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� 2012
<br /> �$����E�W�T� Ex��pti�r� Applicatic�n �����
<br /> vou� farTax�x�mptinn on Ft�a1 and Persanal Property t�y t�sa�lifying Organizatic��t�
<br /> C]uNN'^5�ES6QF' Read insYructions on reverse side. ���
<br /> Faiture to prpperly camplete or fiE�this applicatian in a kimeiy mann�r shali ra&ult irr a disapprovaE o4 the exemptlan.
<br /> name of�rgar,itation Caunty �W Coun:,r fvo. Iype of Ovm.ership
<br /> CALVARY BAPTIS7 CHURCH H�II 40 Q �',O�PrclitCcr��oratior
<br /> "beal or Other 1,9ai;in�Addre�s State Where Ir;r,�rpnr;�+.Pr" � D1h-r(Speci�y)
<br /> 3221 W 13TH NEBRASKA
<br /> �.�ty state Zip Cude Actu21 L�al��e P�rcei or Locati�r IG Nurnber
<br /> GRAND ISLAND NE 68803 1ZZ�986 40�146401
<br /> Legal des��ript;cn o`:real property and gen�ra'descripYion of all tangible parso�zl property,except Iicensed motor veh�des:
<br /> MISC TRACTS PT NW 1/4 NW 1/4 17-11-9 (CHURCH) (4 ACRES)
<br /> Title ai QPficers,
<br /> -------------------ryarne �ireckots.otParfners -------- ---Addrsss,_City,fSia4e,Zi�Cnde----------------------....------------._. .Y--..-.•--•.••-
<br /> ��_��_ . .•.•- ----------------------••-•••.•---
<br /> �l r�n �� e�'p �J' �1" `} , �'E �i�
<br /> orm�, w , � � � f ' ,� a
<br /> v C� �.- �o ..�..._�'l�,z.�- �� ��.ns �r��,,.m) 4�. ��
<br /> Prr.perty tiesaiiiad ahove is uud ir�the 1dlowinc exempt cateyr�ty�(�i:eaae rnark the ap�l�t.r�k�l°bexes):
<br /> �A�Yicultut2UNCr.icuHural Society' � Edtfc3[ional �Reli�ioua �Charitable �Cemetery
<br /> Giva a datai!ad descrfption of'.he use af?hv preperty: ��v�,,�� L"��y,�r.pL ���� f 5u� ���nf .t��fy n ,_, 1 �/��V-� �,�����
<br /> �� 1Y v�� ��� J
<br /> R�v,`vaCyJ ���y�( ntie�%1`g� �(.�, �ca�,Qr�� (rdri►hwn�m�7 be�v��e i; '
<br /> � l��c. rr�� �ih e r��
<br /> '?,grictt{tural/Hurticultural 5noi�ty does not nesd to rompiete the iolluwing�uestions. �
<br /> 's all ot the prnperty usad axclusively as describ�d abova? �YES �NO
<br /> Is�p:ir[inr.of the prcpe�ty used fur iFi�saie nf�!Icohaic beveray�s? �Y�S �NC� I�YP.F�sTate the n�rnber r�`hnurs(�zr�n�eek
<br /> Is the proparty ownad o�used by an organizaiion which discrimirates in
<br /> mambership or emplu�ln'ent hasetl on race,acl�r,or naticnai oriq�n? �Y�S �q
<br /> llnder penalties ef laai,I dedare lnat I have examined this ex.:mption app;ication and,ta the 6ast of m���nav,�l�dge ard�eliel,it is carreci znd
<br /> r.ompiete.I a;so dsal�re Th�t I ar��duly authorized ta si�n this esernpilc�n applicatinh.
<br /> ���� .�-
<br /> ' . �n� N �
<br /> ��g� ��, - - ------ - - ��� � 20 ov �A�
<br /> ���r� Au:horizad Signature Title ❑ate
<br /> �------------------ ----------.._�.--------------------------------------------------------------------_..----------------------�---�----��-------�--�-��--�--�---------------------------------------.�.---1
<br /> FOR GQIJMTY ASSESSOR'S REC�tVfMEMDATION
<br /> A?PHDV!�L COf�?�v1EfJT5'. ..._��1✓n ..,.. L��
<br /> �
<br /> L; A?PHC�VAL OF A P�JpTION
<br /> C DISAPFR�VAL `�__��-L�..
<br /> Si_-yr.ature o, eu y ASSasstlY Qate
<br /> ---------------------•�-•--•..��---- -W�•••••-------------�_•_-•••�--°---.•-•...••_•••••••••••.�----------- -- ------------------------------------------------------�----------------------------------------------------�
<br /> FpR COUNTY HOARp �LEU+�L(ZATIpN USF C)NLY
<br /> I dec•fare ttiat,tn t�ie hesr r�'(my�crinwiedy�and 6eGef,the deterrrunat cn tr:rsby r,�,dde by,he�Coiinty Fo�rd nl Fqunlil.alinn is�urrect persuant
<br /> to,h5 law�ot the wY��te ef Nebtaska.
<br /> � Ai'PHOVED COM�AcNTS:
<br /> �����
<br /> ....
<br /> L; A�PROVP.L C�F A PqR71S7N
<br /> ❑ I�ISAPPFtGV�Q �/�/�
<br /> Sigr�ar,ure� ourly Br • ier �' �'•e� . �i,..� ,�
<br /> t r.�,�
<br /> �e6raska Gapdr:mgnt ut flevenue , , �'3���� �— � ��=0�.�'
<br /> 6-13�-1999 Rev.7-_010 Supetsedes 96-135-�999 Flev.11-?�tl0 � �u� �
<br /> PLEASE MAK�A COPY FOR YOU�i�IECaRL7S
<br /> NOV 2 2 2011
<br /> ,'�;",'..�_ Ci�E_i����p ��������
<br /> `�Yi'r,:,_`t��'5�,.�1����v��fi�AS�F.
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