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2012 <br /> T F,�E��„�� Exemptio� /�pplicatior+ F��� <br /> YC7UR f��,7a������t��yn pn Ftea1 and Personal Property by Qualifying Organiz�Tiat�s 4�.� <br /> CQ IVTY%+SSESSOFI Read instructlons an re�erse sida. <br /> Faifure ta properly compdete or fi{e this a�plicatiatt in a timely manner shali result in a disapprqvaE of the ex�mpttan. <br /> 'Name of Orpani�ation G'ounty Ccunry�va. "fype ai Ownersnip <br /> GHURCH OF JESIJS CHRIS7- LATTER �AY SAINTS Hall 40 � P7r'�Protit Gaporation <br /> Street ar Qthar\Aai;iri�Addrsss <br /> Stale'JJ1�tsre Ir.r,orpnryted � Othar(Spacityl <br /> LDS CHURCH TAX DIV#505-7949-50 E NORTH TEMPLE IJTAM <br /> Gity State 7.ip Cr�dF Actual 1,'al•ae P�rce3 or Locati�r,IfJ Nu±riber <br /> SALT LAKE CITY NE 84150-362D 1,557,182 400Q53330 <br /> Legal des�ription o`:real property and�enerai desc�iption of alI t�ngible p�rsonal property,excep4licanse�motor vehlcies: <br /> KNIGKREHM 4TH ADD1710N ALL OF BLK 12 (212 W 22ND) <br /> Tit1s ai Otficers, <br /> Name Direct�rs.or Partnars Address.City,State,Zip Gvde <br /> _�•••----- <br /> -• �--- �..��.. �._ �.._�_..----•_•------.••- •-_-------°-°�°-_._---------°------------°-••---------�•.••�•--------••°--° <br /> H. David Burton residin Bish SO E. North Tem le S��ee� SLC UT $4150 <br /> 801 240-3705 �--- <br /> Preperty ciESCrivad�hove is iisad i!i the followiric;e.xempt catEypry((�iease rriyrk the appl:r.ahl�hexes): <br /> �AariculWra:iHcriicultural 5ociety` � Educational �Religiou:: �Charitsh�la �Gameter�r <br /> Gi�e a daYai�ed descr�ption of th�use oi the property: <br /> Church mee�inghouse used exclusively (100%) for religi.ous worship, warks of charity <br /> and related activities., <br /> "AgricttlturalMorticuftural Society does not need to camplete the folluwing quastions. <br /> ' I,�all oi the pro(°.'ty usad eXC�usively aa desctibed abovG? �YE.`"i �NO <br /> �Is;���prYinr.uf 1he prc�se��usnd ior th�Ea;e r�1 alcohniic beverages? �YrS X❑NQ HYes,siaiP the nurnhrr f�?hnurc per w�eek <br /> is the pr�perEy owned or used hy an organlzation which discrlmir,ates in <br /> member5hip or empl_�,yment basod on rac�,aclor,or naticn3!arigin? �Y�5 �NO <br /> Llndar penalties cf law,I dedare ihat I have axamined tliis examptioii a�piication and,to the hesf of my icnawiedg�ard Celiet,it is corrcct and <br /> complete.I aisn oeclare ihzt I arn culy a�thcriaed tn slgn tliis exern��9ion applic.atinn. <br /> ���� � Assi.stant Tax Specialist 1l./22/1l <br /> Lq,��r� orized Slgnat�e 'fitle Date <br /> IR <br /> —°•�-------°--•��---°°---_•-•��—°------ <br /> •----_._�•--°--------_- �_..�_----•_-••-•. _•-•--_----------°°•------_•••-••.------••••.•••.•-----------°-•-••---� <br /> FflR CQUto''TY ASSESSOR'S REEOM <br /> ^'I,f3CV.•;L COMA4E�JT5' _.._� <br /> Lj A?PROVAL OF A POATIUN <br /> ❑ dISAPPRqVAL <br /> Siqr.dture � �vuniy Assessor Date <br /> --'--'•'.'-----_-'-_-----•-•".--_' <br /> °•----�-•••._-----�_..._----°•.•--------•°--- ---�..._ ----.._.. °-......�----.__.._.,�,._--------••°••--------•-°°---------------•----°---'---�---------.•-• <br /> FQR CaUNTY BDAR F EQUALIZATION US�q <br /> i cieckare tliat,[n t"ie�est ut my knowledgs and 6eliel,itie detsrrnin�r,cri hereby made by 2he Cuunty Eoard n9 Fraunliz.a4ion is�errect persuant <br /> in the lav.'s of the wYate c�f Nehraska. <br /> C A?WHOVEL7 COM'ulENTS: <br /> --� •-r'�--�. <br /> � A?PROVAL OF A PC�A7lON •-----•-•-°.�------ •.�------••------ ------•�•••-•••--•-�------- •••--•------.••--•---------•--•••- ,,._� .._..,. r�� p-._•.•�--_=---�- <br /> �'��^ „ - <br /> � _ r r' r � <br /> �i . <br /> —.� <br /> C DISAPPHGVcI] <br /> ,ignaturb u Courty �1em r � <br /> . tho .e y' . ev.�tat.g77-202.0� <br /> Vahreske�apar;ment ut�evenue <br /> r.E-13�-1999 ReV.')•301 d SUpe1'stldes 9b•135-1999 Rev.71-?�Od <br /> HAI.L COUCVI"Y A55�S5 <br /> PLEASE P�IAKE A COPY FQR YDUR RECORDS GRAND 15LAND,N���SKA <br />