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2012 <br /> _ T F �pW��� Ex�mptior� Applica�ror� Fa�� <br /> ` Q�p farl'ax Exemption on Rea! and Personai Property by c�ualitying Organizations �g <br /> C N ASSE$SRFi Ftead instructions an reverse aid�. �� ) <br /> Faliure to psroperly tomplete or fife this application irr a timely mannsr shait result in a disapprovai of the exempti�n. <br /> �iame oi Orgar,i�aUon Counry Couny No. -�ype of Ownership <br /> � UNITED VETERANS CLUB INC H�II qp � ����prntitGorporatior, <br /> Stree.i or ptli�r 1Aai;in�1 Addre=s State'Nl�ar�tr,corr�rir;�:ed � �tnrr�upecityl <br /> '1914 W CAPITAL AVE NEBRASKA <br /> Gfty 5tato Zip Cnde Actual Value Parcel or Locati�r ID Number <br /> GRANi� 15LANC] NE 688�3 753,317 400350173 <br /> Laaal dcs�ription at re�l praperty and aenera!description af all tengibie p�rsonal p!operty,except licensed moior vah�cies: <br /> MISC 7RACT5 6-11-9 P`f�S� 114 (LANp OWNEq BY HALL CO) (BLDG ON IOLL) (12.35 AC) <br /> (STATE OF NESRASKA SOL�IERS ANC7 SAILORS HOME) (TAXABLE PORTION #4002623:�!�� <br /> Title af Otticers, <br /> Name _ Directors,ar Partners Address,Ci d <br /> �_______ _ _ _ __�___.____—_____—_______.__..�________� o <br /> - _________________ <br /> p �� � <br /> - � � E <br /> �a � � <br /> ----___-----------------------------------_-_____ _--------------...---�------......�..------ <br />, ------------------ <br /> Prrope;t�j cesr.rii�ad above Is usad in the followiri�axe!ript r.�kEgary{�i:ease rn:�ek the applicabl�6cxe.5): <br /> �Agr�culturallWer.icultural Sociery" � Educa*ia�al �Religiou� �Charitatda �Uemetery I <br /> Give a dataitEd description of th�use nf the preperty: <br /> .p�r:u� c9.�.�-L� �ac_, _'c�=� �.--�� e� �.0 .��.�..� cv.�.� � <br /> � �`�-�.�� °.�"� �."�-�.°�°a <br /> "Agri�ultural/Florticultura!Society dnes not need to complete the foliowing questiqns. <br /> ;I.:all oi thF property usad sxclu�ively a�described above? �YES �ND <br /> ls a portinr qf the propP"ty��sed t�r The sa�e ut alcohuiic bevarages7 �YkS ❑hFCJ 11 Yen,sta!e the numhe%u9 hcwrs per week � <br /> is the praperty owncd or used by an organizalion which discr;inirates in <br /> mem6ership or empluJment besed on raoe,aclor,or naticna!arigin? �Y�5 �PJO <br /> Under penafties c(law,I dadare that I have examined this exemption app:ication and,to the t��st pf my�icnow:edga ar,d 6eliel;it is carrect and <br /> com 'ete.I aiso ceclare t�at I am culy authcrized to sign this e�ernr�ti«n aprilicatinn. <br /> 5��� �AU, prizad Signature Title� � ��� � �ate � � � <br /> h�#"� <br /> - -------�---------------����._�..�.�...$m1.`'.._�_�_.�.T._....�.�.._.___.__._ <br /> ---- ---�-�--�-------------------------------------�-- �-------------------� <br /> .... . ._ n,arior� " <br /> FflR COUNI'Y ASSESSOR'S RECOMM�M .—• •-••• '•••••- -•••- <br /> C APPHOV.AL GuNtvic�J i S: C 6 .. .���._�.�. . <br /> f� A?PROVAL L»A PQR7IQN <br /> /` <br /> ❑ DISAP�RL7VAL ��-'�— ' �, <br /> Sigr.atwe ,Couniy Assessor DatN <br /> •-� -• -•-•• •--•-•°-°•••-•-••-------------------------•.-••••-•••••�-..-•---------------------------•---....._..----- <br /> FQR G�UN7Y�pA �F EQUALtZA710N USE ONLY <br /> I de�clare,tiiat,1n the hr�st of my knnwiedg°and belir.f,ihc�deisrrriinalicn h�rehy ri:adc:by,he C�xinty Foard ut Fqunli-calinn is eerrect pursuant <br /> to the lav�of the wtate ot Nebraska. <br /> �x; Ai'PHpVEll cannMEN'rs: <br /> � <br /> -- ----------------_.��.��������-- <br /> �__. <br /> � A?PRdVAL OF A PC�RTIOM <br /> C DISqPPRGV:D �J,� <br /> ,ynatuie uf Cou rd 9em er � a?e <br /> ' '�. Na6ruska Gapur�ment ut aevenue F,t v'fl��/by/'Y3� p�{.,�C)-'ep2.pt <br /> '�� 36-13=-1999Rev.7-2010Supersedes96-135-1999Rev.11-2008 ��LL. �V����� 1 I"����1, <br /> GRANr iS�1,N�, I�EBRASKA <br /> PLEASE MAKE A CpPY FOR YOUR RECQRqS <br />