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TD BE FILED WITH Exemption Application FORM <br /> vouR fnrTax Exemption on Real and Personal Property by Qualifying Organizations q�� <br /> COUNTY ASSE$SOR pead instructions on reverse side. `F <br /> Faflure to properly complete or file this appiication in a timely manner shall result in a disapproval of the exemption. <br /> Name of Organization County County No. Type of bwnership <br /> [f 1` ��y � Nonprofit Ccrporation <br /> /►`t i 7e �� af �r = na c� <br /> Street or Other Mailing Address State Where Incorporated � �her(Specity) <br /> . o SZ� '��7 W�s�" ��� 5�' l�e�roS(�,�. <br /> C�y Slate Zip Gode Actual Value ParCel pr Locatian I�Number <br /> G,.��,� � �8 �ld� o �° fnaoo.rr e� <br /> Legal description oT real property and general description oi all tangible personal property,except licensed motqr vehicles: <br /> c � � onc.- t CY o� Lof Thr~rt � E a tr ox - rr �� o� n-f <br /> ��• S tx -� � 3 F t 7ow { o� Gr s <br /> e � <br /> 7itle of Officers, <br /> Name �irecturs,or Partners Address,City,State,Zip Code <br /> � <br /> rCS�dtr� U S� l Yr�`56 S �ra�K. S ou�-a /V�' � � d <br /> a !�. lrief. r�GS`c� �" v! r t �) � �arl. �' <br /> ; : . P �r t i lr� r u.r 361 . �o � � , r -� � 84 <br /> � S r -�a.� Watv. W r�` ��' S f' O <br /> Property described above is used in the following exempt category(please mark the applicadle boxes): <br /> ❑ Agricultural/Horticultural Society' ❑ Educational � Religious � CharitaGie ❑ Cemetery <br /> Give a detailed description otthe use of the property' j � ( l.( 0.. EC�E �G-C <br /> t- 4�,` 3 � G � c�. ' r <br /> �' „� r k u.. ` r�`r..a.. '(. a � �� <br /> ll� <br /> 'AgriculturaVHorticuitural Society does nat need to complete the following questions. �.,�■ � �y <br /> Is all oi the property used exclusively a5 described above? �YES ❑ND <br /> Is a porlion of the property used for the sale of alcoholic beverages? ❑YES � NO If Yes,state the number of hours per week���7�j 7� ._ <br /> Is the property owned or used by an organization which discrlminates in <br /> membership or employment based on race,color,or national origin? ❑YES �]NO HALL Call�[IY�S.�� <br /> -- ��!D� <br /> Linder penalties of law,I declare that t hava examinad this exemption application and,io the best ot my knowladge���,i'������g��'� <br /> complete.1 also declare that I am duly au[horized to sign this exemption application. <br /> sign 7f,� ���`d t / �3-� r.aorz <br /> here �thorize ignatura 7itle Date <br /> FOR COUNTY ASSESSOR'S RECOMM�N�At10N <br /> �APPRQVAL C4MMENTS: ( ^ � <br /> � APPRDVAL QF A PDRTION <br /> � �ISAPPRQVAL , `���� l�. <br /> Signature of ty Assessor ❑ate <br /> F�R COUNTY BDARD EOUALRATIQN USE ONLY <br /> I decyare ihaf,tu 4ne best oi my knuwiadg�and Weliet,the detsrminatipri h�rebq r;ade by J�e County So�rd o1 Equa(izatinn is correct pursuant <br /> tp tNe Ixws of the 5'tate pf Nebra��ka. <br /> � APPHOV�D COM?Y1ENT5: <br /> Lj A?PAdVP.L DF A PrJRTIQN �_ . � __._.._._...�._. <br /> C LlISAPPRGU�D � <br /> ignsture a Caunty ua• :!e �er �ate <br /> Ye6raska Depur;men�ut�e+�_nun � Authori�etl by Neb.Rev.Stat.§77-202.07 <br /> 56-13=-1999 iieY.7-_0'IP Supersedes 96-735-;999 Reb.17-�W9 i <br /> PLEASE MAKE A GQPY FQR YOUFi p�CORaS <br />