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05/17/2016
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05/17/2016
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File with Exemption Application FORM <br /> Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 <br /> Assessor Read instructions on reverse side. <br /> Failure to properly complete or timely file this application will result in a denial of the exemption. <br /> Name of Organization County Name Tax Year <br /> Platte River Whooping Crane Maintenance Trust, Inc. Hall 2016 <br /> Name of Owner of Property State Where Incorporated <br /> Platte River Whooping Crane Maintenance Trust, Inc. Nebraska <br /> Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number <br /> 6611 Whooping Crane Drive $68,495.00 400219085 <br /> City State Zip Code Contact Name Phone Number <br /> Wood River NE 68883 I Charles A. Cooper (308)384-4633 x 116 <br /> Type of Ownership <br /> ❑Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Charitable Organization ❑Cemetery Organization <br /> Name Title of Officers, Address,City,State,Zip Code <br /> Directors,or Partners <br /> • <br /> Van E. Korell Chairman AmFirst Bank, N.A., 602 W."B"St., McCook, NE 69001 <br /> Thomas J. Dougherty Vice Chair 2973 Zachery Drive, Loveland, CO 80537 <br /> Douglas L. Curry Secretary/Treasurer Erickson &Sederstrom PC LLO, 301 S. 13th St.,#400, Lincoln NE 68508 <br /> Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: <br /> Aida TWP LT 4 IN NW%5-9-10 (30.00 acres). <br /> CEC 31 C ;S <br /> Properly described above is used in the following exempt category(please mark the applicable boxes): �p n ma IQL/g,IQ 10- s,;,(y 5 <br /> ❑ Agricultural and Horticultural Society © Educational ❑ Religious '® Charitable ❑ Cemetery ui Cott i�K4 <br /> Give a detailed description of the use of the property: <br /> The Platte River Whooping Crane Maintenance Trust, Inc.("Crane Trust")is a charitable organization dedicated to protecting and <br /> maintaining critical habitat for Whooping Cranes,Sandhill Cranes,and other migratory birds.The Crane Trust uses the said property <br /> exclusively for this purpose and for related charitable,educational,and scientific purposes.The said property is exempt from taxation under <br /> Neb. Rev.Stat.§77-202(1)(d),among other reasons. <br /> All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. <br /> Is all of the property used exclusively as described above? C.YES ❑NO <br /> Is the property used for financial gain or profit to either the owner or owner or organization making exclusive use of the property? ❑YES ®NO <br /> Is a portion of the property used for the sale of alcoholic beverages? ❑YES ®NO <br /> If Yes,state the number of hours per week <br /> Is the properly owned or used by an organization which discriminates in membership or employment based on race,color, <br /> or national origin? ❑YES ®NO <br /> Under••- : • of law,I declare that I have examined this exemption application and,to the best of my knowledge and belief,it is correct and <br /> complete. -.-'Eecl t I ly authorized to sign this exemption application. <br /> sign ' President and CEO 12/30/2015 <br /> here Authonzed Signature Title Date <br /> Retain a copy for your records. <br /> For County Assessor's Recommendation <br /> ❑ Approval COMMENTS: ( 1 �k:-1` <br /> ❑ Approval of a Portion — --�1 <br /> A.Denial ^ rtr;R �-4' <br /> Signatu o unty Assessor to <br /> For County Bo of Equalization Use Only <br /> I declare that to the best of my knowledge and belief,the determination made by the County Board of Equalization is correct pursuant to the <br /> laws of the State of Nebraska. <br /> ❑ Approved COMMENTS: <br /> ❑ Approval of a Portion <br /> Denied Arai 4 '!'�!J7, <br /> S or.tureof r e "•er Da <br /> County Clerk:A legible copy of this form showing the final decision of the County Board of Equalization <br /> must be delivered electronically to the Nebraska Department of Revenue within seven days after the Board's decision. <br /> Nebraska Department of Revenue,Property Assessment Division Authorized by Neb.Rev.Stet.§§77-202.01 end 77-20204 <br /> 96135-1999 Rev.1-2014 Supersedes 96-135-1999 Rev.7-2012 <br />
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