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� <br /> 2012 <br /> ro g�Fi��n wirN EX�;tI'1��IO1'1 �1pp�IC���t)t"1 Fo�� <br /> vouq �m�-��x���mption on Fteal and Personai Property by Qualitying Organizatians ��� <br /> Q SSESSoR Read inatractions on reverse aide. <br /> Faikure to praparly complete or fiie thi&application in,�timety manner shall res�ll in a disapprov�l af the exemptivn. <br /> � r�ari�alion Couniy GDUny fdo. -��ype of O�rmership <br /> �GRACE LUTHEf�AN CHURCH -GRAND ISLAND Hall �}p � Pl�,nprofit GorGuratior <br /> ��trael or CTth�r Uaiiinp Addrr:es St�ie 4Vhare Ir+cor��ory!ed � Cliher{Specity) <br /> 545 E MEMORIAL DR NEBRASKA <br /> �.�ty Stato r ip Gpda Actual Value Parcel or Locatiar,la Numb�r <br /> GRAN� 15LANb N� 68801 919,306 <br /> Legal des��rlpticn o`:real aroperty and aenera!desc�ipGon et all tan6ible p�rsonzJ p*oparl_d,except licensed moto;veh!cies' <br /> GRACE LUTH�RAN CWURCH SUB PT OF LT 1 (CHURCH)#4D�136775 <br /> GI�ACE LUTHERAN CHURCH 5UB PT LOT 1 88'X 132' (PARSONAGE)#40Q136783- 537 E MEMORIAL DF2 <br /> Tit�e oi Otticers, �� <br /> Name Directors;or Partners Address;Gity,S#ate,aip Cr+d� <br /> �•-•---_•••--_------------�-••-••----------------------------------------------------------•-•°-------•------- <br /> r 3 � r: . l. �$�p 4 --- ----- <br /> r r^r-� r r D <br /> }1 '� �-�dl _ 1v-ec�5�i.r�►'' 'J W �r� �8d <br /> --���-�----- - ��k-----�--------- .�?�.r�-._---._._.�_. ��a_������1�.�.__.�_x���----c��-��---------�-��.�--------------.. <br /> PfC�B�'I�CtlSCYIl]C(�8F)qV{.'15 LSZ(�Irl tVlB 1UIIONi1Cl('.P.%F.'�Ipt l'.3Y.(j�0f��(piez�t�e rn �k the applicabl=bnxes): <br /> �Agricultut2iiHcf:iculiural Society' �Educa*.ional �RaEigi�u� �Charitah�le �Gemetery <br /> Giva a datsi!ed descriptian of ha use af the prop�Ky: <br /> �RIkJ��.� _"" ��1.�L t ; �d�� �i�\���� <br /> ',�gricultural/F1oMicuftural Sociaty does nnt need to complete the folluwi g quastlons. <br /> I:all oi thE property usad exc�u5ively a3 described abova? �YtS � <br /> is�portinr.of ihe pror�Frty used tor ihe sa;e o1 e.lcohuiic 6eve;ages? �YwS � If Yes,siaie the numhe�of hnurs per week <br /> Is the property owned or used by an organization which discrimir,ates in <br /> membership or empL�,yment based on raoe,cclor,or nai;cn3:origin? �Y�5 �NO <br /> Under penalties cf law,I declare that I have examined this examption ap}��ication and,to the best of my icnowiedga ard Celiet,it is correct and <br /> cnm�i;ete.I a;��dNC.l�are that I arri culy autt;crized ta sirn this Pxernption ap�llcatinn. <br /> s��n �.�'����=�c� �`tP�"�`c�.�'�� ��6�c <br /> ��y�r� �Au:hori�sd Signature Ttle Date <br /> - - •-°-----•°---- --_--_.--.._••_.�� _.._��._._��._.._.•••--•••__•••••••_••_•--••-•_•--_•••-_--••_°___.---°-•-°-------•------------------------ ---- <br /> �������� FOR COUMTY AS5ESSQR'S RECOMM�NDATlON T � � <br /> �AFw�i01;,� CnN�aFrJ"CS � t�/[ � (.4 �tS ��� � .� <br /> L; A?PRC�lAL OF A P:]RT30N <br /> C DiSAP�F?6VAL � ,V <br /> 5ignatur o Cowity Assessor pate <br /> ---- •-•�.•-••.••.._,_-------------°•••••••••••--------��-••-•-- ••_----------------- ------------------------------------------------------------------•---------°-- <br /> FdR CC3UNTY 9OA QF EQUALIZATIQN USE QNLY <br /> i decl�re iSiat,to The hsst of my knnwierJr�s and uelie.l,lhe delerminal on IiArehy r;drJs hy:he Cuunty Poard of Fqualization is:errect pursuant <br /> to the lav�s af the State of Nebraeka. <br /> �APPF1f7VEl] C�MMENTS: <br /> , ' x---� <br /> L; A�p�ovA�n�,a Pc,s�r�oM ��_------`�-�+ <br /> .�._�-_---- _•--__ .____..��------ ----------_,_.__.-----.���_.�� �' -------------• <br /> ❑ QISAPPHGU�D C Q �W I!� <br /> 5igr�sture u1 Co r;[y� rd: ember a!e <br /> Vehraska Uepxr:men[ut Rev�nue �ut1�:iqnd ay C�� �."�' 77•aO�.oS <br /> �36�135•1989%7ev.7-"OYOSWpersades96-735-1999NeV.11•30�6 �f�i� �y �I�n'"L���C1/A <br /> I'14� � J{\I"1 <br /> �aRr1[dC1 t5�-. Ls <br /> PLEASE MAK�A COPY FOR YOUR RECORbS <br />