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� 2�12 <br /> .-�����,�TN E�c�mpt�Qr� Applica���r� �o��� <br /> vou� forTax Exemptian on �eal and Personal Property l�y QuaEifying Organixatic�r�s 4�� <br /> GQUN7Y n6SES5QFi Read instruction�an reverse sida. <br /> " %,; Faifefre to prnperly comp9ete ar fife this application in a timeBy manner shalE result in a disapprova4 ut tlle exemption. <br /> ;�ame of Orqarization G'ounty Ceunr�IVo. -iype of Gvmersnip <br /> ABUNL7ANT LIFE CHRIS7IAN CENTER Hall 40 � �'i°�ProtitCcrG�ratior <br /> .�treet or Qttir.r Maiiinq ArJdre=S <br /> Staie lNii�rc frc7r��qratep � r�tn�r(Specityl <br /> 3411 W FAIDLEY AVE NEBRASKA <br /> �ifi/ Stato i ip Cnde Aclual Value Percel or Loca[ior,Id MumL-et <br /> GRAND ISLANO NE fi8803 5�E ATTAGH�D <br /> Legal des�,rip4icn o`:real property and genera;deocYiption af all tangi�le p��sonal p!opE.rty,except IiGensed moto'vehicies: <br /> SEE ATTACHED <br /> 7itle p1�tficers, <br /> q�a�� Directors,or Partners Address;Gity,St�1�,Zi,�Gade <br /> -------------•-•:.-•.••-----------••..-----------°------- <br /> •••••-------.•••••---------•.•.--------.....--•-- .-•.•---------------•--....••-•-•... ---------- --.•.•.•-------------- ---....... ..•••--•......... <br /> flJL• CU'f i Y .r pre "� n� � Q d �f/P. -> ti 5 E �Q <br /> � � � i � a�r��� �� .� <br /> Pi�:perty desr.riiiad�hr�ve is tised in the follnwinE Hxernpt categnry{piease rnyrKthe applicabiP bnxes): <br /> �A.�r:culturaiiFicr.icWlural Societ,y` � Educs:ianal +�Religioue �Charit�tde �Gametery <br /> Give a de:aLed descr�ption of th�use af tha preperry: <br /> 'Agricultural/HurticuEtural Society does not need to complete the lullowing questions. <br /> `s ail oi the property usad exc!usively�=desGribed above? �Yka �NO <br /> Is�i p:�etlor.ai the prcprs!'t}�used int TM.°.saie��t e.l�ohaic bevera'�s? �Y�5 �NQ 11Yes,sTa:e the nurnt�e�U'h�urs p�r x�eek <br /> Is the prop�rty owned or used!�y an organi'ation whieh�dis imirates in <br /> mem6ershi�or empir�ym�nt based on race,cclor,er natio a!ori�in? �Y�S []�r�o <br /> Under pcnaities ef 13uv,I de�lare that Fave examined ihis ex8mptl6n appiication and,to th�6es;oi rr,y knuvAedg�ar,d beliet,it is correc:ard <br /> r,omp�ete.I ai,o dectarr:inet I arn duly a h,r,rized tn sipn lliis esernr�9lon sppli�:eiiuri. ��_��i�7_��7�� <br /> C <br /> �� � �rP.S/��t?� _ /a-/S-/l <br /> l..�y�.� u orized ignature Title �aie <br /> li <br /> •------°-----°°•°------°-•--------_••-•-•_--------_-••-••••- •• -- •••.•••----------------------�•••••••--• ........ •.•••-------- <br /> ----��-••-��------_••••�- <br /> �flR C6UNTY ASSESSaR'S RECOTv1MEN�ATiOhf <br /> � A�PHOV.�1L CDNM�PJTS: _ �7��� .� <br /> � <br /> L; A?PA�JVAL OF A PORTlON <br /> ❑ oisaP��nv,a�. � - l�- 1.�_ <br /> Siqnature a� �o n y Assessor Date <br /> � . _ •--••-• •-.-•.•--• ---`--•.........-•----� <br /> IT---- - -----------•••-------�u•.••---�-�••�----------•Y'-----••�OR COUNTY Bql+RD EGll1ALfZATiON USE qP�LY-••-••••-� . <br /> �.•.-•- - <br /> I decfare lliaf,tn t>ie hes!o(m �cnr�w,edr�and�elief,the detrrrn:narcn hsreb� r-:ade h� ,he Cnunt ro.�rd nl rr u•rlizaii��n is.^.nrrer.l}wrauant <br /> to the 12ws of the State of Nebra.ka. <br /> , A?PF10VEt7 CQMMEN75: <br /> .m_. <br /> iAPPFiqVRL OF A P��RTIUN ---•••-• - •----------- •--°•-•.�-------------•.•--•...._. -•••••••-•••----------•--•.••••-•...... ........................ <br /> L715APPHGVMp � � '°� <br /> G - <br /> ,iana[ure uf CoUnly Fyua, : e er t�� � ' <br /> 1Ve6ruska U6par;ment ut Rgvenue � � W ,b,Y+d.+����� �v�uhst', � �=02�0� <br /> . 56-135-1999 Ree'.�7-�01 p Supersadea 96-135•1999 Rev.1'I-3008 <br /> PLEAS�c P�IAK�A COPY FOR YOUR flECl�Rda <br /> D�C 1 9 2011 <br /> H6RP�f�L�I���F�.�i�,1��i�ftAS�r� <br />