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C�oei Clerk kQ,� 1/e'o Property Valuation Protest <br /> FORM <br /> and Report of County Board of Equalization Action <br /> (See Instructions) E <br /> 'County HALL 422 <br /> Name and Mailing Address of Person Filing Protest Protest Number fled <br /> lilich4et. G. lPI rC I4 E1( Proeeseet _____.. `� e-,.G. - , Requested Valuation I <br /> Street or Other 17 c woo A Dr: Land 70, a70 Land d 7©, 0170 <br /> City,Town,or Post Office State Zip Code Buildings Readings <br /> GRA-A, .Z5LA*,t2 ti'E /98$0( $ ot1z, L-1 `l $ /p0 Oov <br /> Property Identification Number Phone Number $Total Land and 3 G �`7/ $ � 1D ��� <br /> `` 000 2100 5— 3a&'--324-98K 3 J <br /> Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property Personal Property <br /> Townsig),Range,and County)and/or Personal Property Description $ $ <br /> krvrw000 YNIRb Sul3 fir L. rz i,,RLL 1.1-3 Reasons axrersestedvaivatkn change(Attach add/liana!pages needed.) <br /> ;LI 1? L-A-Kifut oO DR GRnnva .1-41.4 vD WE -5.0•0' ,07T4e4'0 p9yv <br /> ll4l i tau,„,-.1 - 514)f+., FFitm.li R#c'_H, Cu.' era^( <br /> • <br /> sign <br /> here re 0,Signature of Person Fhng Protest Date <br /> ICounty Assessor's Recommendation Referee's Recommendation(if applicable) I <br /> Accept referee's recommendation Recommend change of value after study <br /> results for equalization <br /> IDecision of County Board of Equalization for AssessmentYear 20/Al I <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ 70,270 <br /> Bu cgs <br /> ACCEPTED RECOMMENDATION $ 248,059 <br /> I Total land and Buildings <br /> i$ 318.329 <br /> I Personal Property <br /> 1$ <br /> Check One: <br /> in The 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 /> of that portion of the property record ice 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 sppeat to the Tax <br /> i 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 EqueWatwn and Review Cc ' .n. <br /> 7J /1 �� i ��.el Al 1/J� <br /> SIT-r eo Coen'... :?1�:".= 1rT Dal <br /> ICounty Clerk Certification 1 <br /> Date the Protest was Heard Date of the Decision Date Notice of Decision was Mailed to Protestor <br /> I 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 t above-shown address on AUGUST 17, 20 15. <br /> erAn7 AUGUST 11. 2015 <br /> Sig to of nu•Clerk 1 Date <br /> Nebraska Department of Revenue <br /> se-t99-2000 Rev.4-2014 Supersedes etelee-2000 an,5-2011 Authorized by Net Rev.Slat.§77-1502 <br />