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MUST BE FILED WITH ASSESSOR ON OR Nebraska Personal Property Return Tax Year 2016 BEFORE MAY 1, OR Net Book Value PENALTY ASSESSED 'Attach all supporting schedules county HALL **FAILURE TO TIMELY REPORT ALL PERSONAL PROPERTY ON tHIS RETURN WILL RESULT IN** **A FORFEITURE OF THE EXEMPTION UNDER THE PERSONAL PROPERTY TAX RELIEF ACT** **FOR THE PERSONAL PROPERTY NOT TIMELY REPORTED ON THIS RETURN.** Property Address(if different) City State Zip Code Telephone Number Tax District 715 W ANNA 5 Legal Description Property Type Schedule Number: MISCELLANEOUS TRACTS 21-11-9 198 .6' X 140' PT NE 1/4 NE Commercial 400521652 1/4 RETURN TO: PREMIER HOME SALES JANET L PELLAND HALL COUNTY ASSESSOR 715 W ANNA 121 S PINE, SUITE 1 GRAND ISLAND, NE 68801- GRAND ISLAND NE 68801- . Totals Taxable Value 1 Commercial and industrial total (from schedule) 1 252,467 2 Agricultural machinery and equipment total (from schedule) 2 0 3 TOTAL TAXABLE VALUE (total of lines 1 and 2) 3 242,467 Describe any leased or consigned property in your custody,and list name and address of les •r: Description of Property ' I Name and Address of Lessor or Owner A t.. a ilitilWATili l■t Under penalties of law.I declare that I have examined this return,an'best of my knowledge and•119'‘ 1 comp 1 '.IF Sign Signature o Property owner , ,� . e 1 Date Here , Signature of Preparer Other than Owner \./k y, Date — COUNTY ASSESSOR'S U Depreciation Worksheet Reviewed PENALTY ❑ to% ❑ 25% Date Initials Total personal property value exempted under Total personal property value exempted under Personal Property Tax Relief Act Beginning Farmer Tax Credit Act $ 10, 000 $ > Signature of County Assessor Date INSTRUCTIONS WHO MUST FILE. If you hold or own any taxable tangible personal property on January 1 at 12:01 a.m.of the year for which the assessment is being made,you must file a Nebraska Personal Property Return. If you lease property from another person,you must file a Nebraska Personal Property Return. If you lease property to another person,you must file a Nebraska Personal Property Return. If you bring property into the state between January 1 at 12:01 a.m.and July 1,you must list the property on or before July 31,unless you can show the property was purchased after January 1 at 12:01 a.m.or was assessed in another county or state. WHEN AND WHERE TO FILE This return must be filed on or before May 1 with the assessor for the county in which the property is located. If you have property in more than one county, you must file a return with each county in which you have property. If you have property at more than one location in the same county,contact the assessor to determine if more than one return is required. SITUS FOR PROPERTY Property of an established agricultural or commercial business is assessed at the place of business unless the property has acquired local situs elsewhere. Property will acquire local situs elsewhere if it is kept in a location,other than the location of the business,for the greater portion of the calendar year.