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2012 <br /> �� �� ,T� Ex�tmption �pplicati r+ ����� <br /> ouR f Tax Exemption on R�a! and Perspnal Property by ua1 ying Organizatians �y <br /> �����SSES5aR Read instructions nn reverse stda. �✓� <br /> ' FaiEur . perly cen'tp��te or file thEs apspiication in a timely manner shait in a disap�srovat vt the exemption. <br /> � � ,name af Orgar,i2ation County Ceuny fJa. Eype of O�r�r:ership <br /> CENT NEB GO�DWILL INC Hall 40 � �Jonprotit Corpaatior <br /> 5heei or pthsr�,9aiiin�ArJdress 5fate Wiiare tr;r,or��ru:aiec � �[ner{Specily,i <br /> P� BOX 1863- 18Q4 S ED�Y NEBRASKA <br /> Cifij Stato i ip Cude. Actual Ual�e P�rcel or Lacatior ID Mumb�r <br /> GRAND ISLAND NE �ggd� 4,114,946 SEE ATTACHED <br /> Le�al desc�riptipn o`real property and aenerai deso;iption�f all tangible personal p!op�h�,except Ifcensed motor veh:cies: <br /> SE�ATTACHED <br /> TiEle af pHieers, <br /> �fa►ne 17irectors,or Partners Address.Gity,State,Zip Code <br /> --------------------------..._...••°---------------- ---•--_---•••-•••.•-.�...•-. ���� --���..............•--------�-�---------------------- <br /> Pn:partVi cescriiiad:�hovt�is u�ad i�i the tUNnwinp eacernpt c.ateyory �� � � <br /> �A�r�culturaiihfcr;iculturai 5ociehi° [�Educ�:ia�ial �J �/�'y/(..�� � <br /> T Y/C� <br /> Gi��a a defai!ed descr�ption oi�I�a use of the preparty: <br /> lJ`sc� �- �cu n i r..�� G��� � /�/02 // � G� .� ,� t r•��•.d, . <br /> r���1 a�-o-c�-��� d���l- k �..J i o c�.� ���;� <br /> Ce u� �+�-.n,� �w��� '�`�� ���P L7�yrt— �,r��G .//"-,�-� cl'��b� 1 ��z�S, <br /> ",�gricultural/Horticulturat Society does not need to compie 7-� <br /> � I:all of tF+e property usad axc�u&iveiy as describgd abova? ������ a.� <br /> / Trr <br /> Is�riart�or.ot the prcr�r:rt��used t�ir iti�sa;e of alcohc�ii+;beverages AG��i(J. �! :ek <br /> Is the praperiy ownc.d or used by an organizatian which discrimira' �Y�� ��� ��(� <br /> membership or Empleyment based on race,cclpr,er naticna!ongir Q <br /> IJnder pena3ties cf lativ,i de:lare ihat I have axa �� //��/ �{ / ;eliet,it is correct and <br /> r.cxnp;ste.I aisa r'ec:lare ihat I arn culy authctized tc� 7 r�;� <br /> 3��{�—z g`t� x c�� <br /> ���� l� G�� ��c�" /�l-�/l <br /> �-y��r� �Au:horiz=d,iigna 7itle Da;e <br /> vi <br /> '_'-- ___—�_��._..�_.,.__..�...__� __...."'"'_.._.�..._'__`...'_'_."""""'_._....__ --_—_--_--__—_____—_—__--_________________,.�.._-__,,.."""'.....""""'._�_....'_ <br /> FDR COUNTY ASSESSOR'S RECOMMENDAT30P� <br /> �A�PRCV.�;I. COrdMtEtJTS � „j „ „�,. r, � � L� ��.�.� <br /> -����'�--'�;;.. <br /> L; A?PROVAL OF A POR710N W, <br /> ❑ DISfiPFROVAL �. l,'�`��- �.� <br /> Siqr.ature : �unty Assessor C�ate <br /> --------°---------•--.•-•_-••-.-------------------��_��-••_•-•-..�--------...---------------. -•-•••••-•••--•••...._.-••--•••••••---------�-•-----------------------------------------------------------�_�..._.-•-•.••.•-••-•-.. <br /> FOR COUNTY BOAR F EQUALIZATION USE aNLY <br /> I declare iliat,[a t��e ha.st rr(my�criuwiedy�and belief,ihe deierrrunaticn h=rehy r'+arJe by.he Cnuntp Foard pf�quaiization is:erre�ct pursuant <br /> to the Izv'e oP Yhe�tate nf NeSraska. <br /> A?wHOVEU G�MM�NTS: <br /> --• <br /> ; A?PRCJVP.L DF A PC�R730N <br /> ❑ DISAPPHGV:❑ _ ��/� <br /> .ig�iature of Caurty B nrd 1,9 ier �� <br /> r , - <br /> �'Ye6rdska Gepar,menf ut Rpv�nue , .4�fl'i�odz���-6':��If.FfaN.�� 7•2tl2.a� <br /> .�.��86-73�1999 Hev.7-�010 5upnrsedes 96-135-�999 pav.11-?OOa <br /> DEG 0 5 2011 <br /> PLEASE MAKE A COPY FOR YOUR R�CORDS <br /> HALL GL�Gfi���'E' - .�,�., <br /> , ;::� <br /> GP���L�d`:"(",... a�.`i.,..,� <br /> .�,,:•. <br />