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File with the Property Valuation Protest FORM County Clerk and Report of County Board of Equalization Action (See Instructions) , 422 County Name HALL Name and Mailing Address of Person Filing Protest Protest Number Filed Name - - — 91-12r4i;'b1,JRRE CAM) Cn,. 0p GXt LTD Protested Valuation 20 15 Requested Valuation Street or Other Mailing Address Land Land r? ate. 1.4 Dnr Sr, a -b SSG, a 11-6 SS-{E, City,Town,or Pest Office State La Code Buildings l - _ Buildings t &i'AAra) S'SI. .reb NE 6%$03 $ )4 _S-e, 1 a tS Property Identification Number Phone Number Total Land and Buildings Total Land and Buildings 40003-l2 3`?y- Sat- 382_- 0891 a L) 0S5 $ 4+6 S---t Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Property( Personal Property Township,Range,and County)and/or Personal Property Description $ $ Pee Li«R d- 24-RR'S S C0 rJ D R D ID Reasons for requested valuation change(Attach additional pages if needed.) 7-14 47 Ci4 9f,r7 Yr•F<ttA1—)ca r.) FR0M 'fEE PT V R C ST r LT 4 ELK So Cofrw-ry ASSESS-brim 0' ''c,. eeFeR's TO r4jq 0 rr,?Pia 1 tD) $ 6r, Tf CI? - Ic A-2-ca Sium-D r% sign aN ifs raz� c. 7-IF it here /Signature of Pe n,..c.,14i g Protest pate I - County A$ses8on Recommendation Referee's Recommendation(If applicable) - I Recommend no change (improvement is parking lot) Recislon of county Beard of Equalization for AssessmentYear 20 15 Basis for Action Taken(County Board of Equalization Chairperson) Land $ 46,556 ACCEPTED RECOMMENDATION Buildings $ 14,501 Total Land and Buildings a 61,057 Personal Property $ Check One: - -The County assessor has certified to the county board of equalization.that accpy - 0 Mar-had Is e.copy of that portion of the property record die 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 We may be used to complete an appeal to the Tax form.If dissatisfied with the hoard'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-- ew Con (tssion. kid _. g ature of o :.. .7..0;an el�Y7.. Date County Clerk Certification 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 courgy board of e-girilizatlon,which has been accepted by the assessor,has been mailed to the protestor at the above-shown address on T- 11 2 VV±" ,20 . AUGUST 11, 2015 - Signalu e of aunt Clerk Date Nebraska Department of Revenue 95-199-2000 Rev.4-2014 Supersedes Min-2M Rev.5-2011 Authorized by Neb.Rev.Stat§77-1502