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2012
<br /> ]BE FILEp WITH E�c�mptic�r� App(i��tic�r� �o�M
<br /> Yout� forTax Exemptian on F�eal arsd Per�onai Prop�rty hy�uakfying �rganizatiar�s ���
<br /> COIJNTY ASSESSp� Read instructions on ravarsa aide.
<br /> Failura tn properiy cemplete er fife this app��cation in a timely mann�r shaiE res��it in a disappraval af the exem�tion.
<br /> Caunty Gouny fVa. 'fype of CTr�r:ership
<br /> name of 4rqar,lzakion � P1c�nprofit Gorporatior
<br /> P�ACE LUTHERAN CHURCH Hall 40
<br /> Streei or C1tFiQr�.9ailir�y�Addrsss
<br /> State 1Nlizre Inr,�rpor�?ed � Oihar�Specifyl
<br /> 1710 N NORTH RD NEBRASKA
<br /> State i ip Cnde Actual�.'alue Parcel or LacaUor In Number
<br /> c'ty 2,2D4,932 L� �
<br /> GRAND ISLAND N� 68803
<br /> Le�al descripticn of taal property and�enera;description��f all langibie psrsonal proparty,excep4licansed moiar veh�cies:
<br /> ��C'_Ca C�- C-1.i�-Y7 C,�'Gi.'1 S �1.l�d �V� s i'C3+n �-c� -t-�,U C.��i-�.' o� �'r ��� cL �s!�i ►-•aL.
<br /> /�J� �--�-h .� S�'�r 4a ��e.t �( l �5 �'�.�- y ._ .L � l `�
<br /> Titls af qf1`icers,
<br /> ���� Directors;ar Partners Address,Ci 5tate,Zi Code
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<br /> i r IC_- �.1`I�n t� r��.5. � y v l�Y�i-W c� . ` n �S!Q�,al h3E. ���_
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<br /> FreEi�+rfij descriiiad nhanve is i!�:zd Li the fvllowirir exernpt c,�te�ory(�!e.as6 rriKrk the a�llcabls 6cxes):
<br /> �AgrlcultureiMor.icullural Society' � Er)uca?ional Religiour �Charitable �Ca'neter�
<br /> Giva a daYai±ed descr!ption of ha use of tha property: �..-��i.c_.
<br /> ""�h� i�F�op�rt� 'I S held bJ P�u.c'�- Lu-��A� cr,H�c-�., J7JV N, d�. G•,c„ti.e�-�sia..I�-►�
<br /> �PXC1u5���- i.i S�t- cr�r►d �ne-��r' o� i�s rne..+��.ri,S �9uests , G nel �rn p 1��es . � C��'��re~�h�. parlc,.''`�
<br /> �a fi ht,S yvee n �1QC:� rs+"� `���S �d'r . Rnd �S C�rre.n-1��� .��iri�r uSccL �� J�r►E?rr+�rs,
<br /> � u e s'r s, Ci a�d �',t r�p-,r5 ��[n d�n �a�. L-�".-}�.�r�n r�l :e��r s a t-�;r,�'.�s_
<br /> ^Agricultural/k-lurticultural Saciety daes nni need to campleta ihe 1oNuwing questiqns. S�a�y �����, ���,��S ,
<br /> Ir all oi the prppe;ty usad exc�usively as described above? �YES �NO
<br /> �s a pr�rtinr.nf the prcpRr.ty used fr�r i1��sale ot alcohaic beverages? ❑Y�S �NCJ N Yes,sTaiP the rwrnt�er n4 hcuirs per wee:k
<br /> Is the property owncd ar usad hy ari organizatian which discr:mirates in
<br /> mem�rship or emplayment based on race,color,er nat;cnat origin? ❑�'�S ��d
<br /> Under penaftios cf law,I dedare ihat I have examined this exemption app:ication and,to the best o(my know:edga ar.d baliei,iY is ea�rect and
<br /> r.nmp�eTe.I alsn declFfi'e ihat I am aUly aUthL•rixed to sign 1h;s exemption appllc.aSion.
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<br /> ���T� � �-��[a.b'� �.�-�•Z °� I �
<br /> 4.��r� �Au:horized Sign ure 'fitle Date
<br /> 01
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<br /> �i Af'PRaV�aL CONMEf�T.i: �
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<br /> � APPf��JVAI.OF A POF{T30N
<br /> C �15AP?RtiVAL .il W���U�
<br /> Siqr.aiur a` unty Assessor paRN
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<br /> FDR COUNT`f SC�A OF EClUALIZATION USE pNLY
<br /> 1 dedsre liiat,tu thP F.est ot my xnr�wiadgP and belief,ifie deterrnination iiere6y r,a.de kry Jie G�wnty f�aHrd ni Equalizalinn is�crrer.t pursuant
<br /> ta the laws of the S4ate ot Net�raska.
<br /> � APPHOVEI7 COMMENl'S'
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<br /> ,ignat�s i Gnurity .1e i�er ��a!e � �
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<br /> Ne6rb5ksfJspar:mentui�gwnue . �� ��
<br /> 56-13^-9999 ROV.�7-'e010 Supar=edes 96-135-��J99 FIeV.11-?009 TY ASSESS�R
<br /> HALL COUN
<br /> PLEASE MAKE A COPY FOF�YQUR REC�RDS ��ANq ISI.AND,NEBRASKA
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