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o ���� W�TH Exemption Application FORM <br /> voua forTax Exemption on Reai and Persanal Property by Glualifying Organizations 451 <br /> O Y AS OR pead instructions on reversa side. <br /> Fa ure tb properly eomplete or file this application in a timely manner shall result in a disapproval of the exemption. <br /> se of anization County County Na Type oi Ownership <br /> OV LAND TRAILS COUNCIL e0Y SCOUTS OF AMERICA HALL 40 Q Nonprofit Corporation <br /> Street or Other Mailing Address State Where Incorporatsd � Other(Specity) <br /> PO BOX 1381 NEBRASKA 501c°)c3) <br /> City State Zip Code Actual Value Parcel or Location I�Numbsr <br /> CRAND ISLAND N� 68802-1361 $1,327,409 SEE Al"7ACHED <br /> Legal description ot real property and general description of all tangible personal property,axcapt licensed motor vehicles: <br /> SEE ATTACHED <br /> Title of Officers, <br /> Name Directors,or Partners Address,City,5tate,Zip Code <br /> Rt�N VONDtRUHE BQARD PRESiDENT 421$MICHIGAN ST GRAND 15LANb NE 68$03 <br /> TYSON COBLE BOARD TREAS 1323 N. MINNESO7AAVE HASTINGS NE 68901 <br /> pAVID PLOND SEC/SCOUT EXEG 1519 W.DIVISION 57 GRAND ISLAND NE 68801 <br /> GLEN JORGENSON CNCL COMISSNR 315 W.9TH STREET HASTINGS NE 68901 <br /> Property descriped above is used in the follvwing exempt category(please mark the applicable boxes): <br /> �AgriculturaUHorticultural Society" � Educational �Religious �Charitable �Cemetery <br /> Give a detalled description of the use of the properry: <br /> Loc#1: executive offices, scout shop, training rooms <br /> Loc#2�4: Camp augustine-scauting activities & camp <br /> 'Agricultural/Horticultural Society does not need ta complete the following questions. <br /> all of the property used exclusively as described above? �YES �NO <br /> is a portion of the property used tor the sale of alcoholic bsverages? �YES ❑X Np If Yes,state the number of hours per week <br /> Is the property owned or used by an nrganization which discriminates in <br /> membership ar employment based on race,color,or national origin? ❑YES ❑X NO <br /> U r pen ie of law,1 daclare that I have exami this exemption,applicati,on and,to ths best oi my knowledge and beliet,it is correct and <br /> com e .I als decl re that I m d or this exemption application. <br /> • i <br /> sign SC�U7 EXECUTIV� 12-16-11 <br /> here Authorized Signature Title Date <br /> FOR COUN7Y ASSESSOR'S RECOMMENDATION <br /> �APPI�OVAL COMMENTS: `� <br /> ❑ APPRDVAL OF A POR7IDN <br /> ❑ DISAPPROVAL `` ����• <br /> Signature of ��ity Assessor Date <br /> FOR COUNTY 80ARp EQUALI7ATION USE DNLY <br /> 1 declare that,to the best of my knowledge and belief,tha determination hereby made by the County 8oard ot Equalization is correct pursuant <br /> `` rrer �' <br /> � � �R� r��� � � <br /> to the laws of the State oi Nebraska. ,�4�^° <br /> �,,,���,,,((( G .+��,. !�j� iJ r k `'a . �� <br /> APPROVE� COMMENTS: � _ <br /> ❑ APPROVAL OF A POR7IQN ���1 <br /> �-�`�,���SDR <br /> ❑ DISAPPROV�� �a � <br /> gnature a1 Co nty B mber n A6T1 r��p� <br /> rsska bepartment of RevBnue , thorized 6y Ne6.Rev.Stat.§77-2a2.01 <br /> ,135-1999 Rev.T-2010 5upersedes 96-135-1999 Rev.11-2008 <br /> PLEASE MAKE A COPY FOR YpUR RECORDS <br />