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<br /> 2012
<br /> O S�FI ED WIT�i Ex�mptior� Applicati�n �o�r,�
<br /> coU AS sst�� tor7'ax Ex�mption on f��a! ar�d Persanal Prop�rty f�y Qualifying Organization� ���
<br /> Read instrucGons on teverse aEde,
<br /> FalEura roperly complete ar fiie#his application in a timety manner shal)result in a dlsapprova{of Yh�exemp#an.
<br /> ' e� Or aniz tion reunty Coun:y fva. -fype of Owr:ersh;p
<br /> HAL O ISTORICAL SOCIETY Hall 40 � NvnpratitCprporatior;
<br /> SVeei or h�� . lii!rp Addrees Staie Wh�re frcor��nr�ted � Otnar{upecitY)
<br /> PO BC]X 1683 NEBRASKA -..
<br /> City Stato 7_ip Cr�de Aclual V31ue P�:rcel or Lncatipr ID Nu!riber
<br /> GRANp ISLAND NE 68802 381,28$
<br /> L�gal dessription o`real property and general description of all t�ngible parsonal propart�,except licensed motor veh?cies:
<br /> MURDOCK 5UB LT 1 ALpQ TWP#�40�448149
<br /> NAGY ADD LT5 1-2-7-8 BLK 2 & PT5 VACATEq 5T(6Q3 N PLUM)#400065fi14
<br /> Title af Otlicers,
<br /> Namr Directors.ar Partners Address,City,5tate,Zip Cnde
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<br /> t-�2 �o �{ PYt i � .�T �/1. �c�. M:c h i �. A u � r u n s �a h �, D,s'
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<br /> Prpperty cescriued�hr�ve is uszd in the ibllowing exempt ttttego (pie.are mark the upplicabl�bcxesj: '
<br /> �A�ricultura;;Hcr;iculiural Socery' �Educational �Refigiouw �harit.bla �Gemeter�
<br /> Giv�a defailed descr�ption of iha use of iha property: A r���-v'i'y i S �T-�� .� E C�w�w�"';y-„��` ��,.,� ,ti��,�.
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<br /> ! � r�?4-e c�-�-5 4.r, ;Z�-?"�S:.
<br /> in-. ,r�rti.-.-�r • y P 7'Z'�-T c�w�. 'r�h-�r
<br /> A I ��� s'%uv i c we S.e.-...'..tia,.s re !ccT ��-. 7"a Ta(� �n=��,T. �o� S 1�/�. j
<br /> 1"T � 7 '�6-r1 c �va•�7S- V - �i+ (.t�a rrt. ' ! }7FxS%'n�.+ co-� -e_���� � W-a 4�r Cs 7^� a k-w
<br /> �7 � 4 1� S Ta� S� � �� �p �T`�r, �4ati.,,,i �M y
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<br /> "Agriculturalhiorticultutal Society dnes not naed to complete the foliowing questions.
<br /> Is all oi She property�usad e�ectusivaly as described abova? ,�YES �ND
<br /> I�;�tiortJc�r iif the prcperty�u:ed fur iFis s�;e n9�Ic;nhip!ic beverages7 �YES �7q 11 Ye:,sTaie the nurnhe�n!hours per wezk
<br /> Is the prop�rty owned or usad by an organizaiion whid-discr:mirales in
<br /> membership or empl,yment Based on raae,sclor,ar naticna!oripin? �Y�S �Flq
<br /> Llnder penelties of law,I ded2re that I have examined thi�c,�amption a�:ication and,to me best of my know:edga ard beliet,it is correct and
<br /> cc�mpiste.I a;so o�clare that I am duly authcrized to sipn th;s e�ernpTian applicatin7.
<br /> �lt�l� � �-� TMe:� / ? -1 S- �4��
<br /> h��� :ho izad Signature T;tle dy�e
<br /> �-+�m r .j'. iaRK�F_
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<br /> MMENDATION -- -°..----------'"�
<br /> ------ ..._ FDR CqUNTY ASSESSOR'S REG _.
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<br /> �APPHt7V.�\L COMhiEtJTa
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<br /> L; A?PROVAL p�A FOR71�N
<br /> C I]ISAPFRflUAL �
<br /> 5i�natu e ;Couniy Assessor bate 4
<br /> I^•-•-�-Y-----�.��..��� �QR COUMTY 9QA QF�Q4�ALtZATION 11S�t]NLY
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<br /> I�1�rcfarH tiiat,tc�the be�t ui m knr�w.ed and beliPP,ihe dwterrninat�cn h�reh• r-.�de 6� ;hc,Count Foar .y iza3ion is;errect ursunnt �
<br /> to?he Izws of the�t�te of Ne6raska.
<br /> . �/'�A?PRO\�Ep COMMENI S:
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<br /> u A?PRC3�JAL qF A PC�R710N
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<br /> DISAI'pHGV�l7 " S���,���'�✓ �
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<br /> , r�ature u Gaurt d h! bNr � °�
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<br /> 'e6reska Uspur;menS ut Rgd_nue .4uthot � 'da F �t- p2.p-
<br /> u-13�•1g49 ReV.']-cOtp Supersedes 96-135-7999 Nev.11-P009 '
<br /> PLEASE MAKE A CqPY F�RYOUR RECDRpS ��`"�" �'��'���} ����"���
<br /> �RAND I�L�f`u��, i`�E�RASKA
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