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Zo� 2 <br /> �s��i���wiT� Ex�mptiQt� l4pp�i���l��i Fot�r�i <br /> Yq�� forTax�xemptian on Rea1 and Personal Property by Qualitying t3rgarizations <br /> GOUNIY ASSES�QR Read instructivns on reverse side. ��� <br /> Faiiure te properly ctrmplete or fife thi&applicatipn in a timely manner shalt result in a disapprova{pf the ex�mptian. <br /> NamQ ot prgar,ization G'aunty Gounry fVo. '�'yp�,�f qfrr:ership <br /> NE CONF ASSOC SEVENTH DAY ADVENT Hall 40 � �'�^nprotiY Corporatior <br /> Sbne1 or Othsr�,laiiins�ArJdre�s St�te'.Nhare�rcorr�urs?e.d � Oin�r{Specify) <br /> 34417 URICSH F2� NEBRASKA <br /> Gity Stato Zip Cnde Aclual Value Percel or Lpcati�r ID Mumber <br /> TOPEKA KS fi6614 559,237 4002096p8 <br /> Le�al des�,ription o'real property and gcne;ai dascription^t all t�ngible parsonal p!oparty,extepY Ilcensed motar veh!cies: <br /> ADVENT 5UB L7 1 (SCH�OL) <br /> Title of�tfiaers, <br /> Name Directors;ar Partners Address;Gity,State,Zip Code <br /> • ------_ .�.__ -----�-------------•�-• -._.�-- --- ---------------- -- <br /> - -- ------°---_�.---••-•...•-.• -----.-•.�..�••.•• -..._._�_�._._--- - ------ ------ <br /> n r.�� r' <br /> � a <br /> --��' --� ---------�---------------�--------------------------�------------�----�--...---�-------------��-�----... <br /> Prepe;t�j desr.riued Hhrrva is usad i�the tollnwirig�xerript rtey�iry(ri:ease rriark th�ap�ti�:abl�b�:xes): <br /> �A?ricultura:/Flcriiculiural Soc�ebj' ❑ �duca:io�ial rn( RsEigiou� �Gharits�la �Cemeter� <br /> T` <br /> Giva a d�4sl��d descr�ption of the use of i pjope�ty: � <br /> L�L�e�l G�Jdr� p tS�i vd ��i�T C�i�� <br /> �arr ��5�.�r���'�tr� -� y� <br /> / <br /> 'AgriculturalMarticuitural Snciety does nnt need ta complete the following questions. <br /> Is all oi�he praparty L'S2d B%GLISIV�Iy�S described above? �YES �I�EO <br /> I:a p:�rtinr.ni the prcpe!ty usad ior ttis saie fit alt:ehniic trevera�es? �YES �NO H YP.S,STdYP,SIIH�1��iIFJY.?fl�I'.011r4�(;r WP.HK <br /> Is the prup�rty own�d or used by an organixaiion which discr:mirates in <br /> mempership or employment hused on race,acl�r,a nationa!ori�in? �Y�5 �NO <br /> Under penalties cf law,I dadare that I ha�e examined tiiis exemptiait app:ication and,to tha 6est of rr,y know!edge ard Celiei,it i�correct and <br /> aamplEte,I aiso declare that I ar7�uuly authctixed to sirn tirs e�ern(itlon applicatinn. <br /> � <br /> s��n �-ts� � i � /l� � <br /> h��e � ;hnrized Signature 7;tle pate <br /> ..__.._-� --._.•._--•_•__._------------------------ --____,_..-.•-•--•-••.•._.�---------------------------------------------------------• <br /> FOR COL]NTY ASSESSOR'S RECOMMEN�3ATION <br /> A�PHDV.AL COMhi�fJTS: <br /> � <br /> LI A?PRqVAL QF A PDAT3JN <br /> [i DISAPFROVAL I "" �'l"�Z� <br /> Sianalu Ccunly Assessor Date <br /> --------°_��_..._.---°--°--°�--•�.�,.�_.- -------�__•-•--•••-_----------------- - ---..�_.�•••-.•-•••••----.-•.-••--••-_•-------------------------------------------•----�....�...�--°.•.•••••-••.....••-••••....�. <br /> FOR CS]UNTY 9pA DF EQUALIZATION USE pNLY <br /> 1 decfare ihat,to t�ie he�st p'(my Xripwiedg�and�eliei,tFie deterrninai:cri h�rehy rr:ade by;he County Foard nP Fquali-r.a4ion is�errect pursu:�nt <br /> to�he lav,s of the�tate of Nebraska. <br /> �Ai'PfiOVEp COMMEN75: <br /> ._. <br /> i A?PRO�IP.L CJF A PC,1FiT10N <br /> C �isaw�ROV=u J—.� l—/,� <br /> yr�atwe of Cour[y �1 ber C ,e <br /> �lehreska 6Cpdr;ment ut a4venue .4uthori�ed de . tat.§77-i02.0 i <br /> c6-13�-1999Rev.7-x0ldSupersedes9b-135-'995fiav.11-?�09 N{�\1 A.�' ���� <br /> t,1 Y D <br /> PLEASE MAKE A G�PY FpR YpUR RECORDS �p�L �Ul�iVTY AS5�S5�R <br /> GRAND 15L.ANC1,NEBRASKA <br />