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� 2012 <br /> T �Fi��awrr� E�t�t�pti�r� a4pplicati€�r� �oFt� <br /> Your� tor7ax Ex�mptian on Rea1 and Persanal Properiy 4�y Quali#ying Organi�aticsns <br /> T'( SSE$SDFI t�ead instructions on tevetse alde. ��� <br /> F�iiure to properly tom}s9ete ar file this applicatian in a timely mannsr shali r�sult in a tiisa,pproval af Yhe�xemptivn. <br /> ' me� r�ryar,ization �'p�nry Guun:�IVO. "�'ypa o(Owr:arenip <br /> CHRIS7 LUTHERAN CI-1URCF-i - CAIRO Hall 40 � r'"�pYatif Corporatior <br /> :treet or Q[har�Viailing ArJdress Stat�1Niiere Irr,orpnra:ed � Oth?r{Speci4y,i <br /> C/� GDR�ON BREDTHAUER 12950 W OLD POTASH NEBRASKA <br /> Gity Stato Zip Cude Actual Value Percel or Lacation I�Nu%nher <br /> WOOD RIVER NE 68883 ��044,8�g 400169754 <br /> Loaal dese;ripticn o?real propariy and generai description ot all tangi�le parso�ai p!operty,except licansed maio�veh:cies: <br /> CAIRO SOUTH LOUP VILLAGE MISC TRACTS 23-12-12 5W 1/4 NE 1/4 (4.03 AC) <br /> CHURCH AND PARSONAGE -501 W MEDINA <br /> CHURCH'S MAILINC ADDRESS- PO BOX 9, CAIRO, NE 68824 <br /> Title of OHicers, <br /> Name �irectors,ar Partners Addr�ss.City,Stete,Zip Cads <br /> ___rnrrinn 'Rrar _� '7Q��f1 rn7y Sk3 <br /> ---------------------------1--- - ------------------------'------...�.�� _._....._ - 6$&�33 <br /> PicEierfi�describ�d abr�ve is uszd iri the f�llnwing exernpt rmkegnry(p;ease msrkthe ap�licabl.°,hexes): <br /> �Agr�culturai(I-icr.iculiural Soc�abj' � Educa:Ional �Rsli�ious �Charitah�la �Cemeter�r <br /> Giti�e a detailed descr:piion of<.ha use of tha preperty: <br /> The property is used by the Christ Lutheran Church congregation �ta spread the <br /> GQSpeI truth of the Word of GQd as it is written in the Bib1e. �'he pa�sonage <br /> is used to house the pastor and his family. <br /> "AgriculturalMurticufturai Society dc�es not need to c�3mpfete the foHuwing question5. <br /> Is all of the praperty uszd exclusively as described abova? �YES �ND <br /> Is N riorticx:pf the urnr�F"ty�ased for the st�le of Pau�hpiic bevere�ges? �YtS �N(7 It Yes,sTa?e the nurnber t�4 hnurs pzr week <br /> Is the property awncd ar used 6y an organlzation which discrimirates in <br /> membership or empb�yrrent bused on r2ce,cnlor,or nation3!origin? �Y�S �ND <br /> Under penallies c}la+,v,I declare that I have examined iiiis c3xarr,pti�n app;ication and,to the tast ot my know!adg�ar,d peliel;it iy conect and <br /> CO(�I��FS�H.I d�50 G�I:L'I81£'I�12R I 3t71 CUIY ililtF�irIZP.[�Io sian this e�ernptinn ap�l:catinn. <br /> ��C��C � 2 J21.../�n� � <br /> h��� A:horized Signature 'fitle 5 8 3-2 S 5 8 pate <br /> ----�•-.._.�---•-----°�••--°-..�._-•.•--•.�...�.�...__ _ FOR COl]MTY -------°-°•°-- ..,_....... ..--•--••••••-•• ...-•.-•- <br /> - - SSESS�R'S RECO?,RINEN�]ATiaN <br /> — .__'4.._ T.� <br /> �q�pvq�i,ai COhA�,��r.irc. �' <br /> � A?PRpVAI.QF A P{�RT10N <br /> ❑ DI$AP?RpVAL � � �� <br /> Signatur �' ewtly Assessor 6ate <br /> -°-°°•°•-°•-----------------------------------------------------.�....•-•••-••-.• ••••----------°••••-•--_ ........_. ----------------------------------------- <br /> FC?R GOUNTY BOA F I�LlUA�.lZATIpN USE ONLY <br /> I deci�re.tY�at,Io Phe he;st uf my knr�w;edyP and beliet,the de4errn:naGcn iisrehy rr;ade hy.he Goiurty Foard n1 Fqua{iz,alion is cerrect pursu:�nt <br /> to the lav;e of the State ot Nebraska. <br /> �A:'PHO\!�p COMMENI S: <br /> L; A?PR��lP.L DF A P�JAT30N <br /> ----------°– ---- -�-•-_•-•--•••••--_--- <br /> •°--°•••••••• ,..... <br /> = ; � P� �-r� . ,------- <br /> C ❑isa��r�ov�n ��:. ,.. ''.'��--/,� <br /> iynature of C� r:t� a! 1�9embar CJa:e <br /> Nebruska Gspar;mant ut aevenue th �ze .Flau.Ster.�77�e02.0! <br /> 56-13_•7989�eb•.7•2010 3upersedes 96-135-�999 Rev-1Y-?p0E1 <br /> �r:� t . ... ; ...v� 1;C ..+ �'�`,�� <br /> PLEAS�MAK�A COPY FQR YOUR RECQRDS " � p <br /> ' �'.. �.1�4:�t� <br /> fYt..� ., ...... .. i1�-C i 4:ilh'1 <br />