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2012 <br /> �� ���p W��� Exert�ption Applicati�r� ���� <br /> �� forTax Exemptian on Rea{ and Persanal Property by Qualifying Organizations ��.� <br /> QU Y A �SSQR Raad instructions an reverae side. <br /> Falfure to properly camplete or file this appli�atian in a timely mannsr&half result in a d'esapprt�val of the exemptian. <br /> e of Organization County Ceuny fva. 'fype of Owrership <br /> 7RINITY LLITHERAN CHURCH Hall qp � ��^�Prntit Gorporatior <br /> Str�;�i or Othier\9ai'inq ArJdre.=.s 5tatelNhare frr,or�nraied � Othsr(Speci9yl <br /> 212 W 1�TH ST NEBRASKA <br /> �,�ty Stato �ip Cnde Actual Value Parcel or Locatior ID NumLer <br /> GRAND 15LAND N� 68801 2,530,659 <br /> Legal descripticn o:`teal properry and gensrai dcsc;iption c�t all tangible p�rso�al p!operty,except licensed molor veh:cies: <br /> WHEELER&BENNETT AD�1710N ALL�F BLK 59 (CHURCH)212 W 12T�i#40D�2363Q <br /> WHEELER&�3ENNE77,2ND AI7DITION ALL PF BLK 72 (SCHOOL)208 W 13TH#t�40p124920 <br /> "Citle ai Otiicers, <br /> ---�..—__�� • ---- -)• - --••°- - - -----___s.City,5tate,Zip Code <br /> - -------- : •--- ---�- °- - ----------•_--s•••�--•----- - •-• . � <br /> Name Direckors.ar Partners res <br /> C�1� 1�[�.-t�r�E �"-----�-- -- � �Y��- .11 "l 1 CA-�-. C'° --� �_-�---�.... _ ;- � <br /> A n v, i[ � ra C 1 <br /> _r� Cl�- y� !. -, 1. �. <br /> �i1�L�.�Y]_� - _ !�`�- -----� --- ��� ,----•-•----•� � _ 1,�th--'�c -t--�=•-�- ----=�- -- - -- ..�_ t�'�.�_....�� <br /> i � -(� � <br /> � <br /> Pt'ape�tV �sc.rii�ad ah�r�ve is u�.�d iri the 1ol3owiri�exempt cxtegn��{r�iease rnsrk the appli�:at�l°bexes): <br /> �A�riculwt�i�7-Ecr.iculiurai Soc�ety° � Educa?ianal I/V Reli�ioia� �Charita�le �Cemetery <br /> Y""1 <br /> Giva a detail�d descrEption of ihe use oi ih�propeKy: "ri.e C���^���,SC�I �� I'"t,LW Q+� � � ""�(j� <br /> 1 t) <br /> p�p�. a� Wo�h�p, e_d uGa•k:i or-u�,, c�t�G1. -�i I6�h�� �'PPr'r-t�ni ti�S �r �� <br /> ;-�r,-,t�� c��±nnct� �`�n�mtL�i� � C� (sl� T <br /> ^?,griculturelMorticuftura!So�iaty does not need ta complete the toilowing questions. <br /> Is all o1;h�prop°rty usad Ex��usively as described above? tS ❑NO <br /> ir y partinr.of ihe pro�fFrty usad ir�t TtiF sa�e nt alcnhoiic bevnra�es? �Y�S �O �i Yeh,st;�tP the�wrnbe�u?hours per K�eek <br /> Is the pr�perty owned m used by an organizatian which discrimir,ates in <br /> membership or empl�_yment based on race,cclpr,or naticna�orig;n? �Y:.S �Np <br /> Under penaitips of I��v,I dedare that I have examined tiv�examption app�ication and,to thc Gest of rc;y knpw�edga ard Celief,it is carre�t and <br /> r.omp;eTe.I ais. declare thPt I arn duly aoth+crized to si_r,n th�s exernp!{nn ap�licatinn. <br /> 5� � 1 <br /> ��tr� Au:horizad Signature Title bate <br /> - -_•_•�•-°- .•----•_-- --_�._ _�.._...�_--••••�.�._._..-------- ...•--•�-•••_••-••_•-••----••°•-------------- � <br /> FOR CaUNTY ASSESSQR'5 RECOMM�tdi]ATIO[V <br /> I__ _ — <br /> �APPROVraL COMMEt�TS: ��a�rv�4l_f L Z�- c�.�a�. ----- <br /> � A?PRO�IAL bF A Pql�7lON <br /> ❑ ❑ISAP?ROVAL �� ,�- I�_� <br /> Siar.ature Cuunty Assessor Date <br /> ••--- -�•••••�-------�._��•-•-._�-------.-•••.-_-------°•--•••••••--•-----------_• ..--•....... --.�.....•-•••-•-•••.....•••-••.•-.•.• � <br /> f FQR COUNTY 6pAR OF EQUALIZATIpM U5E OMLY _ <br /> 1 dacfare ihat,[�}tne Ce.t ut my knnwiedy°and 6eliel,ihb dr;ierrn:naticri tierehy r,ade by illE COLI�1(Y BV�f����Fyl1�7ltL,ifIi0I1 IS cerrect pursuant <br /> io ihe lawe oP Yhe.�Yate of N ebraska. <br /> �A?PFIOVEU COMMEN'TS: <br /> _ <br /> ' A?PRC3VP.L OF A PqRTiON <br /> ❑ 1]ISfiPPROV:.D � � ��� <br /> ,iyr�ature uf Caur[y 8na, �a er ] ! <br /> Ve6raska�apar:ment ut Ravenue Authoriled 6y'da6.F�ev.�td't.ST7•202.0� <br /> 96-135-1999�eY-7-�Pl�Sup��_ede5 96-135-1999 RAV.11-2008 � <br /> NQV 2 9 2011 <br /> PLEASE MAKE A GQPY FOR YOUR RECORDS <br /> y RAND IaSLANQ,(VEBRASK�A <br />