50C 7TH DAY ADVENTISTS Hall 40 � P1��nproliY Gorporatior <br /> Streel or C7ther�,9�iiiriry AtJdress Slale'Nhzr�Irr,or����r�iPd � Oiher��pecityl <br /> 3440 URISH R� NEBRASKA <br /> Cj�y Stato 7ip Gr�;1N AcSual Value Parcel or Locati�r Ip�lumk�er <br /> 70PEKA NE 66614 56,104 400D06928 <br /> Legal descriptinn oi real prpperry and genera:desc;iption ei all t�ngible persanal p%op�rt�,except licsnsed motor veh�cies <br /> ORIGINAL 70WN E 1/3 L.7 3 BLK 81 (315 W 2ND) <br /> 'Citle af ptFicers, <br /> IVame Director�;or Partners Ac#dr�ss.City,5tate,Zip Gvde <br /> --- --- - •°--- <br /> _�....� _�----��•- - •�-•••_-_ ----- - ----— - - <br /> -- ----••_ • .•-_•�-•.� ---�-------------•----.�..•-..�•-••� • •-••-•• •--.�.--------°�----------- <br /> � <br /> r � <br /> ------------------------------------_ _----- -----� --- -------------------------------------------------------------------.---.---------.-.�- � <br /> Prepe;t.�descriiasd abnve is usad in the foilowing exernpt r.�•teynry�;piease rnark the applica6l�bexes): <br /> �AgricultutaiiHcr:iculiural Society' �Educa:ional �Refigioue �Charitah�le �Gemetar� <br /> Git�a detai!bd descrption of Sha use ot ihe preperty: , <br /> �t/..��/y r.Uv���� _ �,�' <br /> �a�� �;s•�� ���� ���� '� <br /> � <br /> "Agricuftural/Norticultural Society does not naed to complete ihe taiiowing questions. <br /> Is ail vi Ihs property csed exc!usivEly aa des�ribed a6ova? �YES �NO <br /> Is�tiorYinr.oi the prcryHrf��useci fur Thie sa��01 alcoho:ic beverages? �Y�S NO �t Yes,staie the nurnt�e�r�`hnurs per week <br /> Is the proparty ownad a�used by an organization which discrimirates in <br /> m�m6arship or mmplayment based on race,cclor,or naticna!prigin? �Y�S �Nq <br /> Under pEnaities cf Itasv,I de�ara that!have examined 11tis examption app�ication and,to the best of my'snow!edga ard beliei,it is correct and <br /> r.nmplet�.I also r'eclare that 1 arri culy authcriXed io sipn this esernpticm applicatinn. <br /> ��g�"1 /!"��P�2� lC�C <br /> ��y��g � : rized Signature Title bate <br /> I---••••--.,,�--�•-._._.�-------------��.--••••---•------- --------_-�••••--°••••••--•_••••�•-----------------------------------._---------- <br /> — FDR COUNTY ASSESSOR'S RECpMNIEMDATiDN ^ �� <br /> �A'PRE7V.aL COM�vIE�JTS: � k" ��—c��� <br /> i..�. <br /> � A?PROVAI qF A P(�AT3aN <br /> � DISAR�R�VAL � � �'-- ��— �,� <br /> �5i;�naiure ' ou ity Ass6ssor d�te <br /> _._,�,------------------���._'-'--'----••--••-•....._,..,_ ----------------•_-•••----' .__- -•- - --- -- -- - -----------------•--•-.•,.••-••••.•-..,.�.•••---•-....�._....---•.......-� <br /> ----- ---- ------ ---------------- <br /> FOR COUNTY BdAFt F EQUALIZATION t1SE pMLY <br /> !deciare tliat,[r�the k:eat o'(my krinwledg�and i�eliet,ifie deterrriinaticn her�hy r;ade by,he Gounty Eoyrd q4 Equalizsiion is:erracl pursuant <br /> io th�lav's of the Stata of Nebra�ka. <br /> �A;'WRpVE17 C�MMENTS: <br /> ---• <br /> ! A?PRJVP.L OF A PORTION <br /> ❑ uisaw�H�v�� � �/-/� <br /> ,igriature of c�u• na 1 1,lemlier <br /> �ehreska 6espar:msnt ut Ravenue .4uthorized 6y'dg6.Rev.�ld�,§77-P02-0? <br /> .6-135-7999 Rev.7-20Y0 SUpePSedes 96-135-;998 Rev.1Y-P009 NO V V <br /> 2 Z011 <br /> PLEASE►UTAKE A COPY FOF�YOUR RECpRDS MALL CQI�(���Y H��ES$O�i <br /> GRAND ISLAND, NEBRASKA <br />