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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 /> I Name and Mailing Address of Persoon Filing Protest Protest Number flied <br /> efrlii -�//I/,{rj�1 (// //'l Protested Valuation 20 J 4 Requested VaIY 1 <br /> to er711 Addres land land J idak City Town or Poet og� t State ` / ,�P Bu Buidings <br /> W 00 d ,r ( Vey A! ? b Yg 3 $ 3 f0 $ (?S- an <br /> property $ s Total I aBUa ess�O 3 Pc go10 s? 8 977 <br /> 1 Real Property Description(Maude lot,Block,Addition,Location Address,Section, Personal Property Personal Property <br /> Township,Range and nty)and/or Personal Property Description $ $ <br /> // \ /) <br /> WQ 0 Q \if Q k w/ Beason&for requested vela lion change(Atgehadditiona es if needed.) <br /> fe th9A <br /> • <br /> there signature. ---, _4 Date <br /> County Assessor'*Recommendation - Referee's Recommendation Of applicable) I <br /> Correct buildings <br /> I Wotan of Qoungt Beard of EquaNeatio4for ASSesametetYear 2O4 I <br /> Basis for Action Taken(County Beard el Equalization Chairperson) Land <br /> $ 475,005 <br /> Buildings <br /> ACCEPTED RECOMMENDATION $ 260,892 <br /> Trite t.§rid and Buildings <br /> $ 735,897 <br /> Personal Property <br /> $ <br /> Check One: <br /> 1YI Thecountyassessor has cerufiedIe the couantyboard of egyalizatlon that a con ❑Attached is a copy of that portion of the property record file wilds substantiates <br /> Yf of that portion of the pmpertyrecWd life which substantiates the calculation of the the calculation of the protested value.It 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 We maybe used to complete art appeal to the Tax <br /> form.If dissatisfied with the board's decision,this report and the properly record file Equalization and Review Commission. <br /> may be used to complete an appeal to the Tarr Equalization and Review Comunkaslon. <br /> ,ii a f� / t/��� A 7/.1.--X:5 <br /> ar±C,tee ci c.. y r w•.-3s:?•r- Dot <br /> I COW*/dark cenifiCatlen I <br /> Date the Protest was Heard Pate of the Decision Rate 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 pretest 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 /> �0/147(GiiIree AUGUST 11, 2015 <br /> Signature of ly Clerk / Date <br /> Nebraska Department of Revenue Arrawrized by Nee.Rev.3166 5 77-1502 <br /> 96.199-2000 Rev.4-2014 Supersedes 90-199-2000 Rev.5-2011 <br />