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2012 <br /> �BE FILEq WI7H Ex�rrrption Appli�ativn ����� <br /> Ga �.��� ���� torTax�x�mptian nn Ftea! and Personal Property hy Qual'sfying Organizaticsn� ��-� <br /> Read instructions on reverse�{de. <br /> ! FaiEUre tv properiy camplete ar file ihis apspiication in a timely manner shall result in a disapprovat of tl�e exemptian. <br /> . 'am n Or�ari atian Gounty Gouny IVo. -iype of Owr:ershiP <br /> I S R15TIAN CHURCH Hall 40 Q �"�P�Gtit Gorporatior, <br /> W tree hnr L9ai;i���7 ArJdress State Wh�re tr,�orpnra?ed � �thar{Speci'!yl <br /> 00 W 14TH ST NEBRASKA <br /> �i� Staio iip Gn^�F Actual Vab�e pFrcel or Lacati�r I�Mu!riV��r <br /> GRAND ISLAND NE 6gg03 479,�51 400039893 <br /> Leaal description o`real praperty and genera;dascription ef all tangible parsonal property,excepf licensed mot�r veh;cies: <br /> CUNNINGHAM 5UB LOTS 1 THRU 16 BLK 2 (CHURCH, PARKING LOT, PLAYGRbUND AND STORAGE BUILpING) <br /> Titie af Of1`icers, ~ <br /> hlame Directors,or Partners Address,Gity,State,Zlp Cads <br /> - •°°--•-.._��_-� .• ••-• • ••- -------------------------•--•--�•-••-••�•-•° ---•�--.••°---r ��••.�•.-.•••�-�----------- <br /> � ----. Sc�tfi �i o .�. ------r os#�� ` b t �.• n r,� 1" � ' �' <br /> � �P t t � t e�.,r � � s� le.�nd � � ! <br /> -- �=�-���-t o __ -,r.�.�_..��'�C' _ __� C.�r ''�S i�i��l� /U E .��k_�� <br /> _ ��._����r..:`�------- r n.��i------------- ��� Fr...��d�_�n_df_...�.r_���"�_�c�.n�t---N�__In_�'d�.�' <br /> Preperty dbsr.iiiiad dbnv�is iisad iri the followiric:exe!npt c�'tegr�r}�(p:ease rri:ark the ap�i:cabl�6cxes�: <br /> �A.griculturallHorticuHural 8ociety' ❑ Educa±ional Religioua �Charits�la �Cemetery <br /> Giva a detsi!ed description of h�use af tha propsrty: <br /> l� v� � h �� � <br /> ',�gricultural/Hurticultural Society daes not need to complete the fallowing qi�estions. � <br /> I�all o1?he pr�psrty usad exc�usively�s dascribed abova? Yt5 �ND <br /> Is a parti�n uf 1he ptcr�e:t'ty used rr�t iFie se�e n9 alcohiniic 6evera�as7 Y�5 �NO N Yes,sta?e the nurnhF!n`hours per week <br /> Is the proparty owned or used hy an organizaiian which discrimirates in <br /> membership or emplpyrr,ent 6ased on race,cclor,ar naticnai orig;n? �Y�S �tdq <br /> . � <br /> Under penaltias cf I�sv,I daclare lhat I have examined this examptiun app;ication and,t�ihe tast of my knowic dg�ard 6eliet,it is correct and <br /> r,omp�ete.I air;o�er.l�re ihat I t�rn c:uly auth�,orized to s!r_,n ilrs axerrrption applicatinn. <br /> S�� /� � Q ��/ <br /> ����g thorizedSignature Title Date <br /> ••• • ---•---•--_----_-•••-�--�_•-••_- �..••--•_•• _.._�.....•--_.--------------------_••••••--.�------------------------------------••-----.............-----� <br /> FOR COUNTI'ASSES50R'S RECOMMEtd0AT10N <br /> I------ — -- <br /> �A'PFiOV.�L COh?F,-t�F.4�: <br /> �_; A?PFiOVAL OF A P!]RT3�N <br /> � L715APrROVAL � <br /> Si_yr.alure i unty•Assessor Date <br /> --�---•--__.•---___�._�_�--�••�_-----°°-----�-_•_••-_•--.....m.._�---- - ---�•°--•--•.._.__ _...__..-•-•••.•�--_•,�----- _.__---°--•-•._�.. <br /> FQR CQUNTY BdAR F EQUALI2ATION GS�CINLY <br /> I denfare ihat,tu the rest uf my knnw;edgP and Uelie(,the determinaticn tisrshy�r.ade by:he Cou�ity Board nf Fr{ua{iz�tinn is�erreci pursuant <br /> to th�laws ot the.t'.tate af Nebtaska. <br /> � APNHOVEll COMMEN'TS: <br /> �� <br /> -•-• A?PF�bdAL DF A POfi710N <br /> •° ------ °••-•----�-••••••• ..�----------•-•-••••-••• • •....�.�_..--- <br /> � <br /> � ?� y�� <br /> ❑ �IS��PHGV�o -. r= - F� �' �;.� � �1�J I.� <br /> , grlc,turc U'I Gour,[y h ml�Hr QBCe � <br /> VepraSkx Uapar;menf ut aeVSnue D�?UtF�urizgd 4��e�F�.q�$tut.$77-�02,Q5 <br /> )6-13�-1999 HeV.7-c�10 S�pel'sedes 95•135-1999 FICV.71-�009 � U � <br /> L � <br /> PLEASE MAKE A GOPY FOR YOUFt REGOF3b5 H�+"�_L li�a�.a';�+'�, �;35%�S�R <br /> G�ij'=��?D I�;�.�-`,�''M�, I���ti�ikS{{A <br />