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L <br /> Fde with the Property Valuation Protest FORM <br /> Courtly Clerk(See Inatr ) and Report of County Baud of Equalization notion '422.. <br /> 'County Name ma <br /> Name and Mailing Address of Person Jflkhg Protest pdea Number Flied <br /> Name�EraA(c6 4hJ � )LL(17h ItPJS1011t,, Protested Valuation 20 _r5 - �— 1.. sass <br /> Street or Other Mang��ddre�/. Land Land <br /> v7�y C �(1/,h Pr ieve $ 252 7 D G $ ion <br /> City,Town,or Poet Case State Zip Code Buildings Buildings <br /> brand -ES/and �/ g5.11/ $ / 7 f V Q2 s /lam, al/ <br /> Property Identification Number Phone Number Total Land and Mange Total Land end Bul*igs <br /> V6 /21 y/ 2 Ya?T a 67.37 $ few,/9' $ / f'. 9/l <br /> Real Property Description(Include La„Block.Addition,L.acafion Address.Section. Pasonel Property Personal Property <br /> lb.mship,Range.and County)andfor Personal Property Description S $ <br /> W29,51 771//19 2,c4 <br /> 05 -/76 rE'S Reasons for requested valuation change( • additional pages a needed.) <br /> Site LT/5 igZk� 5 & en G/,se -a , <br /> sign f I ; ,--7% 6229 /'S <br /> here /?--same Pawn--- - L>ata <br /> I County Assessor's Recommendation - Referee's Recommendation(If applicable) I <br /> Correct open slab/pool area as needed <br /> I Decision of County Board of Equalizetion for assessmentYaer 20_ I <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ 23_,700 <br /> ACCEPTED RECOMMENDATION Buildings <br /> $ 174.51S <br /> Taal Land and Bulldogs <br /> $ 198.215 <br /> Persona]Property <br /> $ <br /> Check ore: <br /> a(The ocunty*Messer has certified to the county baud of equalization that acopy 0 Maclied Is a c of that portion at the property macid Se with stateniales <br /> of that portion of the property record the with substantiates the calculation of the the car elation of the protested value.N dissatisfied with the boars decision,this <br /> protested 6m dkedue is sd d In nNk deunty assessor's se sor's office <br /> dd electronic or repot and the property record Life may be used to complete an appeal to the Tax <br /> n and Review Commission. <br /> may be used thrtheildele Si appeal to the Tax Equalization ail-.- Commission. <br /> 40 <br /> % ills A Jt dA/ ?-77- <br /> ,r . . .:'R T,,. Y ;er Cate <br /> I County Clerk Certification I <br /> Date the Protest was Heard Date of she Dedelon Dace Notice of Decision was Maled to Protestor <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 b the protestor at the 2 : 41 address on AUGUST 17, 2015 ,20 .AUGUST 11, 2015 <br /> taunt. Deb <br /> Nebraska Department of Rehear. <br /> 13e-1ee-2000 Rev.4-2014 Supersedes e6-19e-2000 Rev.5-2011 Authorized by Neb.Rea Sb1471-1562 <br />