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January 31, 2012
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January 31, 2012
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20� 2 <br /> T� F���p W,T,� Ex�rrrption Applicati�r� Fo�� <br /> YOUR torl°ax Ex�mptian on R�al ancf Persarral Property hy Qualifying Organizatians ,/� <br /> C(7UN7Y ASSESSQFi Read instructions an reverse side. `9P�� <br /> � Faiture#o properfy complete or fife thi&application in a timely manner shali resulQ in a disapproval of the exemption. <br /> ttame of Orgari�ation Gounty Ceun;y No. '('yp�pf pwnErsh;p <br /> LUTHERAN HIGH SCHOOL ASSOC H��� ,�� � N��nprotit coipnratior, <br /> utrc;ei or ptFi=r b9ai�inry_Ad;9re55 St�le 1Ni�ere Ircorp:ir�tP.c! � �1n2r(upecify) <br /> 39�0 W HUSK�R HWY-HEARTLANp LUTHERAN NEBRASKA <br /> City Stato Zip Cud� Aclual 1,�alue P�rcei pr Lacatior ID Numter <br /> GRAND ISLAND NE 68803 3 224 412 4002D1100 <br /> Lagal das�riplicn a'real propariy and genera!description of all tengi6le parsonal prnperty,except licensed motor veh�cies: <br /> MISC TRACTS 25-11-1D XC 2.12 AC HWY PT 5W 1/4 SW 1/4 (23.92 AC) <br /> Title af Otticers, <br /> Name �irectars.ar Partners Address,City,State,Zip Gode <br /> --- ---------_-°----•------- --- -----------------•-•-----------�•••-.••- <br /> ------ ---------------------------------=----------------------------------- <br /> r ; � �rJSD Gu � �')rr� f rt�! Z <br /> er' i ✓ �5� � ;�.�....�� <br /> re� /qU �� �'�3 � <br /> -- � �J- J ' -1��.�1kf.�-- �LS..�..�r�.. l_�`ic_�_.�_ �.��.�...��.�Gc-�-.�-.��--�.��.L�g� <br /> .�L/ _w r^ 0.3 <br /> Preperfij dExc,rinzd�hrrve is usad in the fdlnwiri,exe�npt r.�•te�r��y{��iea.ce rnark the.ap�lir.abl=k�exes): � <br /> �Aar�cultur�:%Her.iculiural Society" �duca�ional �eii�ious �Charitakla �Cemetery <br /> Givc a datai!ed d�scr�ption oi�ha use oi th�propeny: <br /> �...���e�la�vc ��- �� ~ � -`"__ _ �1—l�, <br /> �,�.: 3�-_��5-_. ��'0� <br /> --- --- -- . , ... <br /> "AgriculturalMurticultural Saciety does nnt need to complete the folluwing questions. � ���� ��� <br /> Is all ai,h�property usad exclu�ively as described abovG? �'tS �Nb <br /> Is a►»rtinr.ot th�prcpe�ry usad rurthe sa;e nt alcohuiic beve;ayes? �YES �JCJ ItY�s,stiie the nurribe�nf h�urs per wec:k <br /> Is the prop�rty own�d or used hy an organizatian whlch discriminates in <br /> mem6ership or empL�,yment 6usod nn race,ccl�r,er naticna!origin? �Y�S �O <br /> Under penaltios cf law,I da�lare that f have examined 13ii;exemption app�ication and,tp the test of my icnowiedga ard baliei,it is conect and <br /> com�i;r�ts.I a;so dzclere ihzt I am Guly authcrize.d ta slc;n tlrs exernritinn applivatinn. <br /> s�g� _ � ��.���_ �I-�z-ll <br /> n�dr� �Au:horizadS�gnature 7itle paie <br /> -------------------------------•----°°°---°•--°--------- ----•--•.••-•••••••-•••-------------------------------------�--........-•-......__.......-------------------------------------------------------------I <br /> FOR GOUNTY ASSESSOR'S RECDINh9EPfDAT30N <br /> �APPHOV±aL GDIMME�JTS: '�. <br /> �; A?PR��JAL.OF A PORT1aN <br /> ❑ �ISAPFROVAL �--��--��,_,� <br /> Sipr.ature ' ounty Ass6ssor Date <br /> • ------- -----°..•-•••••-°._.�---------------•--_��°-----..-•..••-•••••.-°°•-.,.......°°-'-•°°-•°°° <br /> --- -----------._,.-_•'•••-.•'.-••..-_-'.._.— <br /> I-- --- FQR COUN'PI 6pAR F EQUALlZATIQN USE i7NLY � <br /> --- --— -- --- --— ___ •-- <br /> 1 cieelare that,to t>�e rnst at my icnowierlye and Ueliei,ihe detr.rrrnnaticn hsre6�rs,ade by,he Cnunty Foard r�i Equalization is::errect puruant T <br /> ia the lav;s of the State of Nebraska. <br /> � A;'WROVED GOM?v1ENT5: <br /> � A?PROVP.L.OF A PORTION <br /> CDISAPPRGVc❑ igi�ature u Caur;[y Bu�,c i 1a �r ��'` � � <br /> . � �. � ..�� <br /> Ne6�aska Clepxr:men[ut RavYnue .��thoriZad 6y Neh.Fnv.4tai.§77•202.0? <br /> 96-135-1999 Hev.7•e0Y0 Supersedes B6•735•7999 Rev.17-?006 ' <br /> NOV 2 3 2011 <br /> PLEASE NIAKE A CpPY FQRYOUR R�CORbS <br /> k1(��� GUJ�`►'� hSSESSQFy <br /> GRk�vD E5!�:f�;�,Z��BRASKA <br />
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