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�� 2012 �� -r� ��p��e�t� ��p6i��t� ��arY� ou� t��Tax E�emptiors on �feai artd F�ersanal Property by c�uaEif�ring Drgar�i��tia�n3 �p ..y CO TY A5S SSQR Read instructians an reverse side. `�'� 1 • Failure to properly cbm}�lete or fife this application in a timefy manner shall resuit in a C�i58pprovat of tiie Bx�m��tion. Vame ot Or�ar,ization Counry veunr�fJo. [ype of�vmersnip � *1,�np;oiit Gca'paratior AM�RICAM LEGION POST#314 Hall 40 St�ee.t vr qtFi�r Ulaiiiri_ry ArJdrees State Wh�re Irrnrpnrs?ed � ��in=r�SpecilY) PO BOX 314 NEBRASKA ��iy Staie iip Cnde Aclual b'aba� P�rcel or Lacatior ID Nu!riL-u WODI] RIV�R NE 68883 70,192 Legal des�_rlpticn o:`real�roperty and�Enera descriptiori ef all tangible parsonal p!operty,excepE licensed motor veh�ues' � WOOb RIVER VILLAGE ORIGINAL TOWN �49 1/2' OF LOT 8 BLK 20 (CLUB)#40n176440 WO�� RIVER VILLAGE ORIGINAL 70WN LT 9 BLK 20 (CONNOR-BEN50N AMERICAN LEGION) (PARKING l..pT AND !'ATIO)#4p0176459 ` (TAXABLE POR710N -#4Q0262312) Titi�06 04ticers, Narne Directars,or Partners Address,City,StaYe,Zip Cnde ---- ----T------------•-----..•�•-�._------------------ -----------�._W.�.-••••-••••• ...._ .••••••-....••-•.••-•.-.-..�••••••••••••-•••••••.......... ........�_...---•-------._..._. .---------•--•-•--� �'v Yt {r ---- t l�c. t` S I, �n� ��1J �- . � G � � � _.....� �. � Lc.�.+�-'� �__ ___.__.�._�__..., _. —.. -----------------------------_••••-•-�--_ ••.•�••-.•--------------�---••..._.._...._�__.__�.._._..��_�.�---------------------------------•---•-•.•.---._..��.._�...�...._.........��-�--••------------------ Pre}�ert;�cesct'Ii��sd eF�ove i5 i:sad i�i the:followinr exerript�tegofy{t�ie.ase rn�rk the applir.ablF 6exes): � �A.grvcultu�a!/Hcr.ic�ltural Society' �Educa±ional �Religioua �Charitable �Cemetery Giv�a detai!�d d�scription of tha use ai the preperty: �b N r u N��W J 5 , �a v s��C ' �u M t�`G�� Uh 0.1•L �/r'�"j� � �r P t e J E�r S r �-.� C 0t.-y-r-� Y�y �` �/ ,r I�U� � S'ir"�' 4. S�k�i L�'S l 'Agricul4ural/Hurticulturai Sociaty does noY naed to complete the f�liuwing�uastiqns. 's all oi the prope�ty us�d Exc!usively a3 describFd above? �YCS �NO � l;;a portior:nf ihe prcrie�ly useci fnr The sa;e ni�Ic:ohuiic treve;ages? �YwS ❑PdC� �1Yes,siaie I`' Y' � - Is ihe praperty ownad or used by an prgani=ation which discr�inir,ates in l,./ � memCership or amployment besed on race,cclor,ei'naticna!origin? �Yti5 �fJ0 llnder penalties of la�,v,I d are lhat I have examined tlr�examptian app;ication and,to fhe t i comp;ste.i� ,o . �:lare tnat I r culy z�uthrrized ta slpn this e.'c�nri3ieTn applica:inn. . - _ , .. �� .� , .,c� ��-��-�� °�'�I l� �� Au:har''d ,nature 7itle �� Daie -•••-•,-- ---•••.,_.� •_•••••-•.�--------------------�•-•.••-•••••-••..._..--••-.-.••--•..._...•°•-•----------•••-•---•---°--------------------------••-.-•..---•--...---•...---•------------------------------------- I FOR COUNTY ASSESSDR'S REGQNiMEP9DATiDP� I � /��'F�F:�JVAL GO�Y�M1fILiV i i: � C \l J C � � �(\�� ( L � ��.....�_...�,_�.._�.,_. �A?PR�'�VAL pF A POR7iUN C pISAPwROUAL �� Siar.ature o' o nty Assessor Da er -----------'-------..�. •-•�•,.-�-- ...----•.•-.----------------------•••._...,..._....-�-•-..•---------------- ---------'--------••_----•...,._...---------....----.••-.-.••-•-..-----------•- -'---..._-•-°--....._..._......_......._I FCiF1 COUNTY E1tJAftD �Ql1�tLIZATiON US�ONLY µ,W� i decfare•,iliat,tn t:�ie hest u�my knqwlerJy°and Velief,the deterrninaUcn ti�rehy made by,he Cnunry Board ni cyuaiiz�lien is correc;Fwr..uant to thc lav.&of the 5tatc c�f Nebraskz. � A?WHt7UED ' �N1 : � A?PAOVP.L OF A PJRTION .---•• -•-•- -- -- --- --- .- •• •. - -- —� �� 7T --------•°......,�-=�..�1..• ..-°----° ❑ uisfl��r�ov�a �,_ �� �Si�ne[ure ul Cqur:ly 8na'd h9rsmliNr 7 la6reska Dnpar;ment u�Ra�_nua �4liehnrized 6y•'de6,Ftev,Stai.$77•?02.01 3G-735-19�J9aev.7-?OYOSupersedes96-Y3S1999Rav.11-?�OB pEC � 0 2011 PLEASE MAK�A COPY FQR YpUFi R�CORUS �� y�� 1SS��S�� �iRF1��15l�NU,NEBRAvKA