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� /� 20� 2 <br /> C�B ILEQWITH �,������Q� /r�pp��L"[����� FCB�i�i� <br /> Y #csrTax Exerv�ption on F�ea1 and Personal Property by Qualitying Organizatio�s <br /> G ASSE OR F[ead instructions on reverse side. �.,�� <br /> � ' ailure!a properiy complete ar file this application in a timely manner shalE resuil in a disapprovaE of the sxempticsn. � <br /> a�f 4rgari2ation Coun.ty Gcun:�fVo. '�ype of Owrersh;p <br /> CHURCH OF GOD OF NEBRASKA H�II 4p � ^�onprctit corp�iatio� <br /> St�eei or CJttiar�Aai:in�,4fldrers SIa�elMiare Ir;cnrpr�raied � �th�r{upecityl <br /> 14019 PIERCE 5T NEBRASKA <br /> City Staio iip Cnde Actual Val•,�e P�rcel or Lacatior I�Mumk�c:r <br /> OMAHA NE 6���4 170,085 <br /> Legal dest-rlption o1 real properry and aenera!desc,iption�•f a31 t�ngible personal propFrty,excepY licansed mat�r veh!cies' <br /> SEIM ADDIl"ION LOT 3 (515 E 615MARK)#400091623 I'ASONAGE <br /> SEIM 2NCl ADDITION PT OF LT 1 (603 E�ISMARK)#4�009�631 - CHURCH <br /> r�d�or ar���r�, , <br /> Nam Directars.ar FarYners Address.City,State,Zip Cade <br /> -°••• -�._-----_•��-- ° -._�.__------ — ---------•-_ -__.—___-•_• --- ----- -•--••••••••-----------••..••----------------------.�••-... __...-•-.••--•------- <br /> �w�. ;s � e c�rs .t' �S' '//e /3 ";�- � <br /> S. X G .� �GN G 5 �"/� ��CSOI � _ ��W c� „g�� <br /> onai s. ; 1 1-or 1 G+ ora e . !I 6 aO�; •� - '706-- <br /> -- -_-._-------�.__��.--------=_._--------- ----- --------------: ------- ----�--�-- ----�-----------------------------�- ---...---���� <br /> Preperty cESr.rii�ed�hovt�is tis�d iri the idlow;inE exerript r.ate�ra�y�(��iease rn�rk the appiicak�l�bexes); <br /> �A.�ricultural/Hcriicultural Sociaty' �Educa*.ional Rakigiou� �Charitable �Cemetary <br /> Giv�a detsiled descrfption of th�use ai tha praperty: (! 1 <br /> �i1�0/'Si'►�� "YQC:Lri�-! ����� ✓L.�- Y`�S'�rJ�t��i�, 1 <br /> � <br /> 1�a r�c; �� �C o f <br /> c�[oc..����'£ <br /> '?.gricutturalMorticuEtut E Society does nof need to compiete ihe following questions. �"'� <br /> I�all of[he property usad extlusively aa describEd above? QYrS �NO <br /> Is a r�:�rTJar.oit6ie prcrie�tq used rm itie saie nf eleohp!ic 6everages? �Y�S �3q UYes,s1a;F thr nurnhe>n?hpurs par week <br /> Is thfl proparty ownerl a used 5y an organlzation which discr�mirates in <br /> mem�ershi�or empl��yment b�:;sed on race,color,or natiqna origin7 �Y�S Np <br /> LJndsr pcnalties ct law,I dedare ihat I have examined tivs examption app;icalion and,to tF�e best of rry knowiedg�ar,d 6eliel,it is corrcci ard <br /> comp;ete.I aiso r�date thzt I arn culy authr,rized tn sir.n tlrs e�ern)A[nn applicatinn. <br /> , <br /> S1C��'1 � _ ... _ " Ol <br /> ��y�� Au:horizadSignature ;tle <br /> ate <br /> ----- -- �d�5 7. / <br /> -- -- ---- ---- - ��_�.---------- ----------- ------------__------- - --------------�------- �----�-----� <br /> RECONEMENDAT10id <br /> �-•_-----�------_.m.�____.� "� a -•_.W.�_ FDR COIiNTY_ASS�.SSOR'S .. •• -� . <br /> 17�i ^,P4�HOVAL Cp�l�41E�J7S; �' <br /> l� <br /> �,_; A?pRqVAL OF A PORTIpN <br /> ❑ DISAP?ROVAL <br /> Si_ynatu wnty Assessor '���N� ~"�`�� <br /> --_.•----_°°°---°---------------------------------°••-•••-°••�------------••- -�- •-----------�._..� ..••-••- �...••••.... -•..... .-•�•_°---------,•••••-•.- <br /> FOR COUNTY 80 QF EQU�ALtZA71Qh t1SE ONLY <br /> i decl�re tliat,[o t�ie 6ast af my�n�iwiedge and uelief,ihe deterrri. aticn h�rehy raade hy;he G«ur�ty Fo�rd nf Fyualiz,ation is cerrpc.t pprsuant <br /> to trs IawE of the�tate of Nei�rask2. <br /> [�A?PHp\/Ei7 COMMENI-S: <br /> �f <br /> L; A?PFiOVP.I.D�A PC�RTI(7N <br /> ---_ •.- ----•••-_•---------••-_• .•••- ---.•••- --- � <br /> �i <br /> C <br /> L715APPF1GV�p ��'�`� <br /> .iyr�r,ure n'f Caur; d h ml�er [la?e <br /> Ne6raska Uepar;ment ut�evanue •;ze b e � t.$77-�02.07 <br /> 56-135•7999�e¢7-e01a Super_ades 96-135-t 999 Hev.Y 1-3008 <br /> rfML� 1w19i.7iy!� }+��� <br /> PLEASE MAK�A COPY FORYQUR RECDRDS ����j�,�� <br />