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2012 <br /> _ TU BE F{L� WITH EX����IC��I �Bp�fl��t��� �CJF���I <br /> Your� forT�x Exerraptior� on Real and Persar�ai Rroperfiy E�y C�ualifying Orga�i�aiic�ns '°� <br /> COU ASS SSCIFi Resd instructions an reverse side_ �� 1 <br /> FaiEUre to properly cornplete or fite ihis application in a timaEy mannsr shati resuif in a C4sapprovai o4 t�e exemptipn. � <br /> e o ga.i�ation Coun;y Ccunry fV�. fyps��t�J�rmEr�hip <br /> ICAN L�GION POST#300 Hall 40 � Pl���nprolit CcrP�ratior <br /> St . o �r�Viaiiinc�AtJdress 5[aie',Nl�ar�Irr,ort�nraie.d <br /> ptner(Specifyl <br /> 1 PLUM 5T-PD BOX 216 NEBRASKA <br /> � Staio i ip Cnde Actual Value Parcel or Locatior ID MumLer <br /> I]ONIPHAN NE 68832 51 044 400181711 <br /> Legal descripticn o`rezl property and g�nera de�cription af all tangible p�rsonal propert�,e>_cepY licansed motor veh�ces: <br /> W 1/3 OF LOT 6,.BLK 6 ORIGIONAL TOWN OF DONIPHAN ( MEETING HALL ) <br /> (TAXABL� PURTION -#40D2623Q4) <br /> .��.._.._.____� <br /> ritle at Otficers, <br /> Name IJirectars;or Partners Address,City,Stat�,Zip C�de <br /> -----------------------------•-••••...••••-.•-• _.•------•---------------- - ------------°-------------•--------------�..-.••-••••.._.�.__._........___..�..�...•--•••••......••-•••••�•••.-••••- -••••--•--------------- <br /> --- ••. - <br /> n , � o�1 � .. E 6 � - <br /> .t 7o n i' r � n � <br /> ---------�_��___��._._..._.W.••-•----- <br /> � I � .._�_ <br /> Prepert�j cescrii��d nh�ive is t:sed ir�thN followirir,exe!ript cnteyof)�{t�iea�e rnark the applicakal.°.bexes): <br /> �A�ricultura�lHcr,iculfural Sac�eh/" � EducatiQnal �Religioua �GharitaF�le �Cemetery <br /> Giv�a dstai?ed dsscr�ption of the use of iha prape'ty: <br /> RJf'i L��/ �Cc l�- �l�/ d � ���P r� n,.f H[�.-!` e r� <br /> t./ � <br /> "Agri�ulTural/Hurticultura!SocieTy daes noY naed to c��mplete the fulluwing questions. <br /> � Is all 01,F;�proparty�usad ezc!usively a;described abovG? �YtS QNp <br /> I�a pr�rtlnr.nf itie prcr}arh�usec�for ttie sa;e o?alcohplic beve�ages? �YE5 �PJO I�YP.S�si: <br /> Is the prop�rty owned o�used by an organi:.atian whict�discrimir,ates in <br /> membersl�ip or empt-vVment besed on race,color,ei naticn�:origin" �Y�S �fJ0 <br /> Undcr pQnalties of I�ti1�,I dadare ihat I have examined ihis c�;amption appiication and,to th�ovs�or my�cnow!edge ard 6elicl,i(is correct ard <br /> cpmplete.I aiso dsc:lare that I arri culy auth:crize.d ta sir.n tiiis exerrir�tinn applicatinn. <br /> `� �����1 <br /> s�g� � � �.. <br /> ���� �fiu.horiz�d�g�a4ure 7itle �a;e <br /> - -•-••••_••�-••••.....-.� ---••-.��...�..--------------._.-••-••••.-.-.••••-•.....-••••....... ----•--•••.�---°...---•••-.--•........................................••-....._....-----...._...........--•...•.••.•••-------.�.•-------.. <br /> I----- FOR CqUP77Y ASS�SSpR°s a�con�n��r��ar�a�a � <br /> �'7 , <br /> IJ' A�PHOV.�aL GOMtv1ENT5: 'l_1l ___1_(� �!J��YV��X ������. <br /> �,4?PR��dAL OF A P!]RTIpN ` <br /> C plSAprR[7VAL � <br /> �Sianature o, o ity Assessor 6�te� <br /> ,. ..,�--•-..--• ..••-•.----------------°-----------------------------°°••••-...-•°----•------.•-•--.........._..-.----....---•--------........_..._.........°-.................................._........................I <br /> FOR COUNTY BDARp QUAL.EZATION U5E QN�Y <br /> I deq(arr'.that,In 1:�ie hest qi rny know�edy�and belief,the deterrnhiat�cn tierehy r„�.de by;he Coiinty';r,.�rd n}Equr.lizv�lii�n is cerrri��c?ursu:;riY <br /> tp,he Izws oP Yhe wYate r.f Nebraska. <br /> � Ai'PHOVED COMMENI'S: <br /> I Y; A?PA�VP.L DF A PCJRTION ___________ <br /> 7S ""'--------------- --------------- ------------------------ -------------- d , -`�-� -- - -- - <br /> -------- --------------- - - - <br /> -- .��� � <br /> C DISAWPHGVWD _-'�N1," f---: � \x <br /> .i�r�arure ni Courty 8 em r [)�e���� <br /> r.r n A_lf <br /> Nehre5ka Dnpar;monS ut�ev°nue ��� u �� 'eb.Fev.�1e1.§%>-202.0! <br /> 3G•13�-7999�ev.7-'070 Supef°BdNS 96-135-1999 HEV.17-?OOB <br /> G i��.�. 1;��!';'�I`m` {�i����s�� <br /> PLEASE P�IAKE A�OPY FOF�YOUR RECORU� �R����i�;`�,1;�, I\EBRASKA <br />