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.File with the Property Valuation Protest FORM <br /> DfFiCE <br /> 'County Clerk and Report of County Board of Equalization Action ED IN co? TY CL <br /> (See InSIructI.ns) County Name HAL�A f N ' "� - , k CLERK <br /> Name and Mailing Address of Person Filing Protest Protest Numb^001 <br /> Name 8i itYalnie1/4; r <br /> • e • 0 r 1 • 1)-AS - C • Protested Valuation 20 16 Re•M1i! ' irm <br /> Street or Other ailing Address Land Land <br /> - <br /> $ // ( l6 /l 6I _ <br /> Zip ) Flt :e ehed t�iaRA9e p <br /> City,Town,or Post Office State Zi Code Buildings pp i <br /> 6Rernr+) .7:S1/9.41-1 Al o_ 6�sr0/ $ nj37Sr" $ a000Cae Ft — <br /> Property Identification Number Phone Number Total Land and Buildings Total Land and Buildings <br /> goon 6a55'a 382-776 t $ / 51; 79V $ l 3) 4 t 6 <br /> Real Property Description(Include Lot,Block,Addition,Location Address,Section, Personal Properly Personal Property <br /> Township,Range,and County)and/or Personal Properly Description $ $ <br />.• / 3 0 3 /U ST. Pau l( i D- p Reasons for requested valuation change(Attach additional pages d needed.) <br /> GeoPVC- Loan'S Sal) S gg'LT C &Sf'$rCTS" Ialuailen -{o h;cp( <br /> 13.-x' 8 <br /> sign !� C�] '_���� /� 7- 16 <br /> (�� Date <br /> here Signature o erson Filing Protest <br /> LCounty Assessor's Recommendation Referee's Recommendation(If applicable) <br /> Refire-.4e_. ii.:YeA CD <br /> Ch a.,.- e Cah-port s.c- -v. <br /> Decision of County Board of Equalization for Assessment Year 20 '(0 I <br /> Basis for Action Taken(County Board of Equalization Chairperson) Land <br /> $ b ‘ Coi!o <br /> HEARING WAS HELD Buildings <br /> QUANDT MADE A MOTION AND LANCASTER SECNDED TO SET THE VALUE CSSC) <br /> OF TE CONCRETE AT $1 ,530.00 AND THE VALUE OF THE SUN SHADE AT Total Land and Buil tugs <br /> $ i4 1loGn <br /> $920.00 7 YES VOTES MOTION CARRIED Personal Properly ' <br /> $ <br /> Check One: <br /> 0 The county assessor has certified to the county board of equalization that a copy ❑Attached is a copy of that portion of the property record file which substantiates <br /> of that portion of the properly record file which substantiates the calculation of the the calculation of the protested value.If dissatisfied with the boards decision,this <br /> protested value is maintained in the county assessor's office in electronic or paper report and the property record file may be used to complete an appeal to the Tax <br /> form.If dissatisfied with the board's decision,this report and the property record file Equalization and Review Commission. <br /> may be used to complete an appeal to the Tax Equalization and Review Commission. <br /> si.rure of Co ty 1.1.67bi 1. eirpe on <br /> I County Clerk Certification <br /> Dale the Protest was Heard Date of the Decision Date Notice of Decision was Mated to Protestor <br /> II 1 leD-olio II, I l ( l,cP itIA+ ( Oot c. <br /> The undersigned certifies that a copy of this prolest and report of the action of the county board of equalization,which has been accepted by the assessor,has <br /> been mailed to the protestor at the abo --shown address on ,20_ <br /> is illy /_ KlQ■It b42.. t Aso ' 6 <br /> Signature of aunty Clerk / Date <br /> Nebraska nepan/nem of Revenue Authorized by Neb.Rey Stat.§77-1502 <br /> 96-199-2000 Rev.4-2014 Supersedes 96-199-2000 Rev.5-2011 <br />