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2Q12 <br /> s��i��owiT� E7C�tTip�i�t"1 �►�1p��C��1�� F��� <br /> vouR forTax Exemptinn an F�eai and Personal Property by Qual€fying Organiaatians <br /> CQ NTY A85ESSQF� fiead instructions�n reverse side. ��� <br /> . Failurela properly tomplete orfite this applicatian in a timely manner shalE resuit in a dosapproval otthe exem�tion. <br /> Vame of Orgariza[ion G'ounty Couny No. -fype of Owr�ersn;p <br /> BE�THEL BAPI-IST CHURCH I-i�ll 40 Q ��"nprotit Ccrperatior <br /> Streei or QI)iur:ViXiiiric�Addre=s -{� 1 :tate 1Nli�re lrc:irf�ora?ed � C�ihar(Sp6cit�j <br /> 122� E 6TH-PO BOX 732 `�1 �I� NEBRASKA _ <br /> City Stato 7_i�Co:JA Actual V31ue Parcel or Locati�r.ID Nu!rihaer <br /> GRAND ISLAND NE fi8802 46,305 40QQ58812 <br /> Legal des�=rlpticn o:`re�l property and gene;ai des�ription a(all tangible parsonal p!oparly,ezcapt licansed motor veh�ces: <br /> LAMBER7S ADD L�TS 1 &Z BLK 15 <br /> Title af ONicers, <br /> Name Directots,vr Partners Addrass.City,State,Zip Csxde <br /> •••••••-••----------------------........•.••--•. <br /> -_ .` ------'�--°-•..�_-----__•--- ------° - �r <br /> ,�y -- -- --°.••••-•._...�_._�..------ ------------------ • ��^ �'gz� <br /> (/l.� �>f' l/"YC�r r � '7 �!...5.� � <br /> -1'kar -�crJ ec T ��s � ��e- � �. ti �3 _ <br /> ` - � �iti.✓ . � -. r L.�� Cti o.rv�t�..�. �,�.� .�✓�" ��y� � <br /> PI'CFIY.�t�C65G�'IL12(�iiF1f1VL'IS t�EZ�Ifl RFlh:fU�Inw'It'IE`,P.KBYfl�lt C.a'Y.E�Ofy;j�:ease rnerk the appl:caF�l�6exw.s�: ��� <br /> �Agr:cultura!rHcr,icultural Societ�!' � Educa:ional �Religia�a �GharitaGla �Cemeter� <br /> Gi���a detaifed desar!ption of ha use of tha prope�y: <br /> �ECEIVE� <br /> a� V v � �uestions. <br /> '�aricuftural/Horticuftural S ' � 9 <br /> Is ail ot th5 proparty usad exc!u�i Y�`' �"o HA L C UMY A5SES�QR <br /> ����i:,rtior.oithe prcperk��i3sed I Yw5 �NO HYen,styie th}��y�i r' y�i y�{� <br /> 17I5M�� L�IVU� i CP4 <br /> ls the prop�rty owned or used hy <br /> mambarship or emplc�,yrr,ent bas� w�-S ���q <br /> Under penaltio � 'O V � Tptioiz app;i:alion and,to the L-est of my ki7p�o�:�dg�and Celiet,it i5 carrect and <br /> r,om���ete.I a;so da ti �tii�n applicatinh. <br /> ���� ���! w�-� l�f�/�,�"� - ��.°`!�/ai, <br /> d�.��r� �Au:hnrize�Ignature � T;tle �aie <br /> AB <br /> ••------------_-�•--••••--•-----•----•°------•••-•_�--------�••_-•--------------_•••••.-••••�-•-•••---••-------------------.--_-••••.••-�------------------------------•-•--•.......•••-•....-.--•.--•.......------•---------� <br /> I� �qR CQUNTY AS&ESSOR'S EiECD1v1MEMDATI�PJ <br /> �x; p�au�a.��,'.qi GOMMENT.i: � �C_s �vr�nn ������ <br /> �� <br /> � qPPAOVAL OF A P(ai�TiON <br /> C 1715APFF(�VAL � <br /> Si�r.ature or C w y Assessor ❑at��� <br /> ••..�-------------.�.•-------------••------------_-••••�--------._-•-..--•..�..._-------•----°•••• - •--_•.-� .--••-•-•••••••...-•.-•--•------------------------------------------•�--°-�--•-•...._._......... <br /> FOR COUNTY�aARb Q QLlAL.fZATIQN US�AMLY <br /> I decl�re lliat,tr�the k�esr uf my knc�w;edy°and�elief,ihe drt'tsrrninaUon Fi�rehy rr.ade Ioy.ho Coiinty F�%�rd uf Equaflz.alinn is cerrr-,ct�ursuanY <br /> to the lav:s of The.S'tate of Neb�a�ka. <br /> � �A°Pf-iOVED CbM�lENTS: <br /> -- <br /> i A?PA(]VP.L OF A PC�ATlpN -- -----••••••-•- <br /> C UISAPPHGV�� /^"��' /—� <br /> , Signs[ur rrt Cour�[y ar .9� l�er Oa',e <br /> ��ehraske Clapar;ment ut aev�nue Authv:ized by tde6.Fev.Stut,§77-G02Q! <br /> i-135-1999�ev.7-POYO Supereedes 96•7�5-1999 Rev.77-2008 <br /> PLEAS�MAKE A GOPY FOR YfltJR REG�RDS <br />