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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 <br />