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Fife with the Property Valuation Protest FORM <br /> County Clerk and Report of County Board of Equalization Action <br /> (See Instructions) 4.22 <br /> County Name HALL <br /> Name and Mailing Address of Person Filing Protest Protest Number Filed <br /> Name <br /> 20_ <br /> Rice JR Oi E (AND C a. O F G Sl ;,,T 2 Protested Valuation 20 T S Requested Valuation <br /> Street or Other Mailing Address Land Land <br /> 17 04 is 3rgrr Sr. $ Inc SSC, -s 940 -S-S-40 <br /> City,Town,or Post Office State Zip Code. _. Buildings _ .Buildings. a <br /> &ik'retrnr.n ...g1.-etpe.15 NE 0.3o3 $ ) +J .j'° 1 $ is <br /> Property Identification Number Phone Number Total Land and Buildings Total Land and Buildings <br /> 400012Set9- 3C4 3SL- o%,"1 $ Li o5`i $ `i6 .s-S(,,, <br /> Real Property Description(Include Lot,Black,Addition,Location Address,Section, Personal Property( Personal Property <br /> Townshp,Range,and County) <br /> )and/or Personal Property Description $ — $ _,_, <br /> f ELK<R - BAR R-'s S ec_a ri D R 9 D Reasons for requested valuation change(Attach additional pages if needed.) <br /> r)+E CgRKfM7 V14�uA-r1 or tenor-A. 7-Ni <br /> P-r VRc St a- L-r4 81_K So 'Cx>Nrcrrr pissaf5Saflt orAc - I Fe 5To <br /> Am O to„--r u i tai u G, 17i:El '. ' Yo Pn2-e,33ua-Dp44 <br /> Sign ON "n4 ,s Taik r.-1c. <br /> here / `7-+ f i� <br /> Signatureof Pe n ngProtest Date <br /> - - County Assessor's Recommendation • Referee's Recommendation(If applicable) I <br /> Recommend no change (improvement is <br /> parking lot) <br /> I. Decision of County Board of Equalisation for AssesstnentYear 20 1, <br /> 1 Basis for Action Taken(County Board of P.queiization chairperson) - Land <br /> $ 46,556 <br /> ACCEPTED RECOMMENDATION Buildings <br /> $ 14,501 <br /> Total Land and Buildings <br /> $ 61,057 <br /> PersonalFroperty <br /> $ <br /> Check One: <br /> y,(,�{�The County assessor has certified to the Bounty board of equalization that a copy - Q Attached Is a copy of that portion of the property record file which substantiates <br /> t/"of that portion of the property recod fire-which substantiates the calculation of the the calculation of the protested value.It dissatisfied with the bead's decision,this <br /> protested value is maintained in the county assessor's office In electronic or paper report and the property record De may be used to complete an appeal to the Tax <br /> form.If dissatisfied welt the board's decision.this report and the property record file Equalization and Review Commission. <br /> may be used So complete an appeal to the Tax Equallzafioo and-evlow Commission. <br /> Th ature of " '-"->`-"•e-•n Date <br /> I County Clerk certification I <br /> • <br /> Date the Protest was Heard Dale of the Decision Date Notice of Decision was Mated to Protestor <br /> JULY 14, 2015 AUGUST 11, 2015 p AUGUST 17, 2015 <br /> The undersigned certifies that a copy of this protest and report of the action oAUGUS4 eerd ofeglr§lization,which has been accepted by the assessor,has <br /> I been mailed to the protestor at the above-shown address on 2U 1 ,20_ <br /> AUGUST 11, 2015 <br /> 'Signalu e of •unt Clerk i Date <br /> Nebraska Department of Revenue <br /> 95-199.2000 Rev.4-2014 Supersedes 9B-1994000 Rev.5-2011 Authorised by Neb.Rev.SUL§77.1502 <br />