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� zo� 2 <br /> Tf]BE FILEC�WITH Exemp#iar� �pplica�ivn Ft���J <br /> �� farTax Exemptian on Fteal and Persanal Property by Qualifying Organizatians ��.� <br /> UNTY SSES50R Read instructions on reverse aida. <br /> . <br /> � Fai{ure!o properiy com}tlete ar fifa this appiication in a timely manner shaii resuit in a tSisapprbv�f of the�xempttcsn. <br /> iVa ot Orgar,i ion C:ounty Cnun:�r Na. "f'ype of Owr•ership <br /> G ND ISL ND CHRISTIAN SCHDOLS INC H811 40 � P�onProiitCoiparatior, <br /> 5trc:ai Vr Qthier M�ilirig ArJdreSS Slate Whare Irx;�rp��raiec! � �ihar rSpeci�yi <br /> 1804 W STAT� ST N�BRASKA <br /> u�ty Stato Zip Cude Aclual Vabae P�rcel or Locatior ID Mumbar <br /> GRAND ISLAND NE 688p3 237,7Z2 4D0135698 <br /> Legal description of real�roperty and generei description c•f all tangible p�rsonzl p!oAertp,exc�pt licensed motor vehlces' <br /> GII..BERTS 3RD ADDITIdN XC TO THE CITY ALL BLK 29 <br /> Title af Of�icers, <br /> Name Directors.or Partners Address.City,3iate,Zip Code <br /> -�T�-� ---_.._•••-•-••--__._------- <br /> - ---- — ------------------------_........_"�,••••�.-•--•-••••-••-�����----------------- <br /> ��� !f�r° �� C�N�,+(qI !L �`I�II E=. z�J �✓ ��2A7C_.�/2.I1���) �d'L.A.Npr�� ��TTi.� <br /> %!?1J4i/J �L�,e�j 'ii � �JlOC�T �t/�'D EY�M/1 � �TR�IJJ � � <br /> ' .1' �ra .� o'� /+surr.�� ' Z /T►�c �tL.t.ei� ���.v�7, /1/� rd��zJl <br /> Prcprrty c�sscriiaecl rih�nve is isad in the folinwirir,exernpt r.atsgnr)�(j�iease rci�rk the applicabl�6cxes)� <br /> �A�riculturai%Hor.icultural Socieb/" �Educ2tio�ial �Religious �Charitabie �Cernetery <br /> Giva a detgiled description oi th�use of the prepe�ty: <br /> �I�C.T C��GJL— �TFt C�"7C/��" �vL-7�/E:G'74-�n/ ��-4�v t. <br /> "Agricultural/Florticuitural Society does not need to c�3mplete the following quastipns. <br /> Is ail ot ihe prqp�rty used ezc!usively aa described a6ova? QY�S �NO <br /> la s t�:,rtinr.of ihe prc�,erty�3sed iot ihr:st�lE n}alwhuiic br�verayes? �YwS '�Nb i1 Yen,sta<.e the nurriber n?hnurs per week <br /> Is the property owned or used 5y an organization which discr�mirates in <br /> memCership or empL�yment based on�aoe,�clor,or naticnal oriain? �Yc5 �'TVD <br /> Under p�nalties ci 13tiv,i deJare that i have examined thi;exemption appiication and,to the test of my Know±edga ard 6eliei,it is canect ar,d <br /> comp;ste.I aisn peclare that I a»i duly autharized to sign th�s exernptinn ap�lication. <br /> �( <br /> �_ ��� �} <br /> Si�r1 �`_��' r UF�L�" �r�� /Z -ly-i/ <br /> ���� Auihoriznd Signature T;tle � Date <br /> P��ti�� .��-38�!-z��r <br /> -- --------- ---------_-- ---------------.m___ <br /> -- - <br /> FOR CdU�lTY ASS�SSOR'S RECDMMENpA710N <br /> - --- <br /> �A'PHaV�aL CDMM1ENr5' -- ���?r�,��l(, ����� ... <br /> L; A?PR('JVAI.OF A PORTlUN <br /> C DISAPFRaVAL <br /> Siar.atur or cunty Assessor Datr; <br /> .•-••_-� ------•------------------------�_••-•�•.•••_���_------------- -- ---------•-•- ---• •--•--°�•-�•••.•••-•--°.••-•--•••-•••...••------------------------------------------•.••-------- <br /> FOR CflUMTY 60A AF EqUALIZATIQN US�OMLY <br /> I declare that,tn L7e k�est ui my knuwiedg°and�elief,the rJeterrriinauon hereby r,ade by;he Cn�mty Fo�rd r�f Fyuakiz�Tinn i3 cerre:r.t pursuant <br /> ta the lav:s of the State at NebtaSka. • <br /> � A?PHOVED C�MMEN15: <br /> Li A?PROVP.L DF A PC'�FiTION _____ <br /> ------._._ ..�------- -_..__-_•�...•_-•-•••••--- ••••••�_•-••-•••_------------ -- -- <br /> ���� P� <br /> -r, <br /> ❑ uis�PPkav�n �;'. , � r � _ .�=/�i—I� <br /> .ic�ns[ure af aurt r�ar t�lembar ' - bate <br /> abraska Dnpar;ment ur Rev�nue ���4utF}pri��d b ev.�tat.§17�2o2.pS <br /> .fi-13�-7999Hev.7-2010Supereedes96-735-�999F1ev.11-2006 ' L � <br /> .._,-.�..�flr7 <br /> PLEASE MAKE A�QPY FQF3 YQUR i�EC�RDS t�fiL� �+��i`:�t,�' a�`,'�'��•""�a�r� <br /> (;.F4AND lwl.faiv�; ;�:����SKA <br />