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File with the Property Valuation Protest FORM County Clerk and Report of County Board of Equalization Action 422 (See Instructions) County Name HALL Name and Mailing Address of Person Filing Protest Protest Number Filed Na� ,20& z3 IC Pr�il t57t . . iteu /CJft 7xi, Protested Valuation 20 J S Teo - _ _Requeseedveweeon I Street or Other Melling Address Land Land Z7/7 2o oe $ 43f30 - $ !/3 ‘2-6 City,Town,or Post Office State Tip Code Buildings Buildings fib . $ (i31 $ 1337 • Property Identification mber Phone Number Total Land and Buildings Total Land and Buildings eoZ{v 6�r 365-04-21-77 $ 43 L. Z 4-3 $ �'�( 76s Real Property Description(inclu Lot,Block,Addition,Location Address,Sec ion, Personal Property Personal Properrty, Township,Range,and County)and/or Personal Property Description $ C.-- $ 6 ,y'j t5 9, I f 0 k_a*C_ Reasons for requested valuation change(Attach additional pages If needed. 71/—din /7o,/Z„1 ( ? 97,3 CINRts,,4 U Q ed �tm,a sin U i� ./.AYi t`•.�•.. -/® -15 here S"ature ofPerso ' IIi , Protes Date County Assessor's Recommendation Referee's Recommendation(If applicable) Correct acres as necessary I Decision of County Board of Equalization for AssessmentYear 20_ I Basis for Action Taken(County Board of Equalization Chairperson) Land $ 631,625 Buildings ACCEPTED RECOMMENDATION $ 1.339 Total Land and Buildings $ 632,964 Personal Properly $ Check One: 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 In 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 file Equalization and Review Commission. may be used to complete an appeal to the Tax Equalization and A :w Commission. / I/L i� .� l 0"—/(i -it--,c'reofCo 1'"a. .•• -• 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. 2015 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 wn address on AUGUST 17,, 2015 ,20_ AUGUST 11, 2015 11 Sign ure of n„Cler r Date Nebraska Department of Revenue 96.199-2000 Rev.4-2014 Supersedes 9e-199-2000 Rev.5-2011 Authorized by Neb.Rev.Stat.¢77.1502