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2012 <br /> c�a��i�.�awiT� EX�tI"Ip�iQt"i I��77pIl���laf'1 Fd�� <br /> You� �a�T��Exemptian on Rea! and Persarral Property by Qualifying �rganiaations <br /> COUN7Y FSSESS(JF+ Read inatructions an reverse sidc. ��� <br /> , Failure to properly complete ar fife this applio�tion in a timely manner shalt resulf in a disapprovaf o4 the ex�mptipn. <br /> Vame ot Crgari2ation :ounty Gounr�r IV�. -�ype of Owrersh;p <br /> FAITH UNITED METHODIST CHURCH H211 40 � ���'nprolitGcrp�raGOr, <br /> �tresi or prth�r Mai;i.>in Address State'�^lhare Irtorpr�r�?ed � C�tnEr�Speci?yl <br /> 724 W 12TH ST NEBRASKA <br /> �jty Stato i ip Code Aciu�tl Value pFrcel or Locati�r I�Mu!ribct <br /> GRAND ISLAND NE 68801 435,115 <br /> Lagal descript�cn a':rezl property and�enerai desc;iption r�f all tangi6le personal p!operty,e�cepY license��molor veh�cies: <br /> SCHIMMERS ADDITION LOTS 4-5-fi-7 BLK 5 (CHURCH AND PARKING LOT)#400089580-724 W 12TH <br /> WHEELER ADDITION LOT 5 BLK 47 (PARKING LOT)#40D123355 ��D�� <br /> SCHIMMERS ADaITION LOT 5 BLK 9 (PAR50NAGE)#400090Q23- 1319 N �� <br /> Ticle of ONieers, <br /> Name ^Directors__ar Partners T Address.City,State,Zi�Cod�_ _ <br /> ••-- - .��.•-•.•�--. -- -°-° --•° �.....�._.._ .�. <br /> uI � �� I�t N C.r I r��- ('---•--• lJ�; .��'u� <br /> '� �� �- � r„c P.PS ��Rl� ����. -!7 ls' �P <br /> b C�' :1:�+,,���. r� l �U�/V�!_":�c^:�u�,� ,f� �r%�1 � _�:,�, � <br /> Pi'epe;t�j Cesr.riiizd ahr�ve is us�d it�the f�linwirip exNrnpt categnr)�(piea:=e rnyrk the applicablP br.xr:s): <br /> �A;ar�cultura!/I-lcr;icultural Societ4' � Educa*.io�ial �°li�iou� �G'harita�ile �Cernetar� <br /> Give a datai!ed dascr:ption af ih�use of th=_propa�ty: � / <br /> `la7.J���f J(,•1C(r�"� S'L�.�i• «�r./�c�; ^f`r'�n i�P.rr�� S�`�PC� �'hr�� . i:t�✓��JC 3.- .vr,��,C.-�,.5' ..viq .�.f�/l.� <br /> `l '� ° �f / <br /> '�gri�ultural/HurticuEtural Saciety does not need ta cvmplete#he fallowing questions. <br /> la all oi SF�e prqp�rty usad exc?usively a�des�ri6ed above? ��5 �NO <br /> I�a��ortlor.uf the prcpe!h'used for tl'ie sa;e nt eJcohoiic 6rve:rages7 �YwS �Nq It Yes,sT�?e the r�urnhe�n`h�ur�p�r K�eek <br /> Is the proper[y owned os used by an organization which discrimirates in <br /> memhership or empL�yment besed on race,ccl�r,or nat;cna!ori�in? �Y�5 �fd0 <br /> 4Jnder penalties cf lati+�,I deolare lhat I have exarninad this examption app;ication and,to the best of my;nowiedge ard Celiet,it i�co�rect and <br /> com�iic;te.I a;so decl�re tnat I arn duly authcrized tp siqn this exernption appll�.ation. <br /> - � ����� -� �-.J _ ,.. /ee. �� C// /! <br /> {.��ir� Au",horizad Signa4ure Titl aie <br /> �N <br /> __.._""".,.'"___—�"""_'—�'"'_""��""""'"'"� '_""""'.._.._""'""'__r� _.�.."'_"'"""""..._ _..'_."'"'_'_.'� <br /> ��" FAR GdUNTY AS5ESSQR�s��c��nnn�N�anorv <br /> �a��r�ov.�� COhA�v1E�J75; � <br /> [ ! A?PAJVAL OF A PORTlJN <br /> C DISAF'?RpVAL � � ._. �' O �`- <br /> Si�r.atur o Ceunty Asseasor ��tw <br /> ----------�-.-••••��-,------�...._.��----------.••-�•� ........_------ ---------------•-°--••••••-•••-•-•.--•-•- ..••.•.•••---------• � <br /> � ��R COLINTY 90A aF EL4UALfZAT10N tJSE ONL.V <br /> I cieclare ihat,[��the hest u1 my knr�wierlg�and 6eliel,ihe deterrninalicn hsrehy r,�de hy,he C�TUnfy Eo�rd ut Fyualiza4inn is c�:rrr.ct pursuant <br /> to;hF lav.s of the�tate of Nsbtaska. <br /> A?PF�QVED C�MM�N'1'S: <br /> � <br /> � A?PAD��JP.L pF A PClRT1�N •--� <br /> G L715APPHGV�I7 / �� f� <br /> .ignature u G�ur,t na� .9e i�er CJa!e <br /> Nehraska napar;ment uf�ev^nue � � �Ak..,d�y,�'d��„v.�iai.g77-"02.01 <br /> 56-135•1B99Rev.']-e0105upersedes96-Y35-1999Rav.71-�00� � !H <br /> 'w.f._..... �— <br /> PLEASE MAKE A COPY FORYOUR RECDRDS NDV 2 3 2011 <br /> �i���.. C�}�i y��' W����S�� <br /> ��i�`in��6C�t��'�rr� r:iH:�',7,���r',�tri <br /> <<.: .. �:. __ _ <br />