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20� 2 <br /> r E FIL wrr� Exemp#�on App�i�ati�r� �o��,� <br /> q for7ax I�xempticn on Ft�ai and Personal Property by Qualifying Organizations �p <br /> pUi�lTY ASSESSOFI Read instructions an reverse side. �F�� <br /> ` Failure to praperiy complate or file thi appii tio in a timely manner shali resull in a disapprovaE vf the exemptian. <br /> hame�f 4tgariza[ion (�r �iYY�m L(p�` Y 0 r 1 S G�ounty Ccun:y�IJo, 'iype of Ovmership <br /> CHURCH OF JESUS CHRIST-LA7�7ER DAY SAIN7S Hall 4p � Nonprc+tit�orporatior, <br /> 5treei or R[h=r�,9aiii��p ArJdre=s ,fate;Nhzre Irr,or��or�ied � �1th=r(Specilyl <br /> 1728NLAFAYETT� NEBRASKA <br /> �ity Stato Zip Cnde Actual Value Percel or Locatior,Ip Murn�er <br /> GRAND ISLAND NE 68803 66,304 400088401 <br /> Legal descrlpticn o`:real oroperty snd�enera!description of all tangible personal p!oparty,except licensed motor veh:c!es: <br /> SCARFF'S ADD LTS 1 &3 BLK 18 (CHURCH) <br /> Title af ON'icers, - <br /> Nama Diredots ar partners ddress.City 5ta e,�ip Code <br /> ------— - - --°-.•-.••••------- ----- -------------- - - --- --- - • - •• •••••••••••••••-...... <br /> --- - ---------•-----°•_-- - • ------ --—------- -- - <br /> ---- �i-.�'-w t h�t�� � �- � r / " G�J f S � s��----��� ..... .� <br /> yF-�1'1 .� m�r e s Co s r / r s � � <br /> �►� �' t�s- �r1�ur�ria.�D �r � ra s �� <br /> Pr�:perty cESCrii.iad�hr�ve is�sad in the follnwin�rxe�npt tateg�iry{f�iease rn�rk the applicablP bcxesJ: <br /> �Agrcultur�JHor;iculiural 5ocieh!" �Ed�ca'ianal �A9II.�IDUE �G'harit3tle �Cemeter� <br /> Give a detalied d�sc�;ption f h¢use of iha prop�;ty: <br /> �cc.rc 1'i �e�rv P��S 5c,,�cl�. /f�1 <br /> 4`��.' r������rrus ��v, oCc�Stonal�I y <br /> "Agricultural/Hurticultural Society doas noY n�ed to complete the following qu�stions. <br /> 's all ot�hF property usad ExGUaively as desctibed above? YES �NO <br /> la a�iartinr.�,f ifie prcr3erG��us,ed tot 1Fi�saie ot pl�ohipiic t�everages? Y�5 �Nq If Yes,stata th�r7urnFier n'hours par we�ek <br /> is the pr�party awned o�used by an arganization whict�discr:inirates in <br /> mem�orship or empl���yment based on race,scl�r,or naticna!ori�:n7 �Y�S ��dq <br /> Under penalties cf 13sv,I do�lare lhat I have examined ihis axamption app�ication and,to the 6est of my knowiedga ar,d 6eliet,it is correct and <br /> r.ompiet�.I a�so declare that I arn duly authcriye.d to sign th:s exernptii�n appl:c.atin7, <br /> S���"1 � ���L-�-�-� �..�-i� ��-�/� �l <br /> �q��� �Au:horized 5ignature 7itla �ate <br /> A� <br /> ---•------•••--•-.•�-••-...�..._ �.._•-•--_••�•--°--------•-----------_•-•-.•••••_----•--_...._.••-••••••-•...•••••-•-•••..._......__...�..._�....�-------•-�-•�•-••••-••--°-••-------�---�----•-°-•--°-°•-•-.�_._�.-----.....�... <br /> � FOR COUNTY ASS�SSpR'S RECOMMENDATi�N <br /> �Ai'PHOV.��L CPM�v1ENT5: j ��„_-„�--� _L'""�L�d� <br /> ��-i=-� . _ _ _.__. _._.__.. <br /> \ <br /> L; A?PRCIJAL.C7F A POR-fIJN <br /> C IJISAPFR�VAL (``""t -" ��� <br /> Sianatura ' �uniy Assassor batr; <br /> ---�-•m� .___.._ .�-••-m.-_-- ---W-•.•-..._.. .- ---------------- - -- --------- --------- - ----- . ...••.•• ••-•-••. .-••••---••-.•--•••••--•-••••••�-°-) <br /> FDR CAUNTY B4A QF 6QUALIZATIRN US�C]N�.Y <br /> __ _ _ - _ -_ _ __ _ <br /> !dacfare tfisc,tr1 the k�aht u'f my�cnnw;edg�anil belie(,ihe deterrninaticn hPrehy r,ade by,he Cuu+iry n�ard nt Fyuahzalion is eerrect pursuant <br /> to the Izv;e of Yhe State ot Ne4ra.ka. <br /> Ai'PHO\/EU C�M?vlENTS: <br /> --- <br /> : A�PRpVA.L OF A PDF�TION <br /> C DISAPPHGVMQ 7J�J�J �'' <br /> . gnature f aurt rd�,9ei ier � <br /> .ehraska Gnp�r;ment ui Re��nue � �J ''� � . �� � 1� <br /> d6•73�-9999Rev.7-'OY9SupePSedes86-735-1999NeV.Yi-�009 ' � '�� �-•� �`-"'"=��� <br /> PLEASE MAK�A COPY FQRYOUR RECORf75 �DV �, � ZD�� <br /> �'J;L� �::�'t.!�'L I`r' �:71���J��i <br /> �'�ir�'.. .''_.,=i;°L�+ ;�'�B�iA�4�A <br /> � <br />