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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 I Name and Malting Address of Person Filing Protest Protest Number ' Filed Name f,Il `p �7 - Protested Valuation 20_7-S Requested Valuation J Street or Other Mailing Address Land :a.' Lend - r �`' " P to City,Town,or Post Office State Zip Code Builkings e, Buildings , «a 6s2t1C S i 4#.S'' ,b l r c e a/ $ 4 �5 2/ .5a6 _ $ / s 13 f� _, • Property Identification Number Phone Number(fl/`ti`s 0-- .�S Total Land and Buildings Total Land and Buildings j a 99 3e'S- Zt;- ts�4/ $ 5-s, 9qS $ 17, s 5-t Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Properly �„ Personal Properly Township,Range,and County)and/or Personal Property Description ,----/n > - /2CJ c.l,� ! Ai r r 2 S A r2.3). Reasons for requested valuation change(Attach additional pages if needed.) 221.141 ras ',Sir") c AALC- , C 00S t .). ?'two to(� 1Ng 4-, . a - . -t- r'r- sign v1,fzr,tt c 5'p here /Signature of Person Protest Date County Assessor's Recommendation Referee's Recommendation(If applicable) Recommend, put functional depreciation back on and leave 5Z market update on property I Decision of County Board of Equalization for Assessment Year 20 1 5 Basis for Action Taken(County Board of Equalization Chairperson) Land $ 4.409 Buildings ACCEPTED RECEOMMENDATION $ 13,136 Total Land and Buildings $ 17.545 Personal Property $ Check One: Ahe 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 f 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 properly record file may be used to complete an appeal to the Tax form.If dissatisfied with the board'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 Review Commission. S e-ice,of .unty Boa. -rpe Oat 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 county board of equalization,which has been accepted by the assessor,has been mailed l •testor at the above-shown address on AUGUST 17. 2015 .20 . L AUGUST 11, 2015 Signature of • lerk ! Date Nebraska Department of Revenue 96-199-2000 Rev.4-2014 Supersedes ae-100-2000 Rev.5-2011 Authorized by Neb.Rev.Slal.§77-1502