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�� �. 2Q12 <br /> TU 8E FILEd WITH Exemption �4pptication FORM <br /> vouA farTax�xemptian on Real and Persanal Property by Qualifying Organizations ��.� <br /> COUNTI'ASSESSOFI Read instructlons on reverse a{de. <br /> Failure to properly complete ar itie this apptication in a timely manner shall result in a disapprovai of the exemptton. <br /> Name of OrganizaUon County Coun,y Np. Type of Uv�rership <br /> PLA7T-DUETSCHE VEREIN H�II 40 � Nanprotit Corparatlon <br /> Street or Qthsr�Aailinq AdAre�s State 1Nhere Incbrt�nratPd � Olher(Speclfy) <br /> 13 5 W ANN NEBRASKA <br /> City Stato 7_ip Cade Aclual Value Parcel or Lqcatlon ID Number <br /> GRAN❑ ISLANQ NE 68801 199,131 400147�F08 <br /> Lagal descript;on ot real property and genera!descriptfan oi all tangible parsonal p!oparty,exaept Ilcensed motor vehlcies: <br /> MISC 7RACTS 21-1-9 PT SW 1/4 N� 1/4 <br /> TAXABLE PORTION#400306603 <br /> Title af Otficera, <br /> P►ame C]IrectaYc,ar Pattners Address,City,State,Zip Cnde <br /> Prcperiy ciesr.ribsd bbw�is uesmd In the f�llowinn exempt cutegury(please mark the appllcuk�le buxes): <br /> �ApriculturallMcr;ic�Nural Society � Educatiaaiai ❑Religious �Charitahle �Cemetery <br /> Give a detalied description oi the use of iha propeKy: <br /> "AgriculturalMarticultural Society dnes nvt need to complete the fallowing questions. <br /> Is all oi the property usad exclusivety as desaibed above7 �YES �NO <br /> Is a poetlnn nf thn praper'ly used for the aele af alwhuiic bevare�ges7 ❑Y�5 ❑NO dYeF,sTete the nurnFier uf hcxirs psr wesk <br /> Is tha praperty ownod or used by an organixation whlch discriminatas In <br /> mam6orship or emplpyment br�sed on race,color,or national origin7 �V�S ❑Nd <br /> Under penakias of lasv,I daciaro that I have examinod this axemption ap�:icntion and,to tho best ot my knowledge and balial,it is corract and <br /> a�mp�efe.I alsn declr�re that I am duly authoriaed ic�siqn ihis axnrriptian applicafion. <br /> sign <br /> here �'�FhortzedSigna4ure 7itle pate <br /> ---°-••••---°-°--------------•-°---------------------°--°°------------------ - °- -- - - - °----- °-----------•••-••-----------------°----°•------°�---°-----••-••-----°--•-°•---•••_-°----- <br /> • - - <br /> FOR CQUN"i'Y ASSESSpR'8 p�COMMENDA710N <br /> � API'ROVAL COM1dMENT5: <br /> [_,± A?PROVAL(]F A PnRTION <br /> ❑ qISAP?ROVAL <br /> Signature at Gaunty Assessor pdte <br /> ---------------—-—-----°-•-••••�------—--°--••••-•-••--------—------•---°°--°°-------—__-•-•_•••--•-•-_—-——-------_•••••-�--••_—-——-°_•••---•-------—-----------°-°--°-----————----------•••--°---——----------___�--—---—---- <br /> FOR CQUMTY�QARD OF EQIJALIZA7IQN U&E pNLY <br /> 1 dnclare tliat,[o thcs hnst uT my knnwiedgA and bel3ef,Uio de�ermination hsreby ms�de kry the Gcxanty Board ut Fyualization is r.nrract pursuant <br /> to the laws of the Stata of Nobraska. <br /> � nPPFiOVEu CUMMENTS: <br /> [Y i APPROVAL OF A PORTION <br /> ❑ 171SANPHOVEO <br /> Sig�uture oi Cnur�ty Ba�rd hlem�er n�`•e <br /> Ne6tuska Oepartmpnt uf Revanue +4uthorized by Na6.Rev.$Wt.§77-202.01 <br /> 96-135-1948�ev 7•2�10 Supnrsndas 96�1a5-�999 Rev.11-2008 <br /> PLEASE MAKE A CpPY FOFiYOUR Fi�CORDS <br />