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2012 <br /> . ��a� �wiT� Exemp#ion Appl�ca�it�� �ot�r,� <br /> uR torTax Ex�mptian on R�ai and Persanal Property by Qualifying Organizations ��� <br /> N ASSES6QFi Read instructians an reverse aide. <br /> Faiiure!o properiy complete ar fi4e this applicatian in a timely manner&hail result in a tifsapprovaE of the exemptian. <br /> fiame af Orgarizatian County Ccuny fva. -Eype of O•r�r:ership <br /> FIRST LINITED PRESBYTERIAN CHURCH H�II 4Q � ����nprotit Gorppratior, <br /> � 8[ate'.Ni�ere Irx;or mra:ee � �ihGr(upecify) <br /> lreet or ptFi�r�Aai;i��g ArJdress � <br /> PO BOX 187 202-204 E 12TH ST NEBRASKA <br /> C�ry 5tato 7ip Gode Actual Value Parcel or Lacation ID Numl�er <br /> WOOD RIV�R N� 6$$83 290,386 <br /> Legal descripticn o`real pt�perty and ganeraf descripGon of all tangible personal p!op=_rty,ex_cept licensad motor veh�ces: <br /> W�OD RIVER VILLAGE FIRST ADDITION LOT 7 BLK 3 (CHURGH)a#400175339 <br /> WOUD RIVER VILLAGE FIRST ADDITION LOT 8 BLK 3#400315661 <br /> WOOD RIVER VILLAGE ORIGINAL TOWN LOT 9 BLK 3#400315688 <br /> Tit1e ai at�icers, <br /> Narne _ ^_ Directprs.ar Patfners __Address.City,State, 'p Code <br /> _..._.._ ......___� . •- - -• -------°•.--•••••--- -----------......_.------ ----- -- ----.�.. .._. ----------- -•.-•••°---- <br /> �-. -------��_----- � d�-�---�f �/�� <br /> - � <br /> � � � <br /> Pn:pt�rt�j cescribzd a6r�ve is us2d I�i the tc�linwiri�exn!npt r.takeyo�'((�iease m: the applica6la 6exss): <br /> �A,�r!culture:�'hEcriicultural Soc��N' ❑ Educa±iaial �sligioue �Charitable �Cametery <br /> Gi��c a da4si?ed descr�ption ot ha use ef tha proparty: ��"�a_-- <br /> � � n <br /> ZLt�- c�/T �. <br /> 'AgYicultural/tiorticultural S�ciety does not need to ccamplete tne fioliuwing Guastions. <br /> Is all ot the prnpert��ussd exc�usivaly a=describ5d above? �Y�S �ND <br /> Ib 8 nOt'T.IC111 011�1�°�tG(Jf.'!'�USt.Cj iCl�TI'IF$d�E O�EIFUY�U;�C�f1VN'i1�85� �Y�S �.Nq IiYes,sTa?e the�iurnher nS hours per ueek <br /> Is the ptopar[y owned or used py an organl;.ation which discrUnirates in <br /> membarship or employment bvsed on race,aclor,or naticna!ori�in? �Y�S NO <br /> Under penaltios cf I�sv,I declare thai f have examined t3tia exemptio��appiica[ion and,to lFic best pf my know!edga ard Geliel,k is correct and <br /> r,nm�iiste.I aisn declate th�t I am culy autP+rrized tn si_r,n tliis e�ernr�tiim applicatinn. <br /> ��g� `��'��-�-- ��� l�_�. .� /( <br /> ���a� �Au;hor' d Sig ture �7,11e Date <br /> -••-_-°----------•---_.._•-•.r--�W_••---------_-_•••._---- ---•----_°•-••••••-°..�-------------•--_••-••-••-••m----------------•-•-�--•---•••.--•..�...,.--------°-----� <br /> FDR CQ�7PITY ASSESSOR'S RECpMMENDATiON <br /> r____ <br /> �APPROVAL GOMIv1EtJT5: u�_ n,-.,.,p� ��"' _ ---- - <br /> L„_; A?PROVAL OF A P!]RTI3N <br /> ❑ pISAI'?ROVAL � �� ,�--�----r=-.—�`�'—' <br /> Si�nature a' ounty Assessor ❑ate <br /> �-•.-•��----°°_�_-----••� �.•-•--- - ---------------------.••--°--•_••••••-•..•�----------------------------•••_--._..��_....�------------- <br /> � � ' FbR CAUNTY BOA OF�QU�4LiZATiON USE ONLY <br /> I declare tliat,[r�ihe pest uf my�cnnwi�dr�s and k�eliet,the detsrrninaiicn h:�rshy r.arJe by:he Gnunty Board c�t Fra��aliz:�tinn is r.crrect pursuant <br /> to the lau'e o9 the.�'tato r�f Ne6tatka. <br /> �APPHOVEL7 G�M�lENTS: <br /> Cj APPROVP.L GF A P!7RTION .... -----.•�•• ••-•.,...._-------------- - -------•_-••-•••-__��.. ----°••----------------- -----•_- <br /> qEC 0 8 RE�D � J-/�.. <br /> C DISAPPROV�D <br /> ,i�nsture of Caur. E3u M �er t ��`-{ <br /> Ne6ruska�spar:manS uf Rav_nua �RA�D 15L ��e it�f¢Q��t.§77•202.(1 i <br /> 36-135-1999�ev.7-'e0Y 0 Super�edes 96•7 95-�999 Rev.7 b2D00 p�tn u <br /> PLEASE MAK�A COPY FqR YDUR R�CQRDS <br />