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� zo� z <br /> � ���.�n,��TH Ex�mption Applicatian �o��� <br /> YQ�� forTax�x�mptic�n on Real and Parsanal Proper#y by t�ualifying Organiaatians � ,r�, 1 <br /> GDUN ASSESSC)Fi Read instructions an reverse side. <br /> �ailure to properly complate ar tl�e this application in a Fimely manner&hall result in a disapproval of tha exemptian. <br /> Name�f Or�arization Gounty Gcuny Na. -fype of Ov+r:ership <br /> VIDA NUEVA ASSEMBLY OF GOC) H211 �p � Nonprotit Gorporatior; <br /> � 5tate�lhare tr;cor�nr�ied qin�r{5petilyl <br /> trc;ei or Qthier�,9ai;i��7 Address 1 <br /> 1�424 N E�DY NEBRASKA <br /> �,i�, Stato iip Cade Actual Value Percei or Lacatior,I�Number <br /> GRAND 15LAND NE 68801 153,250 40013�624 <br /> Laaal descripticn o`real property and genera;desuripGon�t aU tangible parsonal prop�rty,except licensed moior veh�cies: <br /> GIL.BER7S 2ND ADDITION LTS 1 &2 BLK 6 <br /> Title af atticers, <br /> Name Directars;or Partners Address;City,Siate,Zip Coda <br /> ------ ��._.� .._.._ _•-••••--- -- <br /> ••°--°•�------- ----- -•---• - --- - .�•.•.••••-- <br /> -----��S �f��� � ti r� _ _ ly 1 5 ll�) �-1 -jr•� Y' ./�..,.�-— 5 /� � , � �r]�'� <br /> r1 <br /> L � ��� �•�� '�-f ! o ��"C_.��U v�.� ` r2 ��� <br /> `r,�r,lw } ,rcw �,����` so �(.� bue �� �u co �U G sc�S� <br /> ��'Lx ec j:��,c.�...tc� r�f------ -- 1 5 cu�(k,-=--����---- '��c'`-"------TS;_��__..�----�--�-�-----�-��a� <br /> ------- ---. ... ----- 1 l�-.�- Y�----�------�-�----.. <br /> �x r w�- �/3 esr.� 5--�, ��' <br /> Prepe:t� cesr.tiva atynve is�sad iri the tdlou;irig exe�npt c�teyn�y�(��iease msrk the applir.abl°hexesJ: <br /> �A�ricultural/Hcr;icuHural Society' �Educatiaial �F{eligious �Charitable �Gernetery <br /> Giva a detal�ed description of Ehe use of tha propeKy: I . <br /> L�5 'e.C� �Y��-�t�5 l'J��''' �p./ Y'�\\C�(U S � �� ►��l7��� <br /> "�griculturalhiurticultural Sociaty does noT naed to cnmpiete the foliuwing questions. <br /> .Ir all ot,hE property�usad exciusively a=deseri66d sbove? �Y�S �ND <br /> Is a portlor:nf the prcr�erty used far thir:sa;e nt elr.[�huiic bevrrages? �YwS �NCJ t1Yes,std?e the riurntie�nf hnurs per K�aek <br /> is the prop�rty own�d or'used by an organization whlch di5cr:miratos in <br /> membersF�ip or employment based on raoe,cclor,er nat;cna!origin? �YES �fJ0 <br /> Undcr p�nalties of la4v,I dedare tfiat 1 have examined this ox�mption appiication and,to the 6est of my knowiedg�ard beliet,it is corr'ect and <br /> ccxnplete.I aso declare t�at I ar��duly auihcrized ta sirn this erernptinn appfe:ation. <br /> � � �J � � <br /> S 1 1� � � � �-r�--5 CF��'� l�r� 7`—.�-C�l 1 <br /> � r L5 1��G� <br /> ���n� �Ru:horizad Signature Title Oat� <br /> •_-�•_ -�••-__—�°•----- �-°------•-••��• --- -------------•••-•••-•••_---------------------------•--�-••-•�-.-�••----••--°_----- <br /> FDR COUPdT'Y ASS�SSOR'S RECOMMENDATION <br /> �A�P�1qVAL GON,MENTS: � �d nr�.�. cti J( ��"�� — <br /> [; APPRGVAL OF A POFITION <br /> C o�snwWaov,a� ,_.. t�g._.QCI v�.,�..�� - - 1--- ��- \� <br /> 5iqr.atur o,Ceuniy Assdssor b�te <br /> �.-•-•�-°------ --.••�-,----------°••.��.---------------•.•••••.•--------- -- ---------------•-------------..._.......••-••••••�.-,------------------------------------••-•-.........---•------- I <br /> F(7R COIJNTY BOA QF EQUALtZATION USE ONLY <br /> I declare tiiat,tp the 6est o'f my�enuwiedys and taelief,the delerrriinaticn h�;rsby rr,;irJe by,h�e Gn�inty Board r�4 Fqualiz.ati�n is:nrrer.t pursuant <br /> to ihe lav;s of the�tate of Nektraska. <br /> �APPHQVEL7 COM?v1EN'1'S: <br /> Lj Ar^PROVP.L DF A PCJR71S7N <br /> ❑ uis�PaHov�u .€�=s�;:�;-�...;�:;: r r--. �.. / ��—Ja2, <br /> .iynsture af Gou f�ar :9eml��ar f'�� �f.�a;g � � �i_,- � J�` <br /> lebraska Gspar;man!ut Rwenue �4uthoriznd by?dab,Rev,Stui,§77-�02.0? <br /> 16-735-7999 aeb•,7-�07tl Supersedes 96•135�;999 Rev-17-2008 <br /> pEC 2 3 Z011 <br /> PL�ASE MAKE A GOPY FOR YOUR R�CORDS <br /> f���L �;�ii�;�:�t' �;4����5��(�a <br /> Gf�AI'��Eti:L�;f'cF�� �!LF�=t�,�:rKr": <br />