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<br /> TCJ B FIL�q WITH ��[Q'r�p��Q� Hpp���'rC���o� �o�d�'r�
<br /> YpUR }arT'ax Exemptian on Real and Persanal Property by Quafitying Organizatia�s �g .�(
<br /> COLlNTY ASSESSQR Read instructions on reverse side. �'1'� 1
<br /> . Faiiure to properly complete er fi{e ih{s applicatian in a timely manrrer shall result in a disapprouaf of ti�e exemption.
<br /> i\ame of Orgarltation Coun!y � Geun;,�fJa. -Fyp�ot c�wr,ership
<br /> EI�KS BLDG ASSC)C OF GI Hall 40 0 ��^nprotit Corporatior,
<br /> StrPet c�r pthar 1,7aiiirrg Arldte�s State`JJhare lrr,�rpor�ied � Otn�r(Spetity)
<br /> 631 S LOCUST ST NEBRASKA
<br /> �.i�r Stato �ip Cnde Actuai V�I•�e Percel or Locatior IG Murnber
<br /> GRAND 15LAND NE 68801 228,749 400144395
<br /> Leaal des��ripi:en o`raal property and gEnera:descripYion of aU langible parsonal p!op�rty,ea:cept IiGensed mota:Vehlc:es: �
<br /> COUNTRY SUB 15-11-9 123.75 X 228' OF 16 XC G17Y&W 228' OF S 25' OF LOT 17 (LODGE)
<br /> �7AXABLE POR710N -#400287382)
<br /> 7iEle af Qtficers,
<br /> Name Directors.or Partners Address;City,State,�ip Code
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<br /> ProperY_J c. sc.ribed ahrrve is usacl iri the fol3nw;ing e.xe!npt�.a•tEgnry({'�iease rriark the applic.at�l�6exes):
<br /> �Agr�culturaUl-for,icultural Sociat�!° � Educa!ional �Refigique �Ch2rit�rile �Cemetsry
<br /> C�iva e detailEd descr�ption of il�a use af?ha prnpeRy:
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<br /> '?,gri�ulturalMorticultural SUCiety does not need t�cvmplete the f�liowing quastians. �
<br /> Is all oi the proparty usad exGUSively as desctibed above7 �YES �NO
<br /> I�a portinr.ui the ptcr}e�ky��sed rur TP�e ca�e of zlcoFiu:ic beverages? �YGS ❑N(� Ii Yes,sta ���
<br /> Is the pr�per'ly nwncd or used by an organi:ation which discr�mirates in
<br /> mEmbership pr emplcymant 6asod on race,aclor,o�naticna!ori�in? �Yc5 �Pd0
<br /> lJndar penalties cf I�sS,I declare ihat!have examin�d tlii�ex�rrpti�i�app;i�ation and,t�the � _,..,Wc:nei,it is correct and �
<br /> com}vsie.I a;r�o c!ec.l;�re that 1 am duly aufhcrized 10 si_r.n ttrs exernprinn appl:cation,
<br /> 5��� �Au.horiz-dSi nature r7 c �r•s,`�[.�r "--'�� >1
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<br /> ��e��r ; ` � �cs�^j'� 1°j�,-� - -fitle Oate
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<br /> I�� FOR COLJNTY ASS�SSOR'S R£COMMEN�ATIOhi ^ I
<br /> L APPROVAL cur���,�,�;s: °Ja �7-
<br /> �A?PROVAL OF A PORTI��N
<br /> C i]ISAP?ROVAL � ���
<br /> Si�natur o* ouniy Assassor date
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<br /> Ft]R COUNTY BAA F EQUAI.IZATIQN USE�NLY
<br /> I decEare tl7at,tc+the Cest o'f my kriraw;edys and belief,tiie deterrninalicn hsr�by r;ade hy,he Gnunty F,��rd r�t�yu�(iz,�atinn is r.r.rrpr,t pursuant
<br /> ia the I�v:s of Yhs S�43tE c�f Nel�raska.
<br /> C A?N'FiOVED COMMENTS:
<br /> �A?PR(7VP.L OF A PCJRT!(7N
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<br /> Na4rdska Gspar:ment ut aevenue r. t'`"� V��4uthodzed 6yf�9G. v,�idf.§%7�E02�0 i�
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<br /> PLEAS�MAK�A COPY FORYOUR R�CORDS `�,
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