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This Return Must he Tax Year <br /> Filed With the Coin ity Nebraska Personal Property Return 2015 <br /> Assessor on or Before Net Book Value County Name <br /> May 1,or a Penalty <br /> Will be Assessed •Attach all supporting schedules HALL <br /> Name of Property Owner I Telephone Number Tax District <br /> GRAND ISLAND VAPORS LLC 5 <br /> Street or Other Mailing Address Property Type Precinct or Township <br /> 2830 OLD FAIR RD COMMERCIAL <br /> City State Zip Code Legal Description <br /> GRAND ISLAND NE 68801 ISLAND WESST PLAZA CONDO PROPERTY <br /> Address of Property(if different than above) City State Zip Code REGIME LTS 1-2-3 SETAG SUB UNIT 2830 <br /> 2830 OLD FAIR RD GRAND ISLAND NE 68801 <br /> Totals Taxable Value <br /> 1 Commercial and industrial total (from schedule) 1 a&Oh cO <br /> 2 Agricultural machinery and equipment total (from schedule) 2 <br /> 3 TOTAL TAXABLE VALUE (total of lines 1 and 2) 3 oc,S O6,oc 0 <br /> Describe any leased or consigned property in your custody,and list the name and address of lessor or owner. <br /> Description of Property Name and Address of Lessor or Owner <br /> Under penalti• • law,I declare that I have examined this return,including any attached schedules,and to the best of my <br /> knowledge a • .=1 is t it is••rrect and complete. <br /> sign ( �t / . �� l Li <br /> Sign- :of Property Owner / Date <br /> here � � " /-61)--/e0 <br /> ':nature of Preparer Other than Ow-7:r Date <br /> s€ - r w 1 P $' v f"•:`. v"' s '1.-,p ".?' > tz. "C <br /> • }? -k 1 _`ci! ^`iz 1010 Ak T<:� 4. 4 ? : e <br /> It Signature of County Assessor Date <br /> RECEIVED <br /> JAN 082015 <br /> HALL COUNTY ASSESSOR <br /> GRAND ISLAND,NEBRASKA <br /> Nebraska Department of Revenue,Property Assessment Division Authorized by Neb.Rev.Stat.§77--1229 <br /> 96-173-1999 Rev.12-2013 Supersedes 96-1731999 Rev.9-2012 <br />