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File with the Property Valuation Protest FORM <br /> County Clerk and Report of County Board of Equalization Action A <br /> (See Instructions) 422 <br /> County Name HALL <br /> N me and Mailing Address of Person Filing Protest Protest Number Filed <br /> Name <br /> I—FIEDO 20_ <br /> ( J� �r� Protested Valuation 20 i S Requested Valuation <br /> Street or Other Mailing Address /( r'"L. `-. L $Land �My 7. �•r Land nd IvLr L" ' 's8 _. <br /> City,Town,or Post Office //� State Zip Code Buildings e:• Buildings -.t e.Z <br /> sicatD 2,at o ,o ( ) 6-L Total 4 .. <br /> s 4 $old Land�dBuild13 <br /> Propert Identification Number Phone Number <br /> /tact/ 994s 3es- is - 152,14/ $ A y ?its $ 17,, .Sy<S-Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property Personal Property <br /> Township,Range,and County)and/or Personal Property Description ,j $ 'e $ ,-- <br /> /2C--) J,I' /�1-,719 Reasons for requested valuation change(Attach additional pages if needed.) <br /> ay-r,;, {'� 1 `del Wi7�,s.. J / <br /> RS_ <br /> .74( ra tJ c: AAAcE is-r: <br /> 003- w 9-nap t u«- ia, J- '-ars Ant eyr .. L <br /> sign -----)i„, ,z ���j j `� �/ stet <br /> here /Signature of Person Ell g Protest Date <br /> I County Assessor's Recommendation Referee's Recommendation(If applicable) <br /> Recommend, put functional depreciation back on <br /> and leave 5% market update on property <br /> I Decision of County Board of Equalization for AssessmentYeer 20_15 I <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ 4.409 <br /> Buildings <br /> ACCEPTED RECEOMMENDATION $ 13,136 <br /> Total Land and Buildings <br /> $ 17.545 <br /> Personal Property <br /> $ <br /> Check One: <br /> I Y me 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 /> T of that portion of to 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 assessors 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 /> i <br /> SL•7i6-'=of ny Boa...—..1..._1 <br /> t':e" Dort <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 county board of equalization,which has been accepted by the assessor,has <br /> been mailed to e tester at the above-shown address on AUGUST 17, 2015 ,20 . <br /> 11:21-11 Pn AUGUST 11, 2015 <br /> I1 Signature of h• Jerk Date <br /> Nebreslca 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 />