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2012 <br /> �� LEDWITH Exemption Appfic�tivn ����� <br /> ouR forTax Ex�mption on Fle�l and Personal I�roperty hy C�ualitying �rganizatioa�s ��� <br /> Q :,SSESSqR Ftead instructions on re�erse sida. <br /> i Failure ta properly camplete cr file this application in a timely mannar shalt result in a disappraval of th�exemption. <br /> I�ame of dr�aritation County Geun;�No. �ype pf Ovtr:arsh�p <br /> UNITED CONGREGATIONAL CHURCH Hall 40 Q ��^�Pro9itCorppratior, <br /> � S[ate Whare lr,c�r inra<ed � Othar{upe�i'ly) <br /> treei Ur Oth�r 1Aai;in�j Addrees � <br /> 4Q5 E BISMARK N��3RASKA <br /> ���, Stato r�p Gnde Actual Value Percei or Locatior Ib NumL-�r <br /> GRAND ISLAND NE 68801 365,829 � 4p0098962 <br /> Legal des�-ription of real property and gensrei descripYion,f a!I tan�ible persanal proparty,ea_cept 13censed molor veh:c;es: <br /> UNITED GHURCH ADDITION PT NE 1/4 NW 1/4 22-�1-9 <br /> 7iEle af C111`icers, <br /> Name Directors.ar Partners Address,City,State,Zi�i Code <br /> Prepe;t�j t:esr.ri�zd above is usad i!i the followin£exetript catEynry(piease rn�rrk the appl�r.ebl°bcxws): <br /> �A�ricultur�ilHcriiceftural Soc�ety' � Educational �eiigiou� �.r,haritatle �Gemeter� <br /> Giv�a detaiied description of ha use of tha preperty: <br /> "�gricUlturalMorticultural Sociaty does not need to complete the ioliowing questions. <br /> Is all oi ih�prnp�rty used exciusively aa d°scrl6rd above7 �YES ❑NO <br /> Is a portinh nf the prcperf�used fur Th�saie nt elcohoiic beve°ayes? �YtS ❑NO (f YP.¢�sta?e the nurnhe>n'hours per week <br /> Is the prop�rty owned or used by an organlzadion which diseriinirates in <br /> memborship or empluyment hesed on tace,ac1�r,or nat�cna!pri�in? �Y�5 ❑fJ0 <br /> IJnder pctnaities of law,I deJare that f have examined ihi�examption appiication and,to the bast pf my knowiedgs ard beliei,it is correct and <br /> campiele.I alsn c?eclard th2t I ari�duly authr;rized ta sign tirs exernriiiun ap�licafin�. <br /> sigr� _„� _. : -- A��.��r����r��� � �- � >-�r <br /> L+e�s� �Au:horized5ignature 7?tle Oate <br /> 11 <br /> - - —�-°--- ----- -°------- _-•-•••_- --_._•••••-_•••-----•--_ --_-.••••-•-- ---------------°---•-°••- <br /> �"�"" T FOR GdUNTY ASSESSDR'S RECOMfUlENDATl�M <br /> �'� A:'PHOVAL CONhiENTS: 7 <br /> �� <br /> / <br /> � A?pROVAL OF A PQRTI�N <br /> C D15APFROVAL ' � <br /> Sipr.al e ;Ceunty Assnssor Datr <br /> °•-°--'-----�----..•-•,.�'�---�-••..•._----------'-- - _-•-.....-- -----------'-----_•_•-- -""'-----°••-•,. �•-•-•-----••.-••...•.-•,.-••---••••--__'�_-I <br /> I �017 CQUNTY BOA OF EQ1300L12ATlph t1SE t7NLY � <br /> I dec.lare.lhat,to 4%re hast ui my knowiedy°and f�c�lief,ihe deterrn:naticn h�rehy madr by[he Gounty Foard r�f Fyunfiz5tic�n is cerrer.t pursuant <br /> to.he Izv;�of the State nf Ne6raska. <br /> � A�,�,��V�� GOMMENTS: <br /> Ci A?PR6JP.L.pF A PCJRTIPN <br /> i <br /> ❑ DISAF'PHGV�D -- �.�� � �nZ <br /> Siynsture a( ,y B rd�,1eml�er "�::�, �._f:.;_.._ , . <br /> Na6 uska Gepar:ment ut Revenue .4uthorxed by Ne6,Rev,�tat,§7'7-POZ.O! <br /> 96-13=-1999%iev.'7-PO105llpersedes96•735-�999NCV.71-2006 N��j 2 �, 2011 <br /> PLEASE MAKE A COF'Y FORYQUR RECORDS��� G���:�YY �W���S�]� <br /> �1�A�v�lS!-�l�I`�D,CIEBRASKA <br />