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2012
<br /> T� E�����W��� Exemp#ion �,pplicatior� ����r
<br /> vouq torTax Ex�mptian on Ft�ai and Persanal l�roperty by Qualifying Organizatia�s
<br /> CQUIVTY FSSESSQFi Read instructiqns un reverse side. ���
<br /> � Failure to properly complete ar fi{e thEs application in a timely mannsr shalE result irr a disapprava(ot t9�e ex�mptian.
<br /> �ame af Orgari�ation Counry Coun;g No. '(ype�f rJwr.arsnip
<br /> GRAND 15LAND AI�EA HABITAT FOR HUMANITY H811 4p � �'����protitCarporatior
<br /> Straei or QtFiar Mai;ir�g AKJdrets 5tate'Ni�zre irr,�rpnr�iad � Dt?��r{Specifyl
<br /> PO BOX 1�01 /410 W 2ND ST#6 NEBRASKA
<br /> City Stato iip Cnde Actual Value PFrce3 or lacatior,I]MumLc:r
<br /> GRAND 15LAND NE 68802 N�A 400494992
<br /> Legal desvrlpticn o`real property and gEneral description ai all tangiple personal p!operty,ex.cepC licenseq moior vehlcies:
<br /> PERS�NAL PROPERTY-HP PAVILION LAPTOP COMPUT�R, 2 LG COMI'U7ER5, SKID STEER AND CONCRETE FOF2M5
<br /> Title af Otficers,
<br /> Name Directars,or Partners Address,City,5#ate,Zip Code
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<br /> �m ,i sP �es,d�,tit �Z33 c,��� �� � a-� �_ tC��� 1V� ��s�o�
<br /> �v„ ���� � V�. +��s. -� � . � t �, �d v�!�, R��,�� N� �g�s�s3
<br /> . ` f-4'r�SS�i m cr,,L u.r~�r' 2 � � �Ot'�d�e.rp s�a�-' . �r�ucG{.�I a.�t .F._. �=:... �i s'g"�]3
<br /> s c d P�1
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<br /> Prr.pert_/cesr.rivad ahrnr�is uEed iri thP fdlnwin�exr:rnpt rateynry(y��iease rriark the applicabl�6exes):
<br /> �AaricultuteiiHcr�iculiural Soc�ety' � Educ�tional �Reli�ious �haritable �Cemeisry
<br /> Giv-a dsfaifed descr�ption ot�ha uce of ih�pro,p rty: _
<br /> ��C m�utf:�''S tc� :.�5 e�Q -I-� r' l�c��m,•c ri i s t'�.`t-�U-e W e r-t� e-F- �-}u.1���-a.t- � �h r I�;�; t c��
<br /> i*1 C.c�r}�e�� V1 p 4d-S 2 Yi c l d S 1 Iri�l�v�. V�-e c-t.s i n r� S�'�-c,�v-�t e-f-�s�� ��K i�Ci� �SfC��r � C.D Vt C+^2`�-� 't'l'C7�'/yS G.e^f_. 1.�Sy�c�
<br /> e �f
<br /> �n 't'�1 Z.. C-G.'�.5'�1`Lt C T1�C� C� �GL�t-��Cc.� �o rn e.5 w i,�c.Li c..�+"� �:..%L t t w 1 a.-�� 5 e �d 'j'b Gj u a L t-�'�i n r� 1 v w- ��n[�,�y�.-.�
<br /> _J
<br /> �1.�wsztzaLc� C,--+ �Lo �r�c���F� �abf-I-a_i- Phoi w��+�� n�+ ����s1' I�r�:tS �
<br /> 'Agricultural/Horticultural Saciety daes not need to compiete the folluwing questiohs:
<br /> Ir all n1;he praperty usad ezc�usiv�ly as described abov�? :�YtS �NO
<br /> Is a p�rTlnn nf ifie prcpa�ty used inr ih�sae,�f alc�halic beverayes? �Y�5�Nq H Yes,stHie the+iurnbe%a!hnurs�er week
<br /> Is the proparty awnad or used by an organization which discr�inir,ates in
<br /> membership or empk��ln'ertt based on race,�clor,or naticna!origin? �Y"� �JO
<br /> Under pena3ties et lasv,I dedare that I Fave examined ihi,ey;amptioi�appiication and,to the hest of my know;edga ard�eliei,it is carrect and
<br /> r,ompiste.I aiso dr^,clarr:thzt I am duly autl�r,rized to si�n this exern��tion appGcatiu7.
<br /> 5 i g t1 � �/_ � ��e c�� U-e.��� r e c�-�^ I Z 5 �
<br /> h e r e A u:h q`r i z a d S i g n a F u r e T;t l e D a t e
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<br /> - -FDR COUNTI'ASSE550R'S R£COIUEM�PdDATiDN `_,_._..••- ...... I
<br /> �A�'F�HqV.�\L CONMEI�TS: _
<br /> ��
<br /> L'; A?PRqVAL OF A POWTI�JN
<br /> C DISAPFROVA� �--`��L��
<br /> Siqr.aiure � ouniy AsS�aS6r q;��y
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<br /> � QN USE DNLY •--••.°---------------I
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<br /> Gf]UNT`/60A OF EGlUALIZA7I...-•• __..�
<br /> 1 declare Shat,to The hest of my knr�wiedy�and beliet,ihe deterrninaticn h=rr,hy r;,�de by:he Coimty$oard n9 Fyualizatinn is cerrer.t pur,iaant �
<br /> to;he lav;s pf the SYate of Nehraska.
<br /> �A?WFiOVEU COM?�1ENT5:
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<br /> i A?'PflOVP.I.OF A Pf]RTiQN
<br /> C �ISANPRGV�D � !?��',�9,F �i� , �-:.,'w�". �s3 /'-/�.
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<br /> ioture af aur,[y . :9e er IM�� _-' l n G.-ESa{e� _ �...��
<br /> Vebruska Oo ar:mgnt u��9'v_nue �- " • --" '- ..,,�-'-�� �
<br /> p� .4uthoriaed 6y tJeh.kmv.,.ta� g/)-�02.01
<br /> .;6-135-1999�eY'.7-�070 5UpCrsede5 9fi-135-;999 Fie�.11-?006 �
<br /> D�C 0 6 2011
<br /> PLEASE MAKE A COPY FOR YQUR RECQRDS
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