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File with the Property Valuation Protest FORM County Clerk and Report of County Board of Equalization Action 422 (See Instructions) County Name HALL 1 N me and Mailing Address of Person Filing Protest Protest Number Filed Name 20_ 'r ' I- '- n' t a.. ( Protested Valuation 20 1 4 Requested Valuation I Street or Other Mailing Address Land / Land . -y `E> City Town,or Post Office State Zip Code Buildings y c� �� Buildings .f r " • .,z / n R ,, Alt," / 1 ' $ ry ._. $ Propert Identification Number Phone Number` ) 0-3'2Jj Total Land and Buildings Total Land and Buildings y")� -/ A f l e .^ 'S' $ f 7 C L ,�rP IMF `'C.�� -7�`� �' E, JY�-, �d 4/ii $ � o� �4 / �- Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property .- Personal Property Township,Range,and County)and/or Personal Properly Description $ --mot % $ —+-''-- /per ( _ / ' -,„A Reasons for requested vafuatinn change(Attach additional pages if needed.) / 'r r�-) `-l"1 C1-` 1'iJ�N C£:r 4.[:'°'<: e Ly �� 1 .,- 7 ( A C?' ' . x rf4 T" i j ). Y'e'. c c-f c, e--')de -� F? , ,„ r �� .� /{Jn---tt t( , z rFn, -.(y4A/ ,'r ES S iii), ''(..1 j + -` ..�-(,i.r ifir r7 zg /',q.--) f"' L. ' , -' •sign . lr,- }--a{ t,4.t , �/' �',.>< here ►Signature of Person Filing Protest 0 e Date County Assessor's Recommendation Referee's Recommendation(If applicable) Recommend, put functional depreciation back on and leave 52 market update on property L Decision of County Board of Equalization for Assessment Year 20 15 Basis for Action Taken(County Board of Equalization Chairperson) Land $ 4,409 Buildings ACCEPTED RECEOMMENDATION $ 13,136 Total Land and Buildings $ 17.545 Personal Property $ Check One: te county assessor has certified to the county board of equalization that a copy Attached is a copy of that portion of the property record file which substantiates that portion of the property record file which substantiates the calculation of the the calculation of the protested value.If dissatisfied with the board's decision,this protested value is maintained In the county assessors office In electronic or paper report and the property record file may be used to complete an appeal to the Tax form.If dissatisfied with the board's decision,this report and the property record file Equalization and Review Commission. may be used to complete an appeal to the Tax Equalization and Review Commission. Sig-ir�x of • my Boa• -o• 4:- Dat — County Clerk Certification Dale the Protest was Heard Date of the Decision Date Notice of Decision was Mailed to Protestor JULY 14, 2015 AUGUST 11, 2015 AUGUST 17, 2015 The undersigned certifies that a copy of this protest and report of the action of the county board of equalization,which has been accepted by the assessor,has been mailed to e testor at the above-shown address on AUGUST 17, 2015 ,20_ glik 744ir AUGUST 11, 2015 Signature of Co iv lark Y Date Nebraska Department of Revenue 9e-199-2000 Rev.4-2014 Supersedes 961992000 Rev.5-2011 Authorized by Neb.Rev.Stet-9 77-1502