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� 20� 2 <br /> T FILEqWITW Exempti�n �4pp(ica�ic�r� FDF��J! <br /> �� forTax I�xemption on Real and P�rsonal Praperty by c�ualifying Organiaations ��.� <br /> OUN SSESSaR Read instructians nn reverse side. <br /> Failure ta properly cotnplete or file this appli�ation in a Fimely rnanner shall result in a disapproval of the exemption. <br /> tiame f prgan ation Counsy Gouny rva. rype�f Owrersnip <br /> � FI T BAPTIST CHURCH- C�RAND ISLAND Hall 40 Q �'�QnpratitCaiporatior <br /> 4 ei pr OC1i�r Ual�iCi�Ad:7ress State;Nhare tr,corpurated � C�lhar{Specityi <br /> 811 W 107H ST ATT: DARYLL SMITH NEBRASKA <br /> �,�tY 5tate iip C<�:�a Actual Vab�e Parcel or Locatior.ID NumL-er <br /> GRAND ISLAN❑ N� 68801 1,137,770 <br /> Legal des�ript;cn o`:real property and generai description a(all tangible psrsonzl propeh�,ex.�.ept lic�nsed moto;veh�Gies: <br /> CLARKS ADDITION LOTS 1-2-3-4�5 BLK 4 (811 W 1 pTH)#40002J855 <br /> CLARKS ADDITION LOT 9 BLK 4 (806 W 9TH)#40D029901 <br /> Tit�e of Otticers, <br /> ►��y-�e IDirectots;or PatRners Address,City,State,Zip Cad� <br /> ------•-•-----•.�--_ -�••-----•••_�-� <br /> Mi n h M a o <br /> Q <br /> ' 7' <br /> --K�3r--P��'�1-��-6��3�-----•-•-°— --�ixkd-�G�-a�•-�9G �c��y-,-•_-��-I��---��3'••.7��8-.--,---�'s-r-�c�-•-2S•la�-3---I��--b�8�Q7•••-•-------- <br /> . . � �-�I�-•-6°°�� <br /> Prnpert ::es�c u�e�n nv�is usad iri the tollnwiri�exe.'np[r.a.egory �iea.e rriar the ap icab°bcxes: � ' ' <br /> �Agr�cultur�iiHcr;iculiural 5ociet��" � Educational �Religioua �Gharitehde �Cemeter�� <br /> Giva a datai!ed dsscYption of tha use of tha preperty: <br /> d �� ������� , -���dk.� �; 6����� ,E�� <br /> Sk rJ��-<� !1"1 C't'(1 i n.�W C w5� � 5 e1--cJ�a c��., `�i�e 5 a� � <br /> �k..Lrsc��5 n; s�l.�� ��d� �7Fe�`,�r•-� <br /> 'AgriculturalMurticultural 5ociety daes not need to complete the f�llowfng questions. <br /> Is all oi,hr prr�e�ty usad sxcluaiv�ly as dssceibed abova? �YES ❑NO <br /> is�portion of ihe prcrie�Gy used rr�r itie sa��09 slcohaic t�eu�rages? �Y�S ,�NO t1 YPs,sTa?P the nurnhe?nS hnurs pzr week <br /> Is tha properly awnr.d or used hy an organi'ation which discr�mirate.;in <br /> membership or empluVment hasod on sace,cclnr,oi naticna!orig;n? �Y�S �tdD <br /> Under penalties cf I�w,I dedare lhat I have examin�d this exorrFtion appiication and,to tha�est of m���naw�edge ar,d beliet,it is torrect snd <br /> r.omp;eir.I also declare that I a;�i culy authcrized to sirn this esernpfinn applicaSir�n. <br /> a <br /> S�g� � _/�",���1 <br /> 6..��e �Au orized ignatur ,tl � <br /> 11 <br /> �°-•---------------�_�_._—�_••--°----- --�.�--•••_•-._----------._.__.-••••_�•---------------------°-°-°••--------------------�••_•••�-•.•------�.�--- � <br /> ' FAR GOUMTY ASSESSOR'S RECOMMEN�ATIR[d <br /> �A?PFiq�:��L C��v':;:�Et�T�. ���, 1�� 1 � - - -- <br /> [41 A?PFICJVAL OF A PpR"fiON <br /> ❑ I]ISAPFRDVAL 1~ ��� �� <br /> �Si�cature unty Ass��snr Datw <br /> ..-•-••••.�--_�••---•-----_-•••-..---------_••,� _..•.•-•-•••--------------- -------•---------..........__---------------------.•-•--•••••••-••--------------------------------------------•-•.•-.•-� <br /> FOR CdUNTY Bf7AR F EQLlALfZATIQN US��NLY <br /> i de�:l�re that,tn t�ie rest n�my knr�wiedye and belief,tiie deterrriinaUUn hPrehy r,ade hy che Caiirity Foard p1 Fyuakiz.atinn is:crrect purauant <br /> to the Izv�s of the state c�f Nehra�ka. <br /> IY; A�WHt?U�U COMMEN'1'S: <br /> �� � .. <br /> •-• �' <br /> APPRO'JP.L OF A P�JFI'�ION °'`� �4 � � <br /> L °--- —_-••• ••••._.�-------•._•-••-•_ -- �;�,�l � `_ -'-� --.••••••--•••••-•-•-•.•-•-.••-••-••..•-- <br /> �•�:_ <br /> .�: <br /> C DISAI'PHGVcQ � �)—1� <br /> nsture o Caunty rd\. l�er �^ ba±e <br /> ��1.,r�-- 9� <br /> Ve6raska C�ap�rtment ut�evenue (� �znd 6y'Jeb.Flnv.8ta1,§77-202,0" <br /> J6•135•1999�eV.'7-i010 Supe�sedes 96-135-1999 Rav.71-2000 t E �.,-.� ,{�.fJs•'����.�V�11 <br /> Fth�4.�.. �t.iC'b�'�,.-� ���I�i:l"ii�'al'+,t� <br /> PLEA5�MAKE A COPY FOR YOUFi F�E���E`''�f�'{`�' .~ <br />