3E0 12-2013 01 : 23 Ph! P. 31 /02
<br /> TO BE FLED yiITh i Exemption Application I FORM
<br /> COUNTY ASSESSCn for Tax Exemption on Real and Personal Property by Oualitying Organizations !
<br /> 1 Rend Inurucilols on reveres slab. 45'!
<br /> -- Fevre t. properly templets or the Ibis application in a timely manner shall result Ina dies p .—`—i
<br /> Name el orgen'tetron disapproval of tea asempllan
<br /> rciud fistsds.�l�b a r —��.
<br /> ICOmfY v , - No ,type dr t)wne:arnp
<br /> 'tresl.i,i7t'K,Pna:i:rn Adyeii 1 M ,i. f �*lalproet Grvpaaiwn
<br /> late Wrie.. cypnralee Olner(Srmnny:
<br /> 5oz,w - 2ydS+-, ?-O.5ox1DOi `�p�0lty��- 1 .
<br /> /''lye, ® 1 ,p Slate Zip COae JActual V,k,a IPerae O• .-
<br /> C r-QnA - Ietnd Na 6 ! ja C!°'i'e C, Lasun,r lDNuneE,---
<br /> tA a:.aenr:tba:cl lea'Property a,J gknez!oesorlpic',al Oil langlble poq.onal propasly,asCppl 1400800 rnpbr vehicles --_
<br /> _ NUJ Bete. C.� d BPnne-j- 's 3rj Add-l-h0 n 1 ' _�T rtt5 S3 4 and i0
<br /> (worn Out- S'� etcheres - se f "C' d yStas-la,0
<br /> ! TNIe ut Otlicers, `�� L�'?^�" 1
<br /> Nams
<br /> D1eefers,or Pertness
<br /> Address,City,ebb.2lp Cafe
<br /> ,)ere m del Ref✓t-Ler-S 'P res I ylO y w . Drnr I s ib n -: NE_6 t et Z _.i
<br /> Mo-rV_ IP:)cs, I 4-. a re_ !nl r . 1 i-pEb,eE-0 3
<br /> 7 ravisNasseIman.? "TY`PS . L -. Ira a a err . 1LL'EH8:sc93
<br /> ulieE cal .--- i Sac t . 2.t4o N ryark , &r fJE b$sc3
<br /> Prat/1y deecrlaee:Shove is idle in the Iofba4ne ennel daugoy(pieeae mole Ire aoptcolse uceee l
<br /> L Aelldae talikore+aurel&csy C Eciucellen,4 V Relgbjs g t pegllao. '.----"
<br /> 0 Cemetery
<br /> :,rvsa deu,k5tleecnplon m he dee of the Fromm )c.-hs en tn/hl CA-I fn i, ('at : a a ,
<br /> 1J.
<br /> .ne ICw1 vty0 mP1,In(.LCt 1,1,o Id c a tn. . I ti-1 br,..1 he mss cc _ nn fr--ci:I
<br /> tP_}3.12.0-11_ EA in A 0..n+ iw %l-rfEBr- loans . NPUSe pig yvv.ny.-l-S lnr tad C
<br /> 9rrinr-tplit-( ` -n1.eS LkvlA IPnc,cra,tcr , 1
<br /> 'Ayricuit,reliHrxutultoral Swett'does not need to compete the Following gaaatbna.
<br /> is MI(4 ant propel)ts.0 9ACUsirely as tleitlthq aben? 2'YES Q NO ,
<br /> a a ponlon al he properly:sad du tie esle CI skanelk bde,a9e ' ❑YES ai.0 lit.stere he rumoer of hours per wens
<br /> is Ins prppemy owned ar used by ar croo n'hn which a t kiynalee in
<br /> namperalep at empyymant band Or rice,coop ca*tone,arpm9 0 YES
<br /> U:OY penalties chew,declare OW I.re..mamma the eeelrlptori mammon era b me heft at my knowledge she bell4l.II is correct end
<br /> campeM;also Scl.s Pall r duly aurkvisr.Io air Ma tbAholcn app')cseon. N '`' /
<br /> sign it .
<br /> here ►a::naandSg slue — Sue
<br /> Cale
<br /> 1_ __ A FOR COUNTY ASSESSOR'S RECOMMENDATION .. `_�J
<br /> ,4 APPROVAL COMMENTS p,c ....„.04\ " 'j- las .. —
<br /> ( a4a
<br /> [] APPROVAL OF A PORTION
<br /> U aAPPROVAL �a • %` .. _ }iiL1 if,-ILL*
<br /> Slenalire p19r�Y"y Aatbeetw -' 0 o
<br /> �- _ FOR COUNTY BOARD EQUALIZATION USE ONLY
<br /> :oe,awo 1711,10 me 00010 my ices(.W ge and blilel.me mttrmralon barony made by me Courtly Swot cI Eaue■ealior Ile aoire:t Punuan' _--- —
<br /> W FA laws a me Stet.o,Nebraska
<br /> APPKvec COMMENTS:
<br /> APaBCVAL OF A PCi'KJN
<br /> L DISao'PfICWEO !J /ia.rL `C _ _ I%4,p '2QIu
<br /> aignalWaa?Ct 'ury Host UMW* Dye
<br /> %avks 01,11111110‘6/1 goes.: ad W ko.Sort ie nt.411+^o e}'1 let,Rau r.Zia Supan.nw a&,i1&,e SIPS
<br /> PLEASE MAKE A COPY FOR YOUR RECORDS
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