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� 20� 2 <br /> �� ��W�T� Ex�mptior� �ppli�at��n �o�r� <br /> vo R far7ax Exemption on Fteal and Persanal �'rop�rt�t hy clualifying Organiza�ic�r�s �5� <br /> C L1h1TY SSESSOFi Read instructians nn reverse sid�. <br /> , Failure to properiy complete or fife this appiicatinn irr a Fimely manner shail resuit in a disapprovai sf t�e exem�tian. <br /> County Coun:y�I��. "F'ype of O�xr:ership <br /> ;� me of OrganiZatlon H�II 40 � p7pnproliY Corperatior, <br /> VANGELICAL FRE� CHURCH � ��ther(speciry) <br /> ��treei or ptY�er�,9aiiir��AddrYts State lNiiere Ir.corpnrated <br /> 2609 5 6LAINE ST NEBRASKA <br /> `�� Stato �ip Gode Actual V31��e Parcel or Lacatior ID Mumber <br /> GRAND ISLAND N� 688D1 7,219,463 <br /> Legal descript!cn o?real property end genera!description ef all t�n�ible parsonzl p!op�rtv,ex.�,ept Ilcansed motor veh�cies: <br /> QLDE MILL SUB I'T VAC MIOLLSTONE ROAL & LTS 3 THRU 24 INCLU5IVE BLK 2 (CHURCH)2609 S BLAINE-##400330350 <br /> OLD� MILL SUB PT VAC MILLS70NE RD &LTS 1-2 &26 BLK 2 (PARKING LOT)#400067528 <br /> OLDE MILL SUB LTS 1-2-3-4 & PT VAC MILLSTONE Rl7 BLK 1 (VAC LOT)#400432129 <br /> Tit1e of Ot1`icers, <br /> ���� Directors.or Partners Address,City,State,Zi�Cnde <br /> -°-------°----------•__--••�------••.--------�•�-------.... <br /> .°-------•••--------'__....---------••••------------------------.••.----------•.••------------°•-•_----------..- <br /> -----•---------•-•°_----•---- �� <br /> C��'e 'C ------ E\�4,' Cti-a:r•ti-p �'�`-�. w � `�L�.,a ��=. �.� t V��- � <br /> ����n���� <br /> c4� � . � S�. �...�-�-��4�..�� in�8ol <br /> . ------------------�-----------------------------------------......, <br /> ----------------------�---- ------------------------�----�_.. <br /> .����--'---_'_'---"_ C_ c ."�f�e.z.S.w.. r �S� �,pv»+h.E�e�.�.}re �S��d. Yl.l'� �S U <br /> pi�p��juad�brav�i. usad iri the follaWing eacenipt aa'teyo�'(pleasa rri3Yk the ap�lica6l=6axes): <br /> ❑A.r"u�ltural�'Har.icuHural Soc:ehj" � Eddca=ional �Religioue �Gharitsk�la �Cemeter� <br /> '� <br /> Giv�a dstsi��d description of the use of iha prepe;ty: <br /> �k.�—r c�v� <br /> ',�gricuftural/Harticultural Society daes not need to cvmplete the folluwing quzstians. <br /> I�all of the property usad ezc;usively at described a6ove7 �Y�S �Nb <br /> Is�p"�rtior.oi the ptcr3et'ty used for ttie sa�e of alcohu:ic t�euerages7 �YES �NO 11 YP:,state the nurnhFr nP hnurF per x�eek <br /> Is the properly awncd or used by an organi�aiion which discriininates in <br /> memEership nr empinyment 6ased on race,ccl�r,nr naticna!origin? ❑Y�� ��d0 <br /> Undcr penalties cf ladv,I dadare that f have examined tivs c�camptioi�app�icalion and,to!he best of m,y knawiedge ard beliet,it is carrect and <br /> comp�ste.I a�so d�clare tnzt I am Guly autr�crized to slpn th�s esernr�tinn appfcatipn. <br /> ����e v—U � 1 �r.tl...-4�0..�5 __-� \L\�� t� <br /> 1..��,� �Au:horizad 5ignature .� � 7itle �ziC <br /> 1 t � \�q� <br /> ..._----_..•-• ._•••.-----_..- <br /> -------------"-------------------.•��-----•y.�-------FflR COUNTY A55ESSOR'S RECOMMENi]ATIOhI �f-------�•••- <br /> � A°PHOV:iI. COMMEiJ7S: `�` <br /> �; A?PAUVAL DF A PORTIGN <br /> �ISAF'?ROVAL � � L� �f ��f <br /> CSi�r.atura o�CounEy Assessor D�te <br /> -------------------------------------------------------- <br /> --------------------------------�-----�------ -----�-----------.....-----------��-------------�------------------�-----------------------------------------------..---...--------� <br /> FOR COUNTY 60AR OF ELlU�LIZATIQN USE p <br /> 1 der_lare tliat,tu t�ie has!uf my kriowiedy�and Ueliet,She cleterrriinatlnn h�rHhy rade hy;he Ciiunty B��rd nf E�aualizalion is cerrect pur,u•r.nt <br /> to the Izwe of Yhe State ef Nebraska. <br /> J�'�, A�pHOVED GOM?�9EM-5: <br /> ,y.�� ,. ,_...... <br /> �; A?PROVP.I.DF A PUR-flON •••--- -�'- � �'��-�.•••• .••------ <br /> /- l J� <br /> C QISAPPHGV�.D C7 I <br /> r�ature aT Cour[ h1 miiNr <br /> .Authvrized 6y Ne6.Fev.�tat.$7I-20z.a5 <br /> Ne6reska Clepar;ment ut Revenue <br /> 36-135•1999Hev.7-'OY03upersedes96-t35-1999Nev.11-?�OB ��LL Cj��(��V �{��e��� <br /> GRAND ISLANU,�y�U;;���':.� <br /> PLEASE MAKE A COPY FORYDUR RECORDS <br />