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2o� Z <br /> �� W�-�� Exer�ption Application ���� <br /> �� forTax Exemptian on �Y�ai and Persanal Property by t�uaEifying argar�ia�tions ��� <br /> C ABS�S QFi Ftead instructions on reverse side. <br /> �' Failure ta properiy complete or ff{e this appiication in a timely mannsr shall res�it in a dlsappravaE of t�e ex�m�tian. � <br /> ,�ame af Orgar,lzation Goun4y Geuny IJa. 'fype of Owr:arsh:p <br /> ST PAULS LUTH�F7AN CHURCH-DONIPHAN Hall 40 � ���'nprelit Ccrpora[ior <br /> S[�eei or Other ylailinry ArJdress State Where tr;corr�pra?ed � �tt?�sr(Speci1y) <br /> PO BOX 185-207 N 4TH NEBRASKA .�... <br /> �ity Stato iip Cnde Actual Vai�e Parcel or Location ID NurnLei <br /> DON IPHAN NE 68832 398,183 <br /> Legal des,'riplicn o�real property and ganerei description of all tengible p�rsonal propErty,ex.cepf licensed moio;veh:�cies: <br /> DONIPHAN VILLAGE ORIGINAL TOWN LOT 3 BLK 9(CHURCH)#4D0181959 <br /> DONIPHAN VILLAGE GIDEDN ADDITION LOT 1 BLK 4 (PARSONAGE) (302 N 4TH)#4DD183781 <br /> D�NIPNAN VILLAGE ORIGINAL TOWN LOT 5 BLK 9 (PARKING LOT)#4DD1$1967 <br /> Title af Q�cers, <br /> Name Directors,or Par3ners Addr�ss;Gity,State,Zip Gcrde <br /> - -----r•------- ----°------°----°.� �•-�–� — _•••--_------ -- ••--°-------- -- ------°.•••.•-•• .......... ••- <br /> � —i� � �.ar� � � � �e-•.--� ��'-s !�4-�.. � _ <br /> �.` �C � � � � cx-�-:. .A�-c.-�- <br /> � o �-4-F� <br /> . . � <br /> r <br /> -- �--°`-1=�-- �'��'`S_ � .��-�f-c�---_••_•• -----0!=�--`- --•.f�•..°.-°'__`___-___-----f•••••-•..... .•-•••-•-.• -----------------. <br /> f�c�sr},��o;t �.�d ��/r.f��--� _._.. <br /> Prepertj nesr.Yivad abrrve is usad in the ic�lowirig exe�ript cm�t�y��ry(��lea�e rn�rk the ap�llcat�is bexes): <br /> �A�riGUlturai/HCY:iCUI1�Yal SoCieh/" �Educational �eli�iqu� �Charitable �Gemetery <br /> Giv�a d�taited dascr.ptinn of h-use of tha prnperty: <br /> �� <br /> -�� C.�.-�c���--�� . <br /> •Agricuftural/Hurticulturai Society does not need to compiete#he folluwing questions. <br /> 's all oi?he prap�rty usad eKCtusively a3 d°scribFd above? �ES NO <br /> ls n��:�rtinr.of iFie property�Uned for Th�sr�;e oi zlwhaic beverag�s9 �YES �NO ItY�:s,sTaie the nurriber nr hnurs par week�„ <br /> is the proparty owncd or used dy an organization which discrlmir.ates in <br /> membarship or empl�l,yment basod on race,eolnr,er naticnal orig;n? �Y�S �dq <br /> Under penaltie5 of laav,I de�lare that I have examincd tlii�exemption a�;ication and,ip the best of my:tnowiedga ard�eliet,it i5 carrect and <br /> pnmp:sie.I als�decl-re ihat I a+n culy auth;,rized ta sipn 11tis e�ern�iTtun ap�l�c.atinn. <br /> ���� � ���� �7 � �f <br /> ���� Au:horizad 5igna ure 7itle Daie <br /> °---„- °--°•••_ -••.•_ -_-•_•�,- ---•-••_•---°-----------------------•--•-••.....•••.... ...�......... � <br /> r---_- <br /> FDR GOUNTY ASSESSOR'S RECOMMEN�]ATiON <br /> I <br /> �A�PHOV.AL CDIJ�vlEfJ75: �� <br /> � APPfiCflAL OF A POfiTION <br /> C DISAP?RDVAL 1--- `��,� <br /> 5iyr.atur o' auniy Assessor Qatr; <br /> ----------•°°---°•_--------°°-------•----°••.-------°- �••-•••_.. -•••_•••--�••-.••_------------------------°--°-••••-•...-•----- •.--•••-••••••••.......•••-••------ <br /> FOR COUNTY 80A OF EQUALIZATION tISE iJNLY <br /> I decf�re that,tu 9he�es[uf my knnw;edge and beliei,1h�dePerrcunaucn tiere6y r,ade hy;he Guunry i�oard nt Equafiz.�tion is:errect pursuant <br /> to the lawe of the�tate af Ne6raska. <br /> A?W�tOVEi7 G�M�AENTS: <br /> ••�. <br /> i A?PAOVAL OF A PCJRTI(7N •--------_•-_.••- ••-•-••••••-•�-•••-�••--- ••-•-••--••...••-...•-°-. °................ <br /> �--�1--/� <br /> C DISAPPRGV�L7 <br /> Signature nt Caur;t� uar 1�9eml�er <br /> Jebraska Clapartment uf Revenue . th ,�e y� e6, ev,�d�,$7)-�,OZ.O? <br /> 3G-13=•1999 He6'.7-=070 Supe�sedes 9fi-Y35 1999 Flev.11--'_ODB <br /> �Fe 2 � �a» <br /> PLEASE MAK�A COPY F'OR YbUR REC4ROS <br /> NALL CaUN1�Y ASSESSpR <br /> GRANAISLAND,NE6RASKA <br />