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2012 <br /> �FILEDWITH Ex�mptiQn ,�4pplicafi�ar� �o��,� <br /> YouA ta�°Tax Exemptian on Real and �ersonal Property by QuaBitying C3rganizati�n� <br /> '�SSESSpR Read instructions an reverse side. �S� <br /> Faifure to properiy camplete or ffle this application in a timel�manner shaii result irr a disap�srovaf oi the exemptfon. <br /> hame of 4rgar,lta[ion G'ounty Ccunry IVo. -iype��t Ov�r:Frsn;p <br /> CEN7 NE HUMANE 5QCIETY INC Hall �� Q Nonprc�it Corperatior, <br /> Str�ei�r q1h9r�Aailir��ArJdress S[�te'�lhare Er,corpar�ie.d � Ctther{Speci4yl <br /> 1312 N 5KY PARK RD NEBRASKA <br /> City Stato r ip Code Actual Value Parcel or Locatior ID Num6er <br /> GRANp 15LAND NE 688D3 1,635,787 4D0015102 <br /> Le�ai desaripticn o`raal property snd gEnera?desc;iption��f all t�ngi6le parsa�al proparly,ex,ept licensed motor veh%cies: � <br /> FRAND P BARKS' SUB N0.3 L07S 4D-41-42-43 &PT VAC JERRY 57 <br /> Title nf Qti`icers, <br /> Name Directors,ar Parkners Address.City,5ta4e,Zi�Gvde <br /> - ------------------------------.._�....----------------•-•••••.---------------------------- - -- -' -._........ <br /> - - -- - - ��ribv a: l..Q.}�� . �'a r'0.---------�Sl(�.n[�------f V E <br /> �-+ I r res � i�i <br /> �----- - -- l�So L <br /> De C n Tr�0.`� : aS�a 5, �. -}- t. C�r--ar�� � 'GZr� �V� Sg <br /> F}ni'�Q l�ir�i e S �G � �-llb re �C� 1��� Grr��U� `SIGin . <br /> —!-wxr��---.�h:�r��rf_.._..�_�--��`��'=-��`r. ---•1.�.I..�...�?u�5�ter-----�-�----�'"a"-d--r51Q�d---���--�..---���a/___- <br /> I <br /> Prepe�ty descrii�ad above is us�d iri the follnwinr,exernpt cA•teyr�ry(r�!ea.e rne�rk the applica�l�hexes): � � � <br /> �A.gricultura!/1-fcriiculiural Sociehf � Educa±ional �Religiou� �Charit�bls �Gemetsry <br /> Giv�a de4aLEd descr�ption of ha uae of iha prope�ty: <br /> lo �rDV�C�'E `�'l��i'er -fo� IP�� (3�� �'1Grr1�8faS Cxr1i`mA.�S- "fc� �44C.tz.-�-�. `!`hB G�rmrr7t�r��f� <br /> a-i�c.�� -f��� humorn� r.cx�e. and -Frea�-w�en-� af' a.11 anor�,cz_I5; -�o ac�vot�a�-� -��- �zr,�`r�,c�/ <br /> u�e�-Fa�e c.�n c� -to -�u�-+her -H-�� hon r� h�Fw�en pev i� c�n d nr,��,Q.l 5• <br /> ",�gri�ultural/HorticuEturaE 5opiaty does raot need to complete the lolluwing quastlons. <br /> Is all of;he�roparty usad exc�usively s_described abbva? �YCS �ND <br /> Is�t�ortinr.o�the prcr�e��used fur TFie saie n1 aiwhuiic treve;ayzs7 �Y�.S �Nq I1YP.5�sia?e the nurnb�r fJ�I'.CJUYF�7L'f K'P.BI( <br /> Is the property own�d or used hy an organiialion which discrimirates in <br /> mempership or etnployment besed on raGe,ccl�r,ei naticna!pri�in7 �Y�5 ��d0 <br /> llndcr psnalties cf I�yv,I declare ihat!havG examined this exemption app�ication and,t�the Gest of my Icnow!ed,ga ard beliei;it is conect and <br /> cnm�i;ete.I aiso declare that I am culy authcrize.ii io sipn tliis exerrir�Tinn applicatipn. <br /> n <br /> ���� � � � � �a�r <br /> �� <br /> ���� Au: orizrd Slgnafure Titl 7ate » <br /> -- - -- •- • - - ----------------------•.......-------•---------------------•-...._........._ � <br /> - ------------_—_•• <br /> FflR C09lPlFY ASSESSOR'S RECpfv1MENDAT1Dt� <br /> jAPPF70V.�aL COtv��iENTS: �_ ^.T.. <br /> � <br /> L A?PF��'JVAL.nF A P!7RTI JN <br /> C orsaw��ovn� �� � �� <br /> �W 4�-��,�--�-. <br /> Si�naiure r eunly Assessor batN <br /> •_.-�.••••••--••°------•-----------•-..�.�._�-.-••_-•••••.-�•�•--•.•-..�._.�.__�_.�.••-•- ••••--°°•°---------- --.-•••••�-.--- ---------------------------------•••-•-•-•- ._,..-••-------------I <br /> • ------ <br /> FDR COUNTY BpAR F EQUALIZ:4TIQN USE ONLY_ _ <br /> I declare lttat,to P�ie k:est u'(my�rinw:edy�ancl belie(,ihe dr:terrrunaUcn h>retr�r;ade by;he G�iu��ty Foard of Fquafiz,alinn is:�^rrect pursuant �� <br /> to,he lav;s ot the Stata of Nehraska. <br /> A?M'FiOVEt7 COM V EMTS: <br /> _ <br /> � A?PF��JP.L OF A PORTI�N ..'" "° <br /> -------- ----------- ---_•-•••-� �+� ----����� �. �; <br /> •.•-••- -------- - <br /> �- - - - - '-l�.�_�.�:------- <br /> ❑ �is�NpHOV�o <br /> ����,� 1_�����. <br /> .ignstury uf C•urty ar .1Ambar )a <br /> NehreSka Ospar;m�nt uf aeVenue . t r�ze by fda6.Fe�.�tat.§17-e0z.�1 <br /> 36-73�.7999%iee•.7-�OlOSuFersedes96-Y35.;999Rev.77-'OOB ���� ������� 'l���ilJVi'.�' <br /> t"t <br /> PLEASE 141AKE A COPY�OFI YDUR R�C�RDS GRAN�15L��D'���p`�Ck(r• <br />