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12/29/2a11 16:57 4624983029 FINANCE PAG� 01106
<br /> TQ�E EILECI WITH �O� �
<br /> � Ex�nnption Applicatian FOAM
<br /> � �� A� ���a� fari'ax Exernptian on Reai a�td Persan�l K�roperxyr by Qualifying C�rganiz�fions q��
<br /> Reyd Insttuctfons en ravwre siaa, �•F
<br /> .,.� Fallurs to prvperly campi�or nle thls appncat�on{n a timely manner shall reau��in a�tiaspprova�af the eycamption_
<br /> o ganlz�twn County Ce�r�y No, �ypv sf bwner�hiD
<br /> F R FLANAGAMS BOYS Ht�ME {4p�) G9B�31.27 Hall 4Q � ���nprolltGor�vr�tior,
<br /> $,reat or'Other 4lelllnq A�Jdraxs btafe Wher.,�ir.,nrpnrateA � �her��i��dfYf
<br /> 14a86 MOTWER TERESA LAN��C/o Gr�.sARAJAS NEBRA61C4 — -----�
<br /> ciry sca�A 7,i�,cndA A�ei v�iu,� pam.ei ar�o�pao��n rvumeer
<br /> BOYS TQWN N� 6BDy� 1,153,53D 4Q046�961
<br /> ��gal deacrlplian a`rael proporq�und gr�nerai deser1p17cn ot all ienplbic perea�l praporly,axcep�Ileer�sed mdw vchicles:
<br /> BRENfVAN SUB L(3T 1 (SHELT�R)-�330 W 1NILDWdaD bR
<br /> �'�RSbN� PROPERTY� PER L�T�'�4,CEiED LI$:CING `�
<br /> � !3" ��
<br /> ritiQ�r att►c�,
<br /> M...`__� N�mc Directnr�.or Parincrx �_______,_..._.�_..'�ddr�sa,City,5tale.Z�p Gade�---_..-R������l1.
<br /> ---- kt
<br /> —��s� �E � xEr� T��t� r �v ' , 5�OR
<br /> _ — n BRA5KA
<br /> Pivperty rla�crlbesf dbovo�s u5ac1 I�thc tdlowlnti Gxe+mpl cete�]�ry(p�wuo mtvk ihe e�Ilcabie 6�th.i),
<br /> ❑A�neuRurellM4or:lailt�rai Sedety' ��aucational �Rellglous �cr+��;tzblu Q Gama�ery
<br /> ��a dctalled��rlptinn nf cha usc rrt'ihe prapc.'[y:
<br /> L��d, �.b.u�lding �and equi�ment used as. � s]�elter.:ti❑ prov�.de i�ousing, educatiou an�
<br /> treatme�p,t of troubled youth, '
<br /> 'Agrlculturai�-t4rticult�ai Sraciery deas nax nead to camplete tha 1�+�ow�flg questlonc. �
<br /> le nll vi�propr�rty uat�d exclus{vnly as deFarlbetl a6oVe? YE8 Q NO
<br /> , Is e pvrllon�tf ihn prnperty ur.nd inr ihfl&ela qt plrnholk bevo:'n�Fr,7 t8 �hfp RYes,�t:1ha Iha numher aT hd�Te per a�rk „�,�,�
<br /> . Is thA praperty eWhc�d or used hy an org8nlx�tlqfl Whlch tll6[71Yr11hates!n
<br /> tnCm6ershlp or Cmplo��rment qr�Qd vn retiY„Gobr,or natlorr7l origin7 �Y�S �ryD
<br /> Undar panshleR of law,I doclar�1hat(havc cxxminad ihlc exnmptlon epplicaiivn mid,io Ihn bcat o!my khmvladga ar.d qr,li�+l,it Is correct and
<br /> r,ofnplgK�.l�Isn da��lare Ihal I am duly nuthnrized W Jyyh lhie�emptivry appllcatlan.
<br /> + ,Assaciate Vice Pres�dent
<br /> sign � � r.��Yr/
<br /> h�t+� AUlhorizadSlgnalura 7illa Oata
<br /> �� ..� – ,....._�-- ._.�___—��._..�..__.._,__�„,..... ......�—__.....__ ,_... _ _ _,�.�J
<br /> — -- _ FOFt Cf�UN'TY A55�SSdR�s R�cor�u►�H❑,ariaN --��.. _� ^
<br /> �}(J APPAOVAI. {'•OtJMENTS; `"'".��� �
<br /> �Z�
<br /> [] AP�ROVAL t�A af3F�lcrv
<br /> ❑ Di5APFf�OVAL � � ,,,,���1�,��
<br /> �._...� �.��._..._,...�_.__�....�..._.�_m... Sipna2ui e} nty A&•"•AFaor f]rJta
<br /> FAR CDUNTYMBOA OF EOIIALtZATIQN G5E QNLY TTw�..^---...__—_�_ ..�W..._�_......—...�._�
<br /> 1 dvrJ�re Ih:u,Iq!h9�eel ui rYly k�[�wln�e en�heli�,U�e deicrminxuon h:xnhy n�sda rry;he CS�umy 9oanJ rA Fqu,lizylion le��-nr,�r;t purau;�r�
<br /> ta;ha lavi�af the st��10 o'Nehraxka,
<br /> � Ar�PROVE!] CQhIMENtS;
<br /> CG APPA(?VAI.QF k ppRTION
<br /> G I]I511PPRi�V�P /� �-l�
<br /> gnxn,ra o(Geun nm e� Date
<br /> Np6rMW+n peprr.m�nl of 9wefnU�1
<br /> 9F1?�f'�pB Pa�e�.:tl1 tl f+lporwNS1le 6�1 a6•1 B69 Ren.��-l.0atl .4uthorusrc�bY Neh.wwv,�lai.�n�9G2�C1
<br /> pLEASE MAKE A COPY FDR YOUR R�CC?RDS
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