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�o� z <br /> ��� F����W��� Exemptior� l�pplica�ic�n �o�� <br /> p�� forTax Ex�mptiarr on Fteal and Personai Property by t�ualitying arganizatic+r�s ��� <br /> GdUN FSS�S5QR Read instructinns an revcrse sida. <br /> FaiEUr�ta properly complete ar fi{e this appiication in a timely manner shal!result in a disapprovaE of the ex�mpii�n. <br /> �Nama af Orgarization G'aunty Gounry Na 'fype of Owr.ership <br /> DIOCESE OF GRAND ISLAND Hall 40 � N�nProtitGoiparatior <br /> St�eei or ptYier 1Aaiiir��ArJdrs��s State'Nhara lr,c7rrapra?ed � �ihar(Specily) <br /> 27p8 OLD FAIR RD NEBRASKA <br /> �:�ty State Zip Code Acival V3Pae Parcel or Locati�r.I�Number <br /> GRAND ISLAND NE 68803 461,6D3 <br /> Leaal descriptivn ai real properiy and ganera:description^t a!I l�ngible pa�so�ai P!oparty,except licensed motor veh ces:� <br /> WESTWODD PARK 7TH 5UB LT 16 (416 TEAKWOOD CIR)#40D411776 <br /> ISLANp W�ST CDNOMINIIJM PR�PERTY REGIM�OF LTS 1-Z-3 SETAG SUB UNIT 27D8#400091658 <br /> Tifle af Qiticers, <br /> yame Directors;ar Partners Address.City,State,Zip Gode <br /> e on e ve ran s an NE 3 <br /> pr�:part_�descrii�ed aY�r,ve is iitied in the foliowririE exe�r�pt�tegr�ry{r�iease rnark the ap�lir.aF�l=hexes): <br /> �A�ricultur�i%Woriiculiural Soc�eDj° � Educa?ional �Reli�ioua �G'haritable �Cemetery <br /> Giva a detai?Ed descrlption of he use of th�prepe�ty: <br /> Used entirelp for religious/chari�able/educational purposes <br /> "Agricuitural/Harticultural Suciety daes not need to complete the f:sliowing questions. <br /> 1s all oi;he property usad Ezciusively a�described above? .. �YE5 ❑NO <br /> Is e r»rtior.nT tha prcr�erty Usad rur ihY sta;s nf alr.ohn!ic beverages? �YGS ❑NO IlYes,siaie the rwrnher r�9 hours per week <br /> Is the prop�rly awned or used by an organization which discr:mirates in <br /> membership or amplayment based on race,color,er naticna!orip!n7 �Y�S ❑NO <br /> Under penalties c(13�,v,I dedare that f have examined 11iis examptipn app:ication and,to the hest of my�itnowiedga ard beliti,it is canect and <br /> r,nmFvete.I a;so derl;�re inat I arn�uly au ;crized ta sign this exemptiun applica;inn. <br /> al�n � , �� � �� <br /> �y��v� Aurhonz ,�Ig ure Title Date <br /> Ar <br /> -- -- -• -- °-•-•�.-_ - -- •-----�•-•�-�_------------°------�—._�-�•••••.....•_-•••-•-----------------------------------._.....�...............•.••.-.-••.-•---°--••---� <br /> i__� __ ��._---- — <br /> Fo�caura�-r�ss�ssoa'S RECQMM6N�ATION <br /> �APPHOV!aL cor�n��ra-rs � h ,.,�, n�����t�� <br /> �.��-,�.T -- - - <br /> �,; A?PROVAL OF A I'OR i I��N <br /> �� - �Q LL�d�►_✓.1�'•T� <br /> C �ISAP�FIOUAL � ���' <br /> Si,� gr.ature � � uity Assessor���� Date <br /> ..� .�.------•'--- --•°°•---------------------' -- ------------------.__-..••°°°°°°------------------------------------------------••�-•--•-••..••-�.�-------------.......° <br /> � FOR COtlhlTY 5C1AR F EQUALIZATIQh US�dNL.Y <br /> I daclare ihat,Iry trie hest uf my Knnwiady�and belief,thu rJelerm:naUcn h=reby r:xde hy,he G«unty Foard ni Fqualiza1ion is r,enPr.t pursuant <br /> to ih5 lav�s of the State of Nehraska. <br /> � A?PHQVEl7 ��MMENTS: <br /> �; APPF�O�lP.I.OF A P�JRTION <br /> _�•-••-. ------••••-•••-�-•••.__.. _ .------•- ---- ,�-�r�C�•• � --------- <br /> . IS�� ..1 t�; � ._.�.���.�� <br /> ❑ uisa�pHOV�n =�l JaL <br /> , gnar,ury nf Gc�urt.y :9e �iNr C7d?� <br /> 106rdska Gspxr:ment ui Rav_nua D thu� 'de6.Roa�t:rl.$�'7-P02.0�. <br /> :6-7 3�1999 ReV-7•?pT 0 Supelsedes 96-135-1999 Rev.7 Y-2008 <br /> �,i_•. <br /> PLEASE P,AAKE A COPY FORYDUR RECORDS �'t`•i�� `'`c����Mi'd!� ���!�E����Q <br /> �;��t��`,.`s)s:.F.r,.,,,�, ,� <br />