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() <br /> RIB wind the `� ,'-0 Property Valuation Protest FORM <br /> County Clerk v and Report of County Board of Equalization Action 422 <br /> (See Instructions) 1 (County Name HALL <br /> Name and Mailing Address of Person Filing Protest Protest Number Filed <br /> Name .2g_ <br /> l C h 4 El G- P1 rc I f 6.2 Protestet .___.._,� i 5 Requested Valuation I <br /> Street or Other Mairmg Address Land . - . _...._.. <br /> I 2N I7 L�K �woo b Z $ o 27 $ 7o, 01-70 <br /> City,Town,or Post Once State Zip Code Buildings Buildings n <br /> GRAAin 3 L-r4wn tile- kwa $ d ctz, Ll `111 $ t// °cv <br /> Properly Identification Number Phone Number Total Land and Buildings Total d and Buildings <br />• yvooab0l� 3ag324-g8y3 $ 31.2 7/ L% $ 7D, ale <br /> Real Property Description(Include Lot,Block,Addition.Location Address,Section, Personal Property Personal Property <br /> Township,Range.and County)and/or Personal Properly Description $ $ <br /> BK ru rev a o a TN/RD 5013 pT L. rz t A>t 1-7-3 Reasons for requested valuation change(Attach ad&tional pages if deeded.) <br /> woo O - G2»,va .rs1-guo Nil !p h, <br /> 17 l-/�-KE^ 1� R .� w Tl G o pot, <br /> a4 9 � P � <br /> [1411 -Cocv;r - 5wgLe F4m,/i R-uc!N, c - ' sin y <br /> y,I n b i.., - rat Z,"3°-Zc>i.5` <br /> Sere '- Signature of Person Filing'roles! Date <br /> ' County Assessor's Recommendation Referee's Recommendation(If applicable) <br /> Accept referee's recommendation Recommend change of value after study <br /> results for equalization <br /> IDecision of County Board of Equalization for Assessrenttlear 29 I ri <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ 70,270 <br /> Buildings <br /> ACCEPTED RECOMMENDATION $ 248,059 <br /> i Total Land and Buiidings <br /> $ 318.329 <br /> I Personal Property <br /> I$ <br /> Check One: <br /> ®The county assessor has certified to the county board of equalization that a copy 0 Attached is a copy of that portion of the property record file which substantiates <br /> of 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 <br /> protested value Is maintained in the county assessor's office in electronic or paper report and the property record file may be used to complete an appeal to the Tax <br /> form.If dissatisfied with the boa's decision,this report and the property record file Equalization and Review Commission. <br /> may be • <br /> used to complete on appeal to the Tax Equalization and Review Cc 'ssion. <br /> L /�i/� <br /> Sttr-tr%reo Coen"':., :' '-.: ..� • Date <br /> ' County Clerk Certification <br /> 'Date the Protest was Heard Dale of the Decision Dale Notice of Decision was Mailed to Protester <br /> ' JULY 14,2015 AUGUST 11, 2015 AUGUST 17,2015 <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 t above-shown address on AUGUST 17, 20 15, <br /> ( // AUGUST 11, 2015 <br /> Sig slur of my Clerk 1 Date <br /> Nebraska Department or Revenue <br /> 96 199-2000 Rev.4-2014 Supersedes 96.108.2000 Rev.5-2011 Authorized by Neb.Rev.Stab.§77-1592 <br />