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/), 1 , iF <br /> It/ File with the Property Valuation Protest FORM <br /> County Clerk and Report of County Board of Equalization Action 422 <br /> (See Instructions) County Name HALL <br /> ' Name and Mailing Address of Person Filing Protest Protest Number Filed <br /> Nam Q �,/ /l �" ,20/5 <br /> - j7o ke / 3�Wfig,{/ C 00' a) . Protested Valuation 20 l 5 Requested Valuation I <br /> Stree or Other Melling Address Land Land <br /> Pa sox $ /RR, 779 $ /DsgG‘ <br /> City,Tg n,or Post Office States }- Zip Code Buildings ) Buildings <br /> CMG-rin� _-4/ M / $ $ <br /> Property Identification Number Phone <br /> `/Nyuummber Total Land and Buildings Total Land and Buildings, <br /> Real Property Description fie Lot,Block Addition,Location Address, e� Pe /7z;rop rty Personal Property <br /> 66(rJJ <br /> Township,Range,and County)and/or Personal Property Description $ $ <br /> __/ 71,0/3 z/G& -1,l J, - Reasons for requested valuation change(Attach additional pages it needed.) <br /> /' G >( i J /,�/ jyrn/67`ri WG-err'S9 e*r __z' <br /> Z3-1/!D /1,&& %CIA. ��` 30 �jes� r f i <br /> et <br /> here Signetu a of Person (ling st pate <br /> County Atiestiser's Recommendation - Referee's Recommendation(If applicable) <br /> I <br /> Recommend no change, treated as like properties. <br /> NRD certified acres. <br /> - Deciglon of county Board of Equalization for Assessment Veer 20 <br /> Basis for Action Taken(County Boats of Equalization Chairperson) Land <br /> $ 128.759 <br /> Buildings <br /> $ <br /> ACCEPTED RECEOMMENDATION <br /> Total Landing Buildings <br /> $ 128.759 <br /> Personal Properly <br /> $ <br /> Check One: <br /> 0 The county assessor has certified to the county board of equalization that a copy ❑Attached is a copy of that portion of the property record 19e which substantiates <br /> of that portion of the property record file which substantiates the calculation of the the calculation of the protested value.It dissatisfied with the board's decision,this <br /> protested value is maintained In the county assessors office in electronic or paper report and the properly recant/Ne may be used to complete an appeal to the Tax <br /> form.If dissatisfied with the board's decision,this report and the properly record file Equatization and Review Commission. <br /> may be used to complete an appeal to the Tax Equalization and ,, Commission. <br /> o .i%I 2 107 <br /> s_ rre of !1r ff'A - .___-r— Date <br /> County Clerk Certification 1 <br /> Date the Protest was Heard Date of the Decision Date Notice of Decision was Mailed to Protestor <br /> JULY 14 , 2015 AUGUST 25, 2015 AUGUST 26, 2015 <br /> 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 <br /> been mailed to the protestor at the above--hown address on AUGUST 26, 2015 ,2p, <br /> di /� / <br /> t� L_ _�L _ ._ AUGUST 25. 2015 <br /> Sign'ore of e. Cy clerk - / Date <br /> Nebraska Department of Revenue <br /> 9e-199-2000 Rev.4-2014 Supersedes 9e-l99-2000 Rev.5-2011 Authorized by Neb.Res Stet 4 77-1502 <br />