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File with the Property Valuation Protest FORM <br /> County Clerk and Report of County Board of Equalization Action 422 <br /> (See Instructions) <br /> County Name HALL <br /> Name and Mailing Address of Person Filing Protest Protest Number Filed <br /> Nam r / / (�/ 20 <br /> e -C/�f�O{'„` ✓a 1 I i Protested Yatuation 2Q 1 S Request • at suer <br /> St e o Iher MaN Addre 1 got ro, le-L. ^ and ,/h� 6 Land ,�/-- %TA , <br /> Cti Town or Posst0 t StateeAp / / b /JC > BuildlnLg-!ls'7 ^ Buildings '(/U'_ ^f-�'�� <br /> -(�Oo / ver / V C. b Y?3 $ ./2,02 3 /a -a $ ('?S_ v ° <br /> Property Identification Number P one N Total L nd and Buildings Total L d Build' $ �- <br /> > oaaaoo32. ' - 0 � $ 8� 77 $ � ss <br /> Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property Personal Property <br /> Township,Ranged and <br /> C/(o7unty)and/or Personal Prepe/�rty Description $ $ <br /> D 0 d , `1 eI/h w / Reasons for requested vat' tan change(Attach additional pages it needed.) <br /> tt <br /> 8194 <br /> sign .:.k. < .IA --17-is <br /> here Signatureo =ling 'test - ty Date <br /> I County Assessor's Recommendation Referee's Recommendation Of applicable) I <br /> Correct buildings <br /> 1 Decision of County Board of Equalization for AssessmentYear 29. 15 <br /> Basis for Action Taken(County Board of Equalization Chairperson) .Land <br /> $ 475,005 <br /> Buildings <br /> ACCEPTED RECOMMENDATION <br /> $ 260,892 <br /> total Land and Buildings <br /> $ 735,897 <br /> Personal Property <br /> $ <br /> Check One; <br /> 0 The.county assessor has certified that to the county board of equalization at a copy El Attached is a copy of that portion of the property record file which substantiates <br /> of that portion of the property record Re which substantiates the calculation of the the calculation of the protested value.If dissatisfied with the beard'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 boards decision,this report and the property retort!file Equalization and Review Commission. <br /> may be used to complete an appeal to the Tax Equakation and Review Commission. <br /> Ai/ �% '1 A L,r,.I if —1/-/6 <br /> ie 7•ture of:•u ty BM"-- %'!'l: — <br /> I 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 the protestor at the above-shown address on AUGUST 17, 2015. ,20_ <br /> C/7 f� lo/ /J "��O AUGUST 11, 2015 <br /> r Signature of/ccdd(mnt'Clerk ll Date <br /> Nebraska Department of Revenue <br /> 9e-199-2000 Rev.4-2014 Supersedes 96199-2000 Rev.6-2011 Authorised by Neb.Rev.Stet§77-1502 <br />