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�E �nW�TH Exemption Application FORM <br /> Yo R forTax Exemption on Real and Personal Property by Qualifying Organizatinns 451 <br /> , G NTY SESSQR Read instructions on reverse side. mm <br /> Failure to properly complete or file this application in a timely manner shall result in a disapproval ot the exemption. <br /> me of Organization County County No. Type of Ownership <br /> ST MARY'S GHURCH AND R�CTORY,GI HALL 40 � NonprofitCorporation <br /> Street or Other Mailing Address <br /> State Where Incorporated � �her(Specify) <br /> PO BOX 936 NEBRASKA <br /> G� State Zip Code Actual Value Parcel or Location ID Numher <br /> CRAND ISLAND NE 68802 $5,745,280 5EE ATTAGH�D <br /> Legal description of real property and general description of all tangible personal property,except licansed motor vehicles: <br /> 5��. ��-��d <br /> Title of Dfficers, <br /> Name Directors,or Partners Address,City,State,Zip Cade <br /> Bisho William Dendin er President Pp Box 1531 2708 Qld Fair Rd Grand Island NE 686D2 <br /> Reverend Richard Piontkowski Secretary PO Box 936, Grand Island NE 68802 ..�._ <br /> Property described above is used in the following exempt category(please mark lhe applicaWe boxes): <br /> �Agricultural/Worticultural Society" ❑ Educational �Religious �Charitahle ❑Cemetery <br /> �COp,¢t-�-ies Q.� I,LSe.d r' t�e�i 'uu.s u.t-pvses . �5 <br /> Give a detailed d scription ot the use of the property: �' p.�' -}�'1gS� � <br /> s � bu5 5�5+�rS anc� Pnle�� 'f0 CUnc�ue�4��,d�r <br /> ra.h es �rom worshlP s�Q.��, �-v �1 u- �� ►'�e.t ��u.� BcEu.Ea�-,�rh.G (�t&S�s, lDU °Jo <br /> rCl� �uus ed��a+.b� � -�, .�rr�n9 �r Ghw�or r�.�'U <br /> � <br /> 'Agricultural/Horticultural 5ociety daes not need to complete the following questions. <br /> ;alI of the property used ezclusively as described above? �X YES �NO <br /> 1s a portion of the properry used tor the sale of alcoholic teverages? ❑YES �NO If Yes,state the number of hours per week <br /> Is the property owned or used by an organization which discriminaies in <br /> membership or employment based on race,cnlor,or national origin? �YES Q NO <br /> Under panalties of law,I declare that I have examined this exemption application and,to the 6est of my knowledge and belief,it is correct and <br /> complete.I also declare that I am duly authorized to sign this exemption application, <br /> r <br /> si g n e�r � � � o <br /> here Authorixed Signature Title 17ate <br /> �ho h�. � 3�5 k- 3����5 a� <br /> FOR GDUNTY ASS�SSOR'S iiECDMMENDATIqN <br /> APPROVAL COMMEN7S: (� =1 ��—�b� _ <br /> � �_�r� <br /> ❑ APPROVAI�OF A PORTION <br /> ❑ DISAPPROVAL ����~ \�'� <br /> Signature of ounty Assessor pate <br /> FOR CDUNTY BOA OF EQUALIZATION USE ONLY <br /> I declare that,to the best of my knowledge and 6eliet.the determination hereby made 6y the County Board of Equalization is correat pursuanl <br /> to the laws of the Siate of Nebraska. <br /> [�APPROVED COMMENTS: <br /> � � <br /> ❑ APPROVAL OF A PORTION p =Y� <br /> �, C, ��{ .f.'i � � �i�� ��� <br /> ❑ G � <br /> DISAPPROVED <br /> Signature of Cou ar Member � e <br /> .abraska�epartment ot Revenue � , u ri e4.Wev.Stat.§77-202.07 <br /> 96-735-1999 Rev.7-2010 Supersedes 96-135-7999 Rev.11-2008 <br /> �-����_� �i.i�;�(�i ti� �uSES�OR <br /> PLEASE MAKE A COPY FOR YOUR REGORbS ��f{��}�(�j�,�R\D,il!CE3RASKA <br />