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2012 <br /> t� �Fi�� wi-rr� E���p�ion r4pp��c�tiC��1 �o€�n� <br /> vou� fa�Y���xemption an Ft�ai anci persanal Property by Qualiiying Orgar�i�a4ians <br /> GOUN71'ASSESSpR Read instructians nn tevarse side. ��� <br /> Faiture ta praperfy complete or file this 2ppiication in a Fimely mannsr shalt result in a disapprovaE o#the exemptipn. <br /> name of Qrp�nizalion �'aunty Ccun',y IVa. -rype ot Or�r:ership <br /> PRESBYI"�,RIAN CHL.IRCH �-{�II qp � Nonprclit Ccr����ra[ior <br /> �itreel or Oth=r�,9ai;i�i�Addrees S[�ie lNhere Incvrpnraied � C�ln�.r(Specily'1 <br /> 2103 W ANNA NEBRASKA <br /> Cj�y Statq 7_ip C�ide Aclual Valre Farcel or Lacatiar Ip Mum6cr <br /> GRAN� ISLAND N� 68803 1,622,289 4pp147203 <br /> Le7al descripiicn o`real nroperty�nd gene;a;descripCion af all langible p�rsonal properP�,except licensed motar veh�cies: <br /> MISC TRACTS W 1/2 21-11-9 (9.32 AC) (CHURCH) <br /> Title af Qtiicers, <br /> _ Name •----------------Directots,_ar Partners------------ -------•-•...•-•...'4ddress,Gity,_S#ate,Zip Cvde------- <br /> -- ------ --------- ----------- ---•••- <br /> , Jon Heath Pres of Corp 251 Mill River Rd Grand Island Ne 68801 <br /> Kez�t Brown VP 3904 Meadow Wa Trai1 Grand.,.Island NE 68803 <br /> STllCE Smieh Re �s�ered A e 4 220) Arrowhead Rd Grand Island NE b88L�7 <br /> ________Mary__Reitan_ .__________C1erk of_5essi n,___m..2203 OklahQ�a___,p�v�,_.___Grand___I_�1an�i___�I�___�.$�.Q� <br /> Prepe�ty Cescriuzd;�hnvr is�iEt�d iri the inllowiYir exe!ript c.�tegr��y(piease rri�rk the applir.abl°haxes�: <br /> �A.�ricultural/Wcriicultural Socieb/° � Educational �Religiou� �Gharitable �Ce�netery <br /> Giv�a detai!ed description of ihe us�of th�prop�rty: <br /> Religious serviees, events �or members and community, preschool and youth events 100� <br /> 'Agricultural/Hurticultural Society does not need to camplete the folluwing qi�astions. <br /> Is all oi the prope;ty used excluslvely s�desctib�d above? �YES �NO <br /> Is�tiartior.nf ihe prc�}e�y usad iur the st�i�ni eicohuiic beve�ages7 �Y�S �NO If YP.S�st�tp th�nurnbrt%oS hnurs per n�eek <br /> Is tha propeHy owncd or used by an organiza�ion which�discrlmirates in <br /> memCership qr empL�yment hasod on race,oclor,er naticna�pngin? �Y�5 ��JG <br /> Under penalties af law,I dfl�lare that!have examined thi�examplion appiication and,tu thc•t�est oi rr,y knpwic.dga ard 6eliel,it is correct and <br /> comp;ete.i aiso dacl;�rr�that I am du�authrrized io sirn th:s e,xnrnptinn appiicatinn. <br /> �� � .�� <br /> � � � Financial Administrator 11/22/2011 <br /> ����q � :horiz�d Signafure 7itle Daie � <br /> �_-••••--°°••__•••_--._..�_.----�---- --•------°�------- ---�_�..� ...•-•----------�_...._••••-•� ---°--°-- .�_.._....._•."I <br /> ^ - -�DR CaUNTY ASSESSOR'S RECOMMENDATiON _. __. <br /> , A"'I'ROV�aL C�NMEfdTS: '� - <br /> L; A?PRCaVAL[�F A POR71bN <br /> � ❑I5APFRDVAL l �— '�, <br /> SiQr.ature r u nty Assessor p��N� , <br /> °-°�_�. __....-•-...._.___---------.....,__ - °--°.- -•,•_•.••••-�•-°--------.•••-••.•- ._..._. -..-••-.•.••••••...._.I <br /> ---•----• - - <br /> FpR Cpt1NTY BOAR OF EQUALI�ATIOM USE pNLY ----------- <br /> !cle�lare that,tn the Last uf my�cnnw:edge and ueliet,ihe delerrninaUcn h=rehy r;.adH by.he Cnunty Foard rrl Equali-r.ation is r.errecl pursu:�nt <br /> io thF Izvs of the�tate c�f Ne6racka_ <br /> ; APPHOVEll COMI�IENTS: <br /> .... <br /> : A?PAqVh.L OF A PC�I�TION <br /> C ��S���Ha��� � ,� r��-�.�. <br /> .ignsture ol C,u [� ,d\, .m1iNr ; �::,- a'r :a ' <br /> 1s <br /> Jehrxska 6aPxr;ment uf Rev�nue �'" '�A171h�q[i;N!b +{'et�'7� . Idl §%�T-,�DE.O' <br /> S6°73=-1999�ev.7-?p10 Super_edes 98•135•7999 Rev.17-?008 • L��-v � <br /> PL�ASE MAKE A COPY FOR YOUR F�ECORbS NOV '� `� zO�� <br /> (r��LL (..��.ai��1�'l�y' !�C':a���r <br /> C�s,�;��'ts�f-•�f� ��-�C]P <br /> J .rai1�!,', f'�fi-Fj�y���i-� <br />