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Zo� z <br /> �������W�T� Exernption �rppli��tian �o�n� <br /> YouR forTax Exemption an Fteal and Personal property by Quali�ring Organizatior�s ��.� <br /> ASSESSOFi Read inatructions on reverse side. <br /> Failure to properly complete ar file this application in a timely mannsr shali result irr a disappravaE of the exempiion. <br /> .\ame of Or�arltation Gpunty Gaunry IVo. Fype nf Qwrersh'p <br /> GI INDEPENC.7ENT �RDER OF ODD FELLOWS H�II 40 � Dlnnpraiit Gorpc�ratior <br /> c State`JJh�re Ircor�nraie;d � '7ihar(Speeily) <br /> treai or QtFiar Maiiinc�Address t <br /> PO BOX 1D12 NEBRASKA <br /> �•i� Staio ii�Cr�;�e Actual Value PFrcei or Locatior If]Mum6er <br /> GRAND 15LAN❑ N� 68802 82 317 40005942$ <br /> Legal descrlpi!cn o'real nrpperty and genera!description^f a31 tangible parsonal prop�rt:r,ex�,epY licensed moto:veh!c;es: <br /> LAMBERTS 2Nb ADDITION LOTS 12& 13 BLK 2 (GRAND 15LAND LODGE#Z2) 823 N WHITE <br /> Title of Oti`icers, <br /> Name Direciors.ar Partners Address,Gity,State,Zip Code <br /> ��••••-•••_-------•-°°-- ----_�-••• -------..-_••• --- --- _••_•-••-.••-•-••/ -- - ---- ----- -�.����••-•---•-------- ._• •-.� ..W��.•-••--•��_. <br /> -:�+--••�-_. � <br /> - ����?�-c.l _ Cc rc.at�?r7 3f��. f�� ac �-� %-���� i �� <br /> Prcpermj ce»r.riuzd ahf�ve is us�d in the fol3dwiri�exe!ript r.ateyr�ry{pieaae rriyrk the.applicabla bcxes): <br /> �Aar�cultura!iHCf;iC�liuYal SoCiety' �Educa±ional �Refigio��� Charitahle �Cemeter� <br /> Gi��a de4si!ed description of:ha use oi iha preperty: <br /> �rz f�rr��i �� �i/�/ <br /> ^Agricultural/Horticufturai So�iety does noY naed t�complete the fialiuwing questions. <br /> It all ot,he prop�fty usad�xciusively as descrihed abovs? QYES �Nb <br /> Is a portinr:nf the prnper��used fut thr fia;e nt pl�ohaic beveragzs? �Y:.S d0 ItYen,sinie the nurnb.°.�q!hnurs per vdeek <br /> ls the property owned oi used by an organizatinn which discr�mir,ates in <br /> memborship or empb�yment q�sed nn race,acl�r,or naticna�arigin? �Y�S � <br /> 1Jndsr psnalties ef lativ,1 de�lare that I ha��examined tlr�exampti�i�app;ication and,to the best of rry know!edge ard bclief;it is Uarrect and <br /> r.ompir�te.I a�so de.ciar�The4 I a�zi uuly autt;crized to sinn il�is exern��tinn spplicatinn. <br /> ��g�n .,r�-.��"�. r� <br /> ���� AuYhori3�d Signatute 7itle DaFe <br /> - --------- --.�.��_---------�-------- -- - - _------------------------------------------------�------------------------------------------�--�-----�------- 1 <br /> -- <br /> �� FQR CL3UAlTY ASSESSQR'S f3ECONiMEPJDATIf�N <br /> � -- --- <br /> �A'PHOV•3L COfJME�:TS' <br /> L; 1!?PRCJVAL.O�A POR7ION <br /> C DISAPrRdVAL 4 <br /> Sianaiu ' ounty Assessor Date <br /> - -°•_��r _�•-.-•m-----_��-••••-__-----°-_-_----�--._...�.__.---°-• ---�-....••••-••••..._.-.-•- -_••••_•••••�_.�, �...._....••.••-°------„�_�� <br /> FOR COUNTY 9QA OF EQUALiZATIO�i USE pNLY <br /> I 1 deciare.tiiat,k��t:•ie heat u(my�nc�wierlg�and 6eliel,the deterrrun�tticn h°rehy rr,ade by,he County Foard n1 Fyuaiic.ation is�orret.t pursuan4 <br /> ta the lav's of the State c�t Ne6raska. <br /> �A;'WHQVEU COMMENTS: <br /> ___ <br /> ! A?PROVAL OF A PC�RT30N •-- -------•---° - --• - _-.••-•••••••-••..... ^ -••.. <br /> - ----- °.....�..,..... ---------••-••••••--••'.•� � <br /> � � f � <br /> �' .;'�� � J�/-/� <br /> ❑ ois��pHOV�n . ._ <br /> igr�ature of Caunl a .lemtiNr CJa±e <br /> 'ghraska Gspar;mant uf Revenue D�A4¢hor�d�'d . Sta'1,§%7-2A�.tl5 <br /> 6-735•1999 Rev.7-201�Supersedes 9&-135-'999 Poev.ii-�008 �j <br /> �� C_,1,P'�::.;. <br /> PLEASE MAKE A COPY FOR YOUR RECDRDS ���� �iL�����'';�r., F�tv���°•,�,G.`�`� <br /> G�p�y���;�,-.1���, ... � <br />