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2012
<br /> T��� c���� ,T� E�c�mptio� �4pplicati�n �a���
<br /> °U� forTax E�c�rr�ptian an Real and Persanal Property hy Quailtying �rgaa�izatians /�
<br /> QUI�! F55 �apF' Ftead instructions an reverse ald�. "���
<br /> , Faikure 4a prn�ierly campt�te or fite this appiication in a timefy mannsr shalt result in a disappraval of th�exem�tion.
<br /> name•af pr�ryar,ization Gounty Ccun;�IVo. 'iype of Owr:trship
<br /> ASSEMBLI�S OF GDD-MIDWES�f LAYIN AM�R Hall 4p 0 raonprotit Cor�,�_,ratior.
<br /> � State lNhare Ircor�nry?�d Criher{,r,pacifyi
<br /> itr'�et or OtFi=r 1Aai:ing , 55 (, 1
<br /> �� gJX. T� � ' NEBRASKA ---
<br /> �,ity Stato 7_ip Gnde Actual V31ue Parcci or Locati�r ID NumE;�r
<br /> GRAND 15LAND NE 688Q1 1a3,D01
<br /> Legal descripiion o:`rezl property and generai description of all tangi6le p�rsonal p*operty,except licensed molor�eh�cies:
<br /> lJNION PACIFIC 2ND ADD LT 2 BLK 130 (PARKING LOT) (417 W$TH)#400097192
<br /> IJNION PACIFIC 2Nq ADD LT 3 BLK 130 (CHURCH)(4�1 E STH)#400097206
<br /> UNION PACIFIC 2ND ADD Ll"4 BL.K 130 (PAR50NAG�)(405 E 8TH)#400097214
<br /> Title af aPiicers,
<br /> NamQ Directats.ar Partners Addr�ss,City,State,�i�Cade
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<br /> �y�+a � c-ar� � 5 N�_� ��
<br /> Y` ' r" � t�G ' � I���7 . _._._
<br /> P�•eperb�desr.rii�zd ahr�ve is uned iri the idlnw�iri�exernpt rxi•te�ory�(��:e�se rnark the appl:cak�le bexes):
<br /> �A�ricultura�lHor.iculiural Soc�eh/" � Educa*.ional �Re(i�ious �Charita�ile �Cemetery
<br /> Giva a dat5iled descr:ption oi th�use nf tha prope'ty: C x_ -�� ��� 1 S,�_-
<br /> ��� c�$� [i..�' �'•D 0[x.m ar.n.0� �-�'�¢. Tp��t76 rl� ,°—�°.Y 1J i(�S �1 rtr � •7r iu,.r:.
<br /> t�19 Qp_,� C�5 ���(''a iA7`�: ��-O�`� �•(�G�rn (�6;�n G�5 S�,v U�C� U�Q�Yl�S G��zt� , `�'LU.�G�-c�
<br /> �7���r ���. S'u�-�u►^d.�► ��,u.�-� °�rv i� .
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<br /> ",�griculturalMurticultural Society dnes hoY nee to r_ompiete the fulluwing quastions.
<br /> la all 01�.h�prnperty used exclusively as described above? �YCS �ND
<br /> Is�t�oriJnr.of ihe pruperty used inriPi�:salE n1 alcohr�iic beve;ages9 �Y�S tdC'� IiYes,staie the�nurnher nf hnurti per u�eek
<br /> Is the pr�pGrty ownad or used by an organi:.atinn whicl-�discrimirates in
<br /> mmmbership or empl��.yment L-Gsed on race,cclor,er naticna!origin? �Yw5 �JO
<br /> Llnder penalties cf low,I daciare that I have examined tli�examptipiZ appiication and,to the tesi of rr,y know{adga and Geliel;it is con'rtt ard
<br /> cnm�i;s1:�.I aisn d�clare that I arn c:uly authcrized ta sign tlus exerntillon appLcatinn.
<br /> 5���"i � ��• �C C�t .� g 1
<br /> ��Apgg :hori�� nature Title Da;e
<br /> 9�r
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<br /> I FDR CqUN7Y ASSESSQR'S RECOPJEPAEP1DATiON
<br /> �� A�h F10V�aL CONrv1EfJT5: � � �( O rrv�L\� �7`��
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<br /> � p,?PR�JVAL OF A P!]RTiON
<br /> C nisaPFROVn� � �F 1q- 1�
<br /> Siyna re `Gounty Assessor Date
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<br /> �QR CpUNl'Y 8p d QF EQUALIZATIpN USE pNLY
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<br /> 1 declare 11iat,tu the rest o(my knnwiedy�and beliet,ihe deterrninaUcn h::rrhy r,,ade by,he Gnunty�oard nt Fyunlizatinn is cerreci pursuant
<br /> to?he lav,'�Df the�tato of Nebtaska.
<br /> �A�PAOUEi7 COM�,IEN'1'S: .T^._v��
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<br /> L A?PRS]�JP.L.OF A PC�ATIQN
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<br /> , nsr,ure ai Cqunl Bu � :9e l�er ��;,' _f1 ,��'.e,�
<br /> le6raska Gap�r;ment ni Rav_nue .4uthur.zed 6y;Je6.Fiev.Stai.§77�202.01
<br /> dfi-13�-1999 7eV.7-�010 Supersade5 96-735-t999 RCV.17-?0�8 '
<br /> DEG 0 9 REC'D
<br /> PLEASE P�IAKE A CQPY FQRYOUR f�ECCrRDS E��°;�g �(1�0;�-,'�, ���E�Sf��i
<br /> r���``f'!`��-�'i'b`� til��RASKA
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