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File with the Property Valuation Protest FORM <br /> County Clerk and Report of County Board of Equalization Action <br /> (See Instructions) <br /> County Name HALL A O� <br /> ., -rjL <br /> Name and Mailing Address of Person Filing Protest Protest Number piled <br /> Name - - <br /> 20 <br /> f1t4xD t-3 Rfl( (An a Co O F G I 1-1-1)f 1-1-1) Protested Valuation 20 7 5 }�eglieaadVafuatfon- <br /> Street or Other Mailing Address <br /> Land - - - Land <br /> 17aIf LJ 3 n ni St $ 2_8 312. $ 28 -3 ?2 <br /> City,Town,or Post Office State Zip Code Buildings Buildings <br /> GRAsva SsLANa fg ( 8803 $ /-S 31f8 $ '0 <br /> Property Identification Number Phone Number Total Land and Buildings Total Land and Buildings <br /> 90.00723 ra 3o8 3E2— 0847 $ 4C3 72o $ ZS .372. <br /> Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property ' Personal Pro <br /> Township,Range,and County)and/or Personal Property Description _ Property <br /> $ $ — <br /> Pesc K0 R + S P;Ki,S S Ec ore /1:10,3> Reasons for requested valuation change(Attach additional pages if needed.) <br /> LT 2 ELF{ �r3 'THERE )S no GRLEKHOuSE 7H lS <br /> fcerE,k14Eh to IN Y/ft Vftt_N AsT/oN <br /> rva ,—ice , <br /> sign <br /> 7--rSrS- <br /> here 'Signature of Pe n flag Protest Pate <br /> CountyAssessor's Recommendation Referee'&Recommendation(If applicable) <br /> Correct Green House, to, Sun Shade Shelter <br /> 9eoislon of County Board of Equalization for AssessmentYeer 2015. <br /> Basis for Action Taken(County Board of Equalization Chairperson) - Land <br /> 28.372 <br /> ACCEPTED RECOMMENDATION Buildings <br /> $ 11,870 <br /> Total Lpndendauil?mgs <br /> $ 40.242 <br /> Personal Property <br /> $ <br /> Check One; - - - - - - <br /> 7 The county assessor has certified to the county!nerd of equalization a copy . 0 Attached Is a copy of that portiop 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 bowers 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=pieta anappeal to the Tax <br /> form.If dissatisfied with the boa'x s decision,this report and the property r=., .fie Equalisation and Review Commission. <br /> maybe used ro cord t M thaSa;c Equatlz and Review j m r,on, <br /> 8-11-2015 <br /> Signature of County Boon!Chairperson - Date <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 7n7,5_ <br /> AUGUST 17, tu1S <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 a owe-shown address on AiUGtrg.T___1 Z-, 2 5_,20_. <br /> - <br /> / AUGUST 11. 2015 <br /> 'S oat re only Cie _.. Date _ . <br /> Nebraska Department of Revenue v <br /> 96-199.2000 Rev.4-2014 Supersedes 96-199-2000 Rev.5-2m1 Authorized by Neb.Rev.Slat-5 77-1502 <br />