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2D12 ��`°"� BE FIL�q WI7H Exerr�ptian Applicatit�� o�M vou� ��y��Ex�mptian on R�al and Personal Property by Qualifying �rgar�iz�tic�rrs �� ` � 'C hTY.+SSESSOFi Read instruptians an reverse ald�. FaiEure to prqper{y complet�or fite this applitation in a timely manner&hali resuit in a disapproval of the ex�mptE�sr�. e f Orgarizaiibn rQUnty Coun.ry fVo. �ype o(O�rmErsnip � CAI O UNIT�17 METHODIST CHURCH Hall qp � P+onp,otit�crpora[ion St�eei or lier Ulailing ArJdresa Statc`Niiere irc�rr�pra;ed � '=�ihar(Specity) PO 6OX 1Z8 NEBRASKA C�ty Stato 7_ip Gr�de AL'}J�I V�I•JE Percei cr Loca[ior @ Nu rit�e:r CAIRO N� 68824 1,035,720 Le�al des�iplicn o'real praperty and gene;a!description Jf ail tangible parsonal p!operfy,except licensed motor veh!cies: CAIRO MAYFIELD VILLAGE CAIRQ METHQDI57 5UB LOT 1 (4.972 AC)5p6 E KANSAS#400355337 CAIRO SOUTH LDUP VILLAGE LQT 4& N 1/2 OF 5 BLK 12 (PARSQNAGE)4Q6 B�RBER#400168448 Title af Otticers, Name Directors;ar Partners Address,City,Siat�,Zip Cade - - •-•-••••��---�— — --- -- --------------------------------------------------------------------------------------- ^Randy Osburn T'� �' Co-chairman 412 S Thebe St, Cairo, NE 68$24 Bret Osburn Co-chairman 305 S Suez St Cairo NE 68824 _._� ��_ .. _Gor�. Sorens,en.-----. 'Trustee __ � . PO Box 38 ..�.._.__ Cair�,,,�NE .68824.,......___�..___ ___..._ _�.�.ab_e�z�---��wr_�'----------...�__----Sr�xs.t.e.�------------ -1_45Jfi__�lhit�__Cla_u�d-}----C_air_�--�----��--�-�-$-��------------------------------- b Y�� Prnperty c:esrribzd ahrr�e is tised iri tha followinp exernpt r.a'kegnry{{�iease rriark the applicat�l� exes): �� �A�r�cullura!/Hor;iculiural Sociaty' � Educaio�ial �Religiou� �Gharitable �Cemetery Giva a da4ai�ed dsscr:ption of the use of iha prope�ty: Church services, religious educa�ion and pastor's residence, No o�her uses. ",�griculturaiMorticuftural Suciety dnes nat need to compiete the folluwing questions. � Is all oi the pro��r[y usad exc�usively a;describ�d abova7 �YE� �NO is a��:�rtior.oi tha prcp�:t'h�used tnt 1hs s�;e t�i aluohuiic beve;a�r�s? �Y�.S �[JCJ li Yes,stvte the nurnhe!n'hnurs p�r week is the property owned or used by an organl�ation which di5�rimirates in merrbership or emplayment based on race,vclor,oi naticna�Qrigin? �Y�S �fVO Under ponaltios cf law,i deciare that!have examined tiiiv examption app'ication and,to the L•�st of rry know!edg�ard beliei;it is correct aro r.�mp�ele.I a;so der.lflre ihat I a�ii uuly authr;rized to sie:n this exernt�ii«n appiica:inn. �� Secretary/ Treasurer �„�,f07/2011 �� Authorized SignaYure 308-485--4232 T!tle Daie - -- °•.••.__.__�_��, �_••••-_-m••-----------••--•-•.._-••••-•-••••.•,--•-----°--••••-•------•------._.-••------------------••�.------•••�-••••-••-•-•••--••-••••-•-�--_.....-----------•---•------------------ FOR COUNTY ASSESSQR'S RECQtUEMENRATIQN r-------.��_�.. - - -- - - --- ----—- I �! ,a?�HOV.��. con�n��r�rs: ��m-�7�-' �� '� �� LI A?PRDdAL OF A P!7RTIJN C DISAP�ROVAL ��,� Sigr.ature o; o nEy Assessor Date ••-•-••.••.. ---•-•••••��_�_�--------�-•-•W-••-•--•-_••-_•-••----- ---.�.••••.••_--•••....•• ••-•- -- ---------------------------•-- ••--. • �• -•••••-•.•°-----°-----••••-•-••-•.•.••---•••••-•-••-••--- � FOR CQt1NTY BOARp EQllALIZATION USE ONLY � !declare 11�at,tu the Cr^.st of my�cnr�wiedgP and�elief,the rleterrninaUcri ti=rehy r,ade hy;t�e Gnunty Eo�rd nf�qua(i�,;��i��n is:urrect pursi�ant to ths Izv.'s of the�tate vf Nebraska. � A?PHOVEU C�M�.IENTS: ��; A?PROVP.L OF A P�JR710N ----_•••---°�-- " ••••• ------------ ------------------------ ---•-•-_•---------------------- �--�--'.'-: C bISAPPHGV�❑ �� .�-�� Sigri�[ure r}t L'our u• 1�1 mber Oa+�r � Ve6ryska Gspur:ment uf.^.,avenue � z .kev.�tat.§77-�OZ.O? �6-13�-1999^7ev.7•:�10 Supersedes 46•135•1998 Re4.11-P008 PL.EASE NIAK�A COPY FOR YDUR RECpRDS HGRANq SUiA�N�,NEBRASk��