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� 2�12 <br /> 1"Q BE FILEC�WITH Exerr�ption Applicati�r� �oRM <br /> ouR tarTax Exemption nn R�al and Personal Properiy by Qualitying Qrganizatie�ns ��.� <br /> �UN ASSESSQR Read instructians an reverse sidc. <br /> Fai{ure to properly cotnplete tsr fl{e this application in a timely manner shall rssult in a disapprovaf off tl�e exernpiion. <br /> A ��t Ur�anization G'ounty Ccun:�IVo. �ype of U�r�r:ership <br /> � GREATER NE INDEPENDENT HOU5ING Hall q� � Pl��nprctiYCorparatior <br /> Streel or ptM�=r�,9ai;i�rq ArJdre=s State'Nhare Ercovrinrs*.ed � Oinar(Spectry) <br /> PO B�X 1863 NEBRASKA <br /> �,i� Stato Zip Cnde Actual Value Percel or Lacati�r ld Mumber <br /> GRAND 15LANq NL 68802 134,026 400033666 <br /> Legal des%rlpticn of real property and ganera;description of all tangible parsonal p?op�rty,e>sapt licensed motor veh�cies: <br /> COI.LEGE ADDI710N TO WEST LAWN LOTS 1 8�3 BLK 7 (2436 TAYLOR) <br /> 7itls af D�cers, <br /> Name Direciors,or Partners Address;Gity,State,Zip Gade <br /> � � <br /> --- '�--------���.._•-- — �----°--°--_-....•_.._-------° -_°---°--°•-•--•-.•••••--••.......••••-••-----•-----------------------------�----------------------------------- <br /> Praperty cesr.rivad above is�Eec!iri the folipwlrig exe!ript cateyn��{p;ePSE rri�rk the ap�l:cahle bexss): <br /> �A.gricul[urallHor,icukural 5ocier!' �Educ�tia�tal �ReEigioue �Ch2ritable �Ce�netery� <br /> Gi���a datai!ed dsscrEptlon of the use of 7h�prepe�ty: <br /> �c►.-5 t r-� ��� �a-e�r�ti 5 w .�-k �1�SA.b��. ���s - �o�.�.5�,.� `, �.lr�c�..-. �V��c�.,�."�. <br /> [t�� ��..���.� <br /> '?,gricul2urallFlurticultural Saciety dnes not need t�cvmplete ihe folluwing questions. <br /> Ir all oi;hF prop�rty usad e'xc;usively as described above? �YtS �NO <br /> I�a portinr:of the prcr}e!1y used furYhr sa�e of�lwha:lc beuerages? �YCS �NCJ li Yes,st;�tr,thN numhe>r�?hours per week <br /> Is the propariy owned pr used by an organlzation which discriinirates in <br /> membership or empL�ymant b�sed on race,aclpr,or naticna±on�in? �Y�5 �NO <br /> Under penafties o(lauv,I declare that I have examined this axerr,ption application and,to the t�est of rry know�adg�ard�eliet,it is corr�ct ar.d <br /> com�i;�te.I a;s�dec:l�re t�at 1 arn duly authcrize to sign this e�emriTian ap�li�:atinh. <br /> I � p r�r � �/ <br /> 5�g�► t� w�-� /✓ � � � <br /> ne�re �Au:horizad Slgnature 7itle Oate <br /> �� ��•�•--•--_-••--•-�_��_------ ------- -- -- -- -.T,_�_��._._--•• - -••-••--°-°°-°••......_..�---._._..•-.••••} . <br /> FOR C6l]NTY ASSESSOR'S RECOMMEMDATlQh3 I <br /> �x A;'PHOV.AL GOMni�N i 5: ��. <br /> r ' <br /> Lj A?PRUVqL pF A PORT3bN <br /> C DI5,4PFRDVAL \— �' � <br /> Sigr.ature ` ui y Assessor D�te <br /> -------------�-••••�•__••••-••-•-..�_�_.�---------------------_-----•.�......._.••-•-.•••_---- -- -••_••••••••-•--•-••.••-.-�--�-.••••.••--•°--°--------------------------------------------�-----------•---------------� <br /> FOR COUNTY 90AR F EQUALIZATION USE pNLY <br /> I de�f�re tliat,[r�the bast oi my knuwierJg°and belie(,the deterrninat:cn Finrehy rr;ade by,he Gnunty Foard r�}Equaliza9ion is:errect pursuant <br /> to[hF Iav�W of the Vtate ot Nebra.ka. <br /> � AE'PHpVEU C�7M�AENT5: <br /> -•-• <br /> L; A�PAQVp.L OF A P�3R710N "°- � �- � ^�=-- -- <br /> ------ _-••• •.••-••-••.__-•_••__ _—�__.�_._-------�-,•�����:',�} �.. <br /> ❑ dISAPPH04cLl ��� <br /> �i�rlatura uf C.�[a, a,'d M 1�er b <br /> Nehraska Geprlr:menl ot Rewnue fho:ized Gy!deh.Fev.5tat.§77•2p2.p5 <br /> 36•13�•7999 Hev.7-"01�SupeYSedes 96•135•1999 ReY.11-PW6 <br /> .,�����i <br /> k�6�:�L GC;�.�i�.i�' h:�u �:w <br /> PLEASE MAKE A CpPY FORYQUR I��CORDS ��°r�;'u����-�ad�`'�'�������`St'�A <br />