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File with the Property Valuation Protest - FORM County Clerk and Report of County Board of Equalization Action 422 (See Instructions) I County Name HALL Name and Mailing Address of Person Fling Protest Protest Number Filed Raw .20 f'v/P5h 1 ei ./ r©tiYt f7/1f � /fiab). Protested Valuation 20 is Requesteddlaluefiorc Street or Other Matting Address Land Land 7..-7l7 70 o $ 435130 1k' $ 413 ‘z6 City,Town,or Post Office State Zip Code Buildings Buildings /JE S $ (;31 $ /337 Property Identification mbar Phone Number Total Land and Buildings Total Land and Buildings �l�o�kr�3l ,3e8 6�J—2I � $ �� 6 4 3 $ I>v- 7.0- Real Properly Description(Ind a Lot,Block,Addition,Location Address,Section, Personal Property Personal Property Township,Range,and County)a and/or Personal Property Description $ v $ �� (0,,.. c r ,p- 1 �C�fj f 1 (,5�5c(d,[ Reasons for requested valuation change(Mach additional pales if needed.) 7-- 11-/r ' 1W,1Z, 4? 773.et> �' . /e9-0 D1/44,4, sign mss.._ CpAiRtsJai,, 1i. �t C y r sin r>< ;it t Lasa►�1 _ 7-/o -l5 here S'rature of Perso ' Ii; •us' Date County Assessor's Recommendation Referee's Recommendation(If applicable) Correct acres as necessary Decision of County Board of Equalization for AssessmentYeer 20_ (Basis for Action Taken(County Board of Equalization Chairperson) Land $ 631,625 Buildings ACCEPTED RECOMMENDATION $ 1,339 Total Land and Buildings $ 632,964 Personal Property $ Check One: yli 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 file which substantiates 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 protested value Is maintained in the county assessor's office to 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 the Equalization and Review Commission. may be used to complete an appeal to the Tax Equalization and -• : Commission. e/ �p /i 1/ 4 2 _,46, , ' d r'/(-/s--- Date I County Clerk Certification I Date the Protest was Heard Date of the Decision Date Notice of Decision was Mailed to Protestor JULY 14, 2015 AUGUST 11, 2015 AUGUST 17. 7015 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 the protestor at the above-s n address on AUGUST 17, 2015 .20 . S144�1 AUGUST 11, 2015 ii Sign ure of naer v!"f-f' z Date Nebraska Department of Revenue 96-199-2000 Rev.4-2014 Supersedes 9e-199-2000 Rev.6-2o11 Authorized by Nab.Rev.Stat.§77-1502