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� <br /> 2012 <br /> T(3 BE FILEq WITH Exemption Appli��tion �oRM <br /> vou� t���ax Exemptinn on Fteal and P�ersanal Property by Qualifying C3rganizations 4�.� <br /> COUNTY ASSE55QR F[ead instru�tiana on reverse�ida. <br /> FaiEure Yo property complete ar fi4e this appiication in a timely manner shall result in a disapprqval of the exerr7ption. <br /> 'I�ame of Orgar,iration County Goun°.y No. fype of Ownership <br /> PLATT-DU�75CHE VEI�EIN Hall 40 � h7onprotitCorparatior <br /> 5treet or Oth�r�,9aiii�ig Addrass Stale WSie�re Irr,nrpora?ed � Oihet(�peciTyl <br /> 1315 W ANNA NEBRASKA <br /> �itY Stato iip Cnde Actual Val:ie Percel or Locatipr,ID Num6er <br /> GRANI] ISLAND NE 68801 199,131 400147408 <br /> �egal descripticn o`real praperty and gene;el description a1 atl tangible parsonal property,except licensed malor vehicles: <br /> MISC TRACTS 21-1-9 P7 SW 1/4 NE 1/4 <br /> 7AXABLE PORTION #4003066D3 <br /> Titls af atticers, <br /> ���e pirectors,nr Partners Address.City,State,Zip Cnde <br /> ----°-----------°------------------------°----•------------•••--------------_°°••••--°--------------_..••••-•-_---------------•••••••••---.•.------------------------°•-•••--°-------------------------°••••-------- - <br /> a � <br /> � �, E � <br /> e J � � ; � <br /> _�ic�,.r�---�r-�-�..� . �.r----------------------�-�'"�f�c-�---------- -'�--.�-1-.�.,�a--�-�-��---�k -�'�-r-a-d--�---�-�-��--�---1Y_�__.�._&,��._�-__---- <br /> e� 4 S� <br /> �F7��y • �yyriq,p�d�inth�f�l3owirvg-�x���a!q��(P!easem:�e���'�Ii�le,�Yq91r-�wrJC (��-+�nd TS/Ar-ra� /Y� � �'�a � <br /> �Agricultura?�'hEcr.icultural Society' � Educ2tiaial �Religio��� _. �Charitable �Cemetery <br /> Gfva a detai�ed dascr�ption of ha use of the prope�ty: <br /> ���� � ��T - <br /> � � <br /> �'e e.. c�Q-r..�, ,�--, er,-�- APR 19 Z012 <br /> "AgriculturaUFlurticulturaE Society daes nat need t�complete the falluwing questions. e � ' r*�Ik k;.�;';'��°�,;�;�:��+� <br /> 1���.�.'�.4 c.. � ; °..�'� �� p� <br /> Is�Ili,etonnttl�i�1Crc,sr�tlBUtiad'fur{Fiesalertbl�huli:bev�rages? ' YE5 �NL� IfYes,b•tn¢`;"<;• .r; t'V�� ����'i't��v��" <br /> . • � � ❑ � �A r <br /> —�`{.�`�f�'i���3�r'1.. � <br /> � � .W,,.�, _ � e the�iurntier nf haurs per Keek� �rOxC.C]�.�'1 rs��r- �.y� <br /> Is tha property owned or used 6y an organizatlon which discr�minates in <br /> memborship or empin,yment qused on raae,cclor,or naticna!origin? �Y�S �fd0 <br /> Under ponalties cf Ipw,I da�lare that I have examined this oxemption a�;ication and,tr the best of my knowladga ard beliet;it is co,rect and <br /> r.om���sie.I ais;a de�lare that I arn duly authcrized t�sl_r.n tli;s e�ernratinn applicatinn. <br /> �Ign � <br /> 1..��a� , rizad 8ignature 7;tle bate <br /> 11 <br /> ----------•••••-°•------------•�-••••_--------------•--•--•-------- ••••-- —°.-••••••••••--•-°�.----------------------•�-----•••••-•--•-••-••••-------------------•-� <br /> �OR CAl1NTY ASSESSOR'S RECOMMENDATION <br /> � --- <br /> � A?PROV.,1L CONfV1ENT5: �i7� !� �iz���v... � 7 [ —c�.�-�— — <br /> �A?PROVAL OF A pORT3C�N . <br /> ❑ nisA���ovA� � � ��-�- 1� <br /> Sigr.ature oi ounty Assessor Date <br /> ------°•-°--------��•--•-••.•------ -----°-°-°-----------••••••-•-------------------°•••••-•-------- --- •-•-••••-•_••-- -••--•••••-••-----°-°-°°----------------_°-----•.••••-••__---°-----------•-••-•••••••••°-°°----- <br /> FQR CQUNTY BOA OF EQl1ALIZATIpN E1SE pMLY <br /> i deciare.tiiat,m the hast of my knnw;edgs and belie(,ihe detnrm alicn ti�rehq r,ade by:he Gounty Board o9 Fqualization is r.nrrec:t pursuant <br /> ta the lav,'s ot the�tate of Ne6ra�ka. <br /> C A?F'HOVED C�MMENTS: <br /> �A?PROVP.L OF A PORTION ••-•-••••-•--•�--��----- <br /> ------•-----••••••••••-•- -•••°--•---------- ---•--°- •-••�•------------• -•_•�---• <br /> •••_------•••-•••• ----- <br /> f `� <br /> ❑ QISAf'PRGVcp � ,/� <br /> .igr�atu r�uf Caur[y Bna. :9e ar C] ?e <br /> Nebraske Gspar:mgM ut Rewnue Authv;iied hy Nab.Rev.Stu7.§77-t02.0� <br /> g6-13�-1999�9Y-7-FOY 0 Sllpel'sedBS 96-135-1989 NCV.11-2008 � <br /> PLEASE MAKE A COPY FQfi Y(7UR R�CORDS <br />