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20� 2 <br /> T ������aw�T� ��c�r�p#ian Appl�cativr� ���ar� <br /> vpu� torTax Ex�mption on Fleai and Personal Properfiy by Quaiifying Organiaatians <br /> COUNTY ASSESSOFi �1�ad instructipns on reverse aEda. ��� <br /> , Faifure fU properiy Complete or file this application in a timeEy manner shalE resuif in a disapproval of the exem��tion. <br /> hame of Orgarization G'ounty Geun;y fVp. fype��f Qwr;ership <br /> GRACE BAPTIST CHURCH INC ���rt I H811 40 � ��OnprotitGorporatior <br /> �treei or QtFi�r Viaiiin�],�ddrs=s 5[ate`JJhare lnr,arpr�raiP�? � Dthar(Specity) <br /> 1115 5 VIN�ST NEBRASKA <br /> Gity Stato i ip Cnde Actual b'alue Percel or Locatior ID Number <br /> CRANl7 ISLAND NE 668D1 95,424 400pD8793 <br /> Legal des�ripticn o?real property and generai description^t aJl tangible parsonal propFrty,except licensed motor veh�cies: <br /> ANDERS�N 2ND 5UB L07S 33-34-41-42-43-44-45 (CHURCH) <br /> Title oi Qt►icers, <br /> Narne Directors;or Partners Address;Gity,State,Zip Code <br /> � o AC..�. c�i e r_ a/7 5. / �u,,..�v;P.w i$ C ���'i <br /> , - . <br /> _,.�___.. _.— _ �— • <br /> ��.�,-._��j:�5__ _ � --------- -���-�-- --`1���__�/��a���:---------��'----1�1.__._.� .�:_.:Y.._.._���d3 <br /> Pn:perty descrii�ad ebnve is usaci iri the fc�iowir�p exe>ript categr�ry(�i!easE mark the ap�lic,ak�A baxes): <br /> �A�r�c�itura�/Her.iceltural 5oc!ety° � Educa�onal �Reli�io��r �Gharitable �Cametery <br /> Giv�a dat�iled description of th�use of tha prop�rty: /�/��Q� D��j f_.����S ! w�_j��<_ _C ' ���/� <br /> r t U� ..1'y> � <br /> �U�a--�/W���(� C..l�,'�ll`C.�L c��trGC�� % 'r�-t�°S p f' J�f!o i.✓'��� / <br /> /�- /[��ptl S ��</GGi-.�C'9''-1 � (�.[(��i !�✓�Gl 1 �U��O(�� ���r�LC�7^ 1. � QV���(,.�'\ �� <br /> J <br /> 'Agricultural/Horticultural Saciety does nnt need to c�amp3ete the folluwing Guastions. <br /> Is all oi?h�property usad ExGUSively as dasaibed abovG? �YES �ND <br /> �s�r�:�rr,inn af ihe pro�3��ty ust�d inr The sale oi ek:ohuilc bevara{�es? �Y�.S �NO 11 Yes,st�ie th�nurnFier nf hnurs p�r week <br /> Is the prop�Hy owned nr used by an organization which discr�inir,ates in <br /> membetship or empl�yment based on race,cnlor,er naticna!priain? �Y�5 �p <br /> Under penalties ef law,I doclare lhat i hava examined tliis exemption app;icplipn and,to the best at my icnawiedg.:ard bQliei,it is correct and <br /> comp;ete.I a;so dec.laTe that I arn culy authcrize.d to sirn 11iis exernpTi�Yn applicatinn. <br /> S��t� � c___ � �`"�� T �� 5 �� <br /> ���� Auihorizad nafure -fitle Date <br /> —_�_-•._•-•-•_--•---------------°°---°°— ------•-••--_••.-•••-_•--°•--...�_�__---°--•------°--•°--°••-.__------------------------- <br /> I FflR CdL1NTY ASSESSOR'S FIECONEMENDA710N � <br /> �APPROV.AL COIM�vtE�J7.i: . <br /> --- — 1 <br /> �.�rsk" �-�'�� . ..._....._.._..._.._.._._....... <br /> � A?PROVAI.C�F A PORTlbN <br /> ❑ I�ISAI'?ROVAL _ �_"�^— �� <br /> Si�r.atu Ccuniy Assessor pate <br /> -••�--°°••-_-•��---------- -- <br /> --------------------�•-�.......••-••••••.�•.-•------------------------------------•------------------------------------------------------- <br /> , FOR COUNTY BpA QF I�QLIliL12ATlOh tJSE pNLY T <br /> I dec:(are tliat,[o t�ie hast ai my�rviwiedy�and beliel,the deterrninaiicn h�rehy r+ade hy she Gnunty Fo�rd nt Fqualiz iti�n is carrect pursuant <br /> tn thE lav s of the.t'tate e�f Nel�ra�ka. <br /> �/�; A:'PH�U�D GC�MMEN'TS: <br /> �� <br /> .��. <br /> � APpR�VP.L OF A PCJRT3QPJ <br /> —__�_.__ ..--_�•--....m_r _-__•••_•_--_.___.__-- --------•----- <br /> C <br /> L715AWPHGV�D -------------�'����.��----- ��,�� <br /> .igr�ature of Ca ;[y B� .d: em6ar Da!a <br /> Va6ruska Gapartmant ut Rev_nua (��� O A�ori�¢�Gy�Jab,Fev.�tal.§77�2n2.o5 <br /> 3G•13=•7899�¢v.7-"O1a5Upefsedes96-135-;9991�eV.1Yd00H L.J U� <br /> PLEASE AAAKE A COPY FORYOUR RECORDS ��?s-❑';�._� �;�„��;F'�,� r-;��;���'.��� <br /> t,��'C�ai�4�f�Ji�'1l�tilf; L�1��U1"1f"Vi`if'1 <br />