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20� 2 <br /> T� ��� w � Exemption Applica�i�� �o�r� <br /> �� Ex�mptian on Fteal arsd Persnnal Property by Qualifying Orgar�iaatia�s ��� <br /> GOUN SS OR Flead instructions an reverse s{de. <br /> ' Fa u properfy complete ar fife this applicatian in a timely manner s3�aii result in a disapprava(nt the exemptivn. <br /> �ame af Organizalion CounSy Guuny fJo. 'type of Ovr�ersn;p <br /> NEW LIFE COMMUNITY CHURCH Hall 40 � �;���nprotitGorG�oratior <br /> c St�te tNhare trcor�r�r�:FCi Jth.r�Specii�j <br /> treet or C?thar PAai:irig.4drJr�.=.s � <br /> PO BOX 5 -301 W 2ND S7 NEBRASKA <br /> �-ity Stato 7.ip Guds Actual Value Percel or Lu.atior IG NurnL-er <br /> GRAND ISLANb N� 68802 302,7D9 4Qpp06871 <br /> Legal desoript;on o`:real property and gEnera:description c�t all t�ngiNe personal p!oparty,excepY licansed motor vehlcies: <br /> ORIGINAL TOWN L7 1 BLK 81 <br /> Title of ONicers, <br /> ���� Dir�ctats,�r Partners Address.City,Stale,Zi�Crrde <br /> -----�----- -� --.�--------------------- --------------------------r e� .�..,._ �� ' ..---��---.........(,.F....._.- r� ---------,k G���11-------------,--........---�--------------- <br /> ��. ._. - <br /> �u �a. ----�- <br /> . Y. wc.< <s s D e S �---------'---�� /UE G F�D.� _ <br /> ��/ ur C n � �f r � ,�a /Ut� 8!� <br /> • • � f t •-•Y � �— �� ��� t� r S�6 G ���� <br /> ----._••----�!�---Ptr-�-k-----�•••--_•_- --�••••-•-•---------... -•-•�.�_� ---`�-- --- ---- ---------- ---- -- . _ _ -•----�----------------------------- <br /> ----._�.._.��--------}-----------------�- <br /> Preperty c;�scrli�ad r�hrive is�sed iri the followirir exernpt c.ssteg��ry(r�iease rri�rk the applicak�le bexes): <br /> �A�r�cultura!/Hcr:icultural Soc�aty' � Educational �ReEigiou� �Charit�Yile �Cemetery� <br /> Giva a d WtaiVEd description of:h�use af tha preperty: / f /� <br /> Citldre�_ r���'''�� '1` d���` 12�� ✓'�f��✓� SPrv,[�S_ <br /> "AgriculturalMorticuEtural Sociaty does nat need to eamplete the following quesfions. <br /> _:all o1 ahr prop�Ry used gxc!usively as dsscrib�d above? �YES �Nb <br /> I�n t�urtior.of ihe prcr}erty utied ioi the Sele o9 alcohn!iC bevera�es? �YES �ND 11Yes,sta4e the nurnher n`h�ur;per wee:k <br /> Is the pr�pery owned ot used py an organization which discriinirates in <br /> membership or empl-vyment based nn race,aclor,or naticn3!origin? �Yc5 ��dD <br /> Und�r pena3ties of 13w,I deolaro that!hav�examined thi;cxamption appiication and,t�4he�est oi my knowladga ard beliel;it is�orr�et and <br /> r.amp�ete.I a;r�o de�:I;�rE tnat I a�zi ciuly autt;r,rized i.sicn th�s e�ernptiun applicatinn. <br /> �A�dl A �� , � _.J C/�i 01� /_.G'�SL!/� __— /�'_._/�� � " / <br /> ���a� �Hu;horizad5ignature Title bate <br /> -------.-�•••-•-°---°-----------•---•°°•----------•_-° -- •---•-••••._...._.----°--.•••-- -•-••.••••........�_.°----------------------------------------------------------'� <br /> I- -••-••- FDR C6UtdTY ASSE550R'S RECpMf�AENDA�l4F� <br /> �A°PHOV.aL CONMENTS: �� ,���� � � � �] �_ <br /> � A?PR�JVAL OF A P7RTICfM <br /> C �ISAPr�R�VAL � `� <br /> Si�r.atur o,Gouniy Assessar ❑�tr <br /> ----_-•-°---------- -•--••-----__.�••••••.--------_•_-....----- ----_•• •••••-••••.•�•••••-...__-------------------------------------------------------------.•.-.--.-.•-••--.................................� <br /> � �QR Ci]UNTY BOA OF EQLJAL.IZATIQN t15E C1NLY <br /> i declare Shat,[r�the h�st r3f my knnwieclge and fueliei,the de1errriinaUcn tierebq made by,he Cuiinty Fo;�rd nf Fqunfi'r.�iiun is r.errec�pursunn4 <br /> to ths Izw,s of the wtats c4 Nebraska. <br /> �Ai'PHOVEI7 COMMENl'S: <br /> �; A?PRCJVP.I.DF A P�JR7iON ------°-°•-•- <br /> ------------ -----°-�_..�•--°°••-•_•-• -------° ....•-••••••••••--••.•.••-.....-.••-•••.•-••.....__.. <br /> C DISAPPFtaV�l7 _ � ���o� <br /> Signature uf Cnur+ �ar 1�9am1ier a',e <br /> abraska Depxr:man[ui Rev_nuv 4uthu;ize�6y�Jr,k,�.�,pv.5ta1.$77-202.(7! <br /> �6•73�-1999 iiev.7-�010 Suparsedes 96-135-7 999 Fev.�i•?ooe r1�� 3 0 4 U 1 <br /> t� <br /> PLEASE MAK�A COPY FOR YOUFi AECDRDS �p�L COUN�f-Y A5S��50F� <br /> GRANa ISLAr+iD,N�6RASKA <br />