02/26/2013 - Laserfiche WebLink

Home Browse Search

TO BE FILED WITH Exemption Application FORM YOUR for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 COUNTY ASSESSOR Read instructions on reverse side. Failure to properly complete or file this application in a timely manner shall result in a disapproval of the exemption. Name of Organization County County No. Type of Ownership TNPCP■ \' `n. Hn- ` ? ta Nonprofit Corporation Street-Cr Other Mailing Address State Where Incorporated ❑ Other(Specify) 5l 6 5-h 5sv- \6 City State Zip Code Actual Value Parcel or Location ID Number Erb.,a. Z51o.�r1. tJ E 68012 i-1 GySoi 3 ..... Legal description of real property and general dekcription of all tangible personal property,except licensed motor vehicles: O LiOne. ■ lJ'y re,1.1 4 Z, \ll . orgocT .-7.ok.on , 95P only For rel`g7J5 pu cses. Title of Officers, Name Directors,or Partners Address,City,State,Zip Code r•/�.J..i is • 1 ri r. t• 1 l'J. S. 1. es . t�'ft— t t ��N••G►� 1 rr. s ._ Property described above is used in the following exempt category(please mark the applicable boxes): ❑ Agricultural/Horticultural Society' ❑ Educational 71 Religious ❑Charitable ❑ Cemetery Give a detailed description of the use of the property: W - It *1 • Al is • to • • L • •;• . •Y` }-p 030-cSti._, o.°c■.N. 1esin oaoout }- e `81 .' e, a *Agricultural/Horticultural Society does not need to complete the following questions. Is all of the properly used exclusively as described above? ,> YES 11❑ NO Is a portion of the property used for the sale of alcoholic beverages? ❑YES J NO If Yes,stale the number of hours per week Is the properly owned or used by an organization which discriminates in `� membership or employment based on race,color,or national origin? OYES /SI NO Under penalties of law,I declare that I have examined this exemption application and,to the best of my knowledge and belief,it is correct and complete.I also declare that I am• - -rized to sign this exemption application. sign ie r�rP et s�o�' ( 2;-�1�- o/2 Sria��s here , uthonzed Signatuy r ills D �clv i ra. , 50S-3--n 29 -75 FOR COUNTY ASSESSOR'S RECOMMENDATION '� `• APPROVAL COMMENTS: ( � I j Z- ao ❑ APPROVAL OF A PORTION �� ^� ❑ DISAPPROVAL �4 a _ _} 'l,_ ` L`_'��- I. _ Signature u y Assessor Date FOR COUNTY BOARR1^F EQUALIZATION USE ONLY I declare that,to the best of my knowledge and belief,the determi••1•••. on hereby made by the County Board of Equalization is correct pursuant to the laws of the State of Nebraska. APPROVED COMMENTS: ❑ APPROVAL OF A PORTION ,, [/ /, �, i ❑ DISAPPROVED e Cj�i^y e Cs • &.OA nature of County Boa m r _ AEA.( Nebraska Department of Revenue t*M. • 'N 1?urr .§77-202.01 96-135-1999 Rev.7.2010 Supersedes 96-135-1999 Rev.11-2006 PLEASE MAKE A COPY FOR YOUR RECORDS DEC 17 2012 HALL COUNTY ASSESSOR GRAND ISLAND,NEBRASKA