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2012
<br /> �� E FILEQ WITFI Ex�mption �pplicatian F��M
<br /> YouR torTax Exemptian on Ffea1 and Per�onal Property by�ualifying Organiaatians 4��
<br /> NTY:,SSES�QFi Read instructians on reverse side.
<br /> Faiture to prnperly compl$te or file this application in a timety manner shall resull in a disapprovat of the exemptian.
<br /> liame of Organization rQU�ry Coun;^�IVa. -Type of O'�+nersh;p
<br /> GIRL 5COU7� ` i��-- �,�p(d�� Hall �p � �J^nprotiYGorparatior
<br /> c State`aVh�re frr,or�nr:�ie�! � �ther(Specityl
<br /> lreet or Otti;;r Maiii�iq ArJdre�s t
<br /> 212'1 S 44TH 5T NEBRASKA
<br /> City Stato iip Gnde Aclual�'alue P�rce!ot Locatior ID Number
<br /> QMAHA NE 68105 217,899
<br /> Legal descripiicn o`real property and generai desc;iption of ail t�ngible personal prop�rty,ex�.ept licensed mota;veh�cies:
<br /> DDNIP�AN T1NP LOT 4 ISLAND 11-10-9 (16.80 AC)#400237466
<br /> WASHINGTON TWP PT OF LOT 5 ISLAND 2-10-9 (13.83 AC)#400208865
<br /> AL50 HAS PER50NAL PROPERTY
<br /> Title of Otticers,
<br /> Name Directats;ar Partners Address.Gity,StaYe,Zip Cvde
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<br /> Prep�rt��descriued ahnve is u�ad in the foliowin�exempt c�;teyury{f�lease rnsrk the ap�lic.aWa hcxesJ:
<br /> �A�r�cul[ur2iiHcriiculi�ral Socieh!" �j�ducatin�ial �Religiou� �Charitarila �Cametar�
<br /> T"
<br /> Gi��e a datailEd description of ha use of tha property:
<br /> �.,�,,� Co�� Qr� �n�����c� �e.�� ;z.e�en��- i��-��;vl sco����-p.�
<br /> �� u�� ��`f I��o�'� a�z�5��-an� U��� ��v►�e���.�
<br /> '�gri:,:�ltural/Florticultural So�iety dnes not nasd to complete ihe falluwing questions.
<br /> 'a alI oi the property usad excivaively��described abova? �t5 ��
<br /> 1�.a portior.nf the prc�}e�y used ter ihie sae of alr:ohqiic 6everages? �Y�S N[] tf Yes,st:�?e the nurnhe�r�f hours per week
<br /> Is the prpperty owncd or used by an organization which discr�inlr,ates in
<br /> mempership or amployment busod on race,�ol�r,ei'nat;ona;ACiqin? �Y�S �jJO
<br /> U.nc�,�pEnalties ef lativ,I de:lare th'at I have exam�ed ihis�:�mptian app!ication and,ta the best of rr,�ki�ow��dg�ard Colief,it is correct and
<br /> cnrri�iieiH.I"a;sn declarn tnzt I a�ri culy auth�crizeii to si_r,r�this exernptirni applicafinn.
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<br /> s�gn ` .. .. .; , � a.�.._._ - --1 �_ (�� 4Z�Z.�1
<br /> ����,q �Au:horiz,d$ignature Title Date
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<br /> �-••---•--'�J- �- - FOR CdllNTY ASSESSQR'S H�GDIv1N9EP1DAT10PJ
<br /> ,4?PRO\rn L COI�rvtENTS
<br /> LI A?PRJdAL OF A POATlJN
<br /> C oisaP?aova� �` �����_.
<br /> Siar.ature oi n •Ass555or ❑ate
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<br /> f FOR CRUN'rY BpARD EQLiAI.IZ�T1C7
<br /> I declare,tl�at,lu t.ia hest�}f my knr�wierJge anii helief,the drsterrn:naticn Yierehy r,ade by;h�Cnunty Poard nf FquaiizaTinn is:errer,t persu�nt
<br /> to�he lav.'s of Yha�tate of Nebtaska.
<br /> � A?pF1pVEL7 COMMEI�fTS:
<br /> L j A?PRDVAL DF A PORTION ---.•--••-•-•••--_ -----_._-_-•- �_-_-�
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<br /> abraska Depar:ment ut aevenue .4utho:ized 6y'3ab.F�ev.�t-dt.§77•202A i�
<br /> 0-135•7999 ReV.7-c010 Supersedes 9$-135-1999 Wev.11-"OD6 n�� � � �O��
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<br /> PLEAS�MAK�A COPY FOR YOUR R�C�RDS �,r,S q
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