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- --� 20� 2 <br /> T������ W�T Ex�rription Application �o�� <br /> �Y forTax Exemption on R�ai and Par�sarral Property by Qualifying Organizatiar�s 4�.� <br /> �N� �����F' Read inatructinns nn reverse side. <br /> Faifure to properiy complefe ar fife this appiication in a timety mannar shall result in a disap�SroVaf of the exemptipn. <br /> �iartre at dr�ar,itation County Geun:,�fJa. -fypa of Owr:ership <br /> MIC7-PLAINS CENT�R Hall �p � MonproliYCarporatior <br /> SGeet br(1triPr Mailin�ArJdrses State'�lh�re lru;orpnra!ed � Oth�r�upecilyl <br /> P� BOX 1763 NEBRASKA <br /> �ity StatQ 7.ip Code Ac[ual Val�,�e Parcei or Locatior Ip Mu!ri6er <br /> GRAND 15LAND NE 688�2 586,788 400494858 <br /> l.egal des_ript;en o`real property and gene;a!description cd a31 tangible personal p!oparty,ex.cept licensed mntar veh;cies: <br /> IMPROVEMENTS ONLY LOCATED ON PAR7 LT 2 GOLDEN AGE 2ND SU8 <br /> LANDOWNER : HALL COUNTY HOU5ING AUTHaRITY <br /> Titie af ONioers, <br /> Name Uirectors.ar Partners Address.City,Stale,Zip Cade <br /> -•----------- -°----- -- ---°- -°°------.�� <br /> _ ,��;c�'TT i,���i� �`'r�, i�^`�a-�E� t�o�g lN Nl�D D�. G -.��_--��k;:►��-�_�_� �-t� <br /> � K �, Vdce-Pres��+t G d 3 L�1- 1 +'-�Sfi-�� �ra�r.d i �a Kd �g� <br /> et ra� �e5i q r. U:C�-�r�5:d�v[�' c� � car� 5 � $�� <br /> ---���a�rd rn�.��,cr�_-------------- A::�-��r�__ !���'�------------._....-�---�---._.._�__-----------------------------------------------._.�._........._.............�_�...... <br /> Pi'cpe;t�j cescrit�ad r�krnve is u�ed in the fvl3owin�exerripi co•tEyoty(piease rrierk the applica6l�bcxes): <br /> �A�ricultural/Hcr,icultural 5ociety' � Educa?ipnal �Religiou� �Gharita�Ie �Gameiery <br /> Giva a detsilEd descr�ption of h�use of th3 prepe`ty: "p�b�ar'�]. �j k.5ed �� Ap+hi+1'.S`�'�r �c'�IcH 3 ��i vi�r�I NeA�'�G�e ���(��7 <br /> (cS-kr C�,rt �lqcepneH�'�y (Gti,r� Ofa�f��Uis;�}'l��t S a�c� o'f1�er -Fi�.r�Pe�.-i-�� Serv�c�e5 t��v��-F:°� �ow� <br /> N� �{�.r], 11'If�r�Cald f qn� ��c S�� �8eha�ia�a( +�ealt��-r� Sy��-.�..�. <br /> "AgriculturalMurticultural Snciety does not need to complete the follpwing questions. <br /> '�all oi thf property usad exc�usivaly as described abova? YES �ND <br /> _ <br /> !s��iorticx:of the pra�3e�ty 1J58C�I�l�TYIF.$d�E n���L'OFIUi1C.I'!E.'Vt.�d�(.'5� YeS �NO N YP.S,ST+�rP,tY1[:I7l+fII�IY.!Sli F.011t'E Pdf WP.6k <br /> Is the property owned or used by an organlxatian which discri�nirates in <br /> memqership or amployment based on race,ccl�r,er nation3:origin? �Y"� �PJO <br /> Under penalties of lasv,I declare ihat I Fave examined this c�:omption a�y;ication and,to thc best of m}�knowiedg�ard�eliet it is�orrect and <br /> com�i;ete.I aisn declare that I arn duly autt;r,riPed io sic!n 111�s exernp4icm applicatiuh. <br /> � <br /> sigr� � �� ��F� -- II--a�aoll <br /> ���r�y �Autl^� izad Signat're Title Date <br /> --__•------�"_---• ---------°-°•-------��_�____��•-•�-•__°•--•----••_•__•-°.•••--�••_••------•---��_-•--_--� _ <br /> �OR CdUNTY ASSE5SOR'S RECOMMENDATIO{V <br /> I.�_T, � <br /> i�APPHOVAL CDMtutEfJTS: ��o .v.r. r�� ��` cZ.O� _ <br /> � A?PF10�lAL OF A POA7IDN <br /> ❑ bisnP?aavn� ��- �q—�a._. <br /> Siqr.ature ' ouniy Assessor bate <br /> ..�.-•.-•_----- _••._�_....--------•-•----------------- --------------------------------------•••.._._..__.�----°-----�. <br /> i�l fpR Ci3l1N7Y�CIAR F EQUALI2ATIRN t1SE ONLY <br /> � I dectare liiat,tn 4��e hest of my knnwiedye and beli�f,ihe detPrniinat:cri hereby r-;ade by,he Gounty�n;�rd nl Fyualizaiion is:errect pursuant <br /> to the 12v's ot the�tate cf Ne6raska. <br /> A?PFiC}VEU C�MMENTS: <br /> � <br /> �j A?PRQVAL DF A PCIFiTIdN <br /> C LlISAPPHOVED �� <br /> .ignature r�t C�ur� rd emli�r Ua!e� <br /> 'e6raska Dep�r:menl ut�avenua 1 o ed R �.,t',ta'1.g77-202.Q9 <br /> .6-13�1999 Reu 7-�010 Superaedes 96•135-;999 Rev.1'I•:��0 .. "::m,^_�. �•'� <br /> PLEAS�MAKE A CpPY FOR YOUR RECpRCIS N p V 2 3 Z Q 11 <br /> Hl��.L CC�l1i��ti' t��SESSOrt <br /> ��a�v�is�a��v;�,I�cBFiASKA <br />