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2012 r� �.��wi�-x EX�mptio�'i �4ppl��tiC�n �� Y A farTax Exemptian on Ftea1 and I'ersonal �roperty by i�ualifying Organizatiarrs �� QUNTY SSESSQFi Ftead inatructions an reverse side_ Faiiure to properly complete ar file this application in a timely manner shalf resuit ir,a disappraval of the exem�tipn. name af Orgar,ization G'ounty Goun:�IV�. -fype of Ownarsh;p FIRS7 UNITED ME�(HODIST CHURCH -WO�D RIVER Hall 40 � �'�"�ProViY G�i'paratior ;tr�:e!or C7thpr Mai:i��]Addrr;sS ,tate 1Niizre Irr,orpnraied � Othe.r(Specityl PD BOX 35 NEBRASKA �_�ty Stato iip Cnde Rctual Vab�e Percel or Locatior Iq Nu riL-er WO�b FtIVER N� 68883 548,664 Legal des%ripticn of re21�roperty and�aneral descripUan at sil tangible p�rsanal proparty,except licensed moior vehic;es: WOD� RIVER VILLAGE WEST NORTH LAWN AD�1710N N 11�'OF LOT 4 (PARSONAGE)#400180863 WOOp RIVER VILLAG�W 25' OF 5 ALL OF 6 BLK 9 (�111 MAIN 5T)#400175819 WOOD RIVER VILLAGE ORIGINAL TOWN XC W 25' O� LOT 9&ALL LOT 7 BLK 9 (CHURCH)#400175827 ('1105 MAIN 57 ) 7it1e af QtlScers, ry e �irectors.ar Partners . Address;City,State,Zip Cvde -�--- -�.-••---- -•--------•------�.� _ •- ---- -•••_ ----••-•_--------------.••- ------------••------ ..��.-- - -------- -.. _-_- - --------••... .._.....--_ �.,��DA � /17 5 �/ t��l�I��- � -� Z3 �fb r ,e � !o l� Lz ,� �- "ut�r Q iV� ./��.�'__ ,�i��. "��.�,.� n/ D s .�cC : ' �7� '/b � // - G� �'Ir� n/�_. �v��3 .{� �-� ��k-'�.-------------- ��'-=--�----------- ----�`'--�---�=---/......---P�-A-------....l�c�Lt-----�-!-��'----�f------/��"�-------------------------. --------- --- ---- Prepert�j c;esc.riii�d�br�ve is iiFed iri the fc�ll�wirig exr:rnpt catE�r�ry(�iiease rrisrk the appfcable hexes): �A�ricultura!/Hcr:icultural Soc�eh�' � Educatlonal IX I RSfigious �Gharit3hle �Gemetery 7"` Gi��a a dsYsi!ed descr�ption af ha use of tha prcpe�ty: ,r� '��(i� P C c7s S�-�-v�e 2s ra,;'�d �'C�`s�-n��- � t_ f��,4,{'�if1 �-� "Agri�:�fturalMurticultural Society does nat need to complete#he fi�lluwing Guestions. Is all oi;he nroperty usad exc�u5ively as describrd above? �YES �Np Is�purtinr.uf ihe prc;pe�}�USl'.C�If�!iFIF SN�6 C1j P.ICUFIG:11:FlEVB"d�L'S� �YCS �1`!C� 11 Yes,sta?e the nurnh��ni hnurs per H�eek Is the property own�d a�'used by an organization which di�crimir,�tes in memGership or empleyment b45ed on race,�clor,er naticn3 orig;n? �YWS �fdq Under penalties of 13sv,I doclare ihat I Fave�xamined thi�exemption ap}�;icatipn and,ta the best of my knowiedg�ard beliet,it is aon'�ct and rom��;r�ie.I a;so declnre 1hzt 1 arn duly auihcrized to si_r,n lhis exernptinn applicatinn. � } ! �., S��`I � 7 ��✓,��'� ��f �7lLL�.i � � C,,1/ l� /l ��,� Au orizadSignature 'fitle 1 Date _ i -°-----°------°-•••----------_-•-••• _._.••••-••m_ .....••-•---------------..•••• •-•-••••.•�-•------------.•�.°°--° ••-••-•-- -_--------°_••_•--------•--------__�---- FOR GOUNTY A55ESSOR'S REC01u1MENDATIQPJ ; A?PROVAL GUNMIENTS: � �—� rv.r. [1 I 7�"'��,� -------- � �y A?PR�JJAL OF A P�R71�]N C I715APrRC3VAL � `� O y Sianature ' euniy Assessor bate --------.�..�--•-------•••�------�_.�_----- °•------.-••.------_••••.._.--------..-••-•_ _._._�.. -•--•••-••-.-. •-.••••••..• ......•--- ---------------------- - FOR GOUNTY�C1AR F EQUALIZATION USE d7N I decfare that,tr�i�ie hest uf my knnw:edye and�eliei,ihe deierrninaticn hsrrhy r•,ade hy,h�e Cuunty Fo%�rd oi Equaliz.a1inn is cerrect pursunn4 to the law's of the St:�ta ot Nabrasks. APPFIOVED GOM�AENI"S' � L; A?PRO'�JAL OF A PC�ATION •••-•------•••--•• -°--° °••••.....--------_.....----•-•--- -• •-...•••••-°-----------•.••••••••------------------------------------------�---.........-- C DISAPPRGVWD .�� I�!—�� � ,i�nacure uf Cour,ly uard� m r Da!e NabreSka L7epurmenl u�Rav°_nue D�.�hG;�2e�y��yF��v.�tdt.§T7-i02.o! 86-135-7999ReY-7-'07�S�persedes96-135•'998Re�.17•"009 E+ V� PLEAS�MAKE A COPY FOR YOUR RECt]RDS HALL C�1�1�1�' ,�'�.��S�CR GRAND iSl,A��?,��-.�RASKA