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UJ ;II Coal ( • <br /> File with the Property Valuation Protest -- FORM . <br /> County Clerk and Report of County Board of Equalization Action .` j <br /> (See Instructions) - i <br /> County Name Hall <br /> Name and Mailing Address of Person Filing Protest Protest Number, j{ <br /> Name <br /> filth - r .. 2n <br /> Delbert Stueven Protested Valuation 20 15 Requested Valuation <br /> Street or Other Mailing Address Land Land <br /> 5251 W Husker Hwy $ 486,795 $ 300,000 <br /> City,Town,or Post Office State Zip Code Buildings Buildings <br /> Alda NE 68810 $ ,0 $ 0 <br /> Property Identification Number Phone Number Total Land and Buildings Total Land and Buildings <br /> 400190192 (308)382-8113 $ 486,795 $ 300,000 <br /> Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property Personal Property <br /> Township,Range,and County)and/or Personal Property Description $ $ <br /> MAYFIELD TWP PT SW 1/4 6-12-11 140.50AC Reasons for requested valuation change(Attach additional pages if needed.) <br /> CRP Land / Blowing Sand / can't work ground / <br /> Highly erodible ground per NRD <br /> SEE ATTACHMENT <br /> sign J J J%2 June 22, 2015 <br /> here . Signatu of rson Filin o Date <br /> County Assessor's Recommendation Referee's Recommendation(If applicable) I <br /> Recommend no change <br /> Decision of County Board of Equalization for Assessment Year 201 5 <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ 486,795 <br /> Buildings <br /> ACCEPTED RECOMMENDATION $ <br /> Total Land and Buildings <br /> $ 486,795 <br /> Personal Properly <br /> $ <br /> Check One: <br /> til 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 <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 board's decision,this report and the property record file Equalization and Review Commission. <br /> may be used to complete an appeal to the Tax Equalization and Review Commission. <br /> icy/ A _� -/r/- <br /> Si.'-lure of Cou y Board C 'person Da <br /> County Clerk Certification <br /> Date the Protest was Heard Date of the Decision Date Notice of Decision was Mailed 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 count INTO of ralization,which has been accepted by the assessor,has <br /> been mailed to the protestor at the above-shown address on AUGUST- 17, 2 11..77 <br /> �� e aunty �A�f AUGUST 11, 2015 <br /> 11 Sig turn of`aunty C ark (/ - Date <br /> Nebraska Department of Revenue <br /> 96-199-2000 Rev.4-2014 Supersedes 96-199-2000 Rev.5-2011 Authorized by Neb.Rev.Stat.§77-1502 <br />