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� 2012 <br /> �, pWITH Ex�mp#ion Applicati�n ���r� <br /> vou� forTax Exemptian on �tea! and Persmnal i�rapertjr by Oualifying Organizatic�ns ��� <br /> ` N ASSE SQFi Read instructians an reverse sidas. <br /> \ Faiiure ta properly complete or file thia applicatibn in a timely manner shalt re&ult in a disapproval of the exe+nptian. <br /> e af Clr�ariza[ion County Ccunr�No. 'fypa of Owr:6rship <br /> ��" N�,nprotiY CarGaratior <br /> FIRST UNITE.D ME7HOD15T CHURCH Hall 40 � �1hcr{specity) <br /> .tre�i or pth�r Mai;ir�q ArJdrr�ss State 4Vlizre Ircorr�ura?ed <br /> 4190 W CAPITAL AVE NEBhASKA <br /> City <br /> 5tato 7ip Code Ac[ual V31u� Parcei or Lacatior Ia Numh�er <br /> GRAND ISLAND N� 68803 616,603 <br /> Legal descript;cn o`real property and generai desc"iption af all tan�ible pzrsonzl p*op�rly,ex.c°pt licansed motor vehicies: <br /> CAPITAL H�IGHTS ALL OF LQT 8 &W 44'OF LOT 9 BLK 1 (PARSONAGE)4214 W CAPIl"AL AVE#4D0152738 <br /> MISC TRACTS P7 SE �.14 SW 1/4 2-11-10#�40014968Q <br /> Titte af��cers, <br /> Name Direclots,or Partners Address;City,5tate,Zi�i Code <br /> �•------°-•--�••_—�.....- ••_— ----- • <br /> •_---- •-------....�----t.-------:�•--��--------��••- <br /> ---°-�---•-��-•_------• . --•• iU� <br /> - -- '�1 �f <br /> � r � � •� Y - - �' �� L ✓" � � <br /> PrcE�errj desc.riiaad r�hnve is i;szd i�the fc�lowinr exernpt c.atEy�iry�{�iiease rn�rk the ap�licabl°bexes): � <br /> �Agricultur3iiNcr�iceltural SociehP � Educa?io�ial �Refigiqu� �Charit�ile �Cemeter�� <br /> GivF a datai!ad description oi h^use of th�praperty: JD <br /> `��,�";�-� L1JGn`=Sh'� �''Vi(�s' � dvlr{�iSTi'f.PS � `� C�u-�G{�. <br /> � <br /> "Agricuitural/Narticuftural Soc(ety dnes not need to complete the f:sliowing questions. <br /> 1s all ot che pr�°r[y usad axclusiveiy a�describ�d abovG? 7�YE5 �NO <br /> is;���aetion of the prupr_!'ty'i�sed rur tYie sa;E of alcohaiic beverages? �Y�S �NCJ NYes,stH?e Ihe nurnher n!hnurs per xreek <br /> Is the pr�p�rty awncd or used by an organization which discr�mirates in <br /> membership or empiayment based on raoe,cclor,or nat;cna!nrigin7 �Y�o �NO <br /> Undsr pEnalties cf lasv,I deJare that I have examincd this CXErrption ap�)�iCalion and,ip th�6est or my know:edge ard�elitl:it is con'act and <br /> mmp�sirs.I a�so det.lare th2t I am culy authorized to si�n t}iis Pxernp9Enn appf;catinn. <br /> � � _Y � � — �r <br /> Sg,,���� �Au.ho iz¢d Si nature <br /> 11���r p � Title Date <br /> --- ------- ---- -- -----------�D�-��y---��(_o�_ <br /> �----------------------------__._____—�------------ <br /> ---------------T -. ----- — ----�-- <br /> FflR COUNTY ASS�SSOR'S RECmNiM�NpATtON <br /> ; A;'PHOVAL CDMMENTS: � (��(1� ��-- ��� -- <br /> � <br /> L; A?PROdAL OF A P!]FITI�N <br /> ~ � �� v <br /> �i ti15AP?ROVAL � <br /> Siyr.ature�. un y AssGssor p�t-' <br /> ` -----••••---------_.�..�--------•-••-•-�,. -°--------- <br /> -•-• -• • _...�--------_•••-_-----------•••-•--- <br /> ----°---°----•_•----•.-•..---_•_.-----°--�__�.--°--° -•----°-------_-•- <br /> FOR CAUNTY BQARD F EQUALfZATIpN US�tSNLY <br /> !declare iS�at,ta t>ie hes!n'f my knowiedy.°.and l�eliel,ihe delsrrninat;cn iisrshy r.:ade hy;he Gnunry Fo�rd ni Fqu�liz.�linn ih:�:rrec:l pursuant <br /> ta.hs lav's af the�t�ta c,f Nebraska. <br /> �Ai'PHOV�L7 COMMEN7'S: <br /> �� <br /> � A?PAD`lAl.OF A PORTIC7N - --•---°°---_-••••••••��- -°°._-- --- -- -•-- --...•-••• <br /> •°•°- -�- ••••�---__•-- -- <br /> . . �r��r. �^',�, � !�'�?r" i <br /> � - � _-�� t ` <br /> �% D15APPFtGU�L7 -- _ <br /> .ignqture at Caur �Bo � i 9 lier ❑a?e <br /> `Vehraska Uapar;ment ui aev=nue 4 or�d�h{e¢�P�ev.Stat.g77-e02.P' <br /> se-i3�•isss�ev.�-�aio su�cr5ed�s se-iss•;sss�E�•�i•'ooe <br /> p�� `�' uii <br /> PLEAS�MAKE A GOPY F�RYOUR R�CORDS �-.`.��i._4 {.�`'�..''�.:,`;i.;'" ��',''`;�-���R <br /> t.:,�:;:.':ti'�. ....._r',`iiC1, ;.L.';�{=�r:�i.�:��A <br />