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DEC-29-2016 03:46P FROM:KANSAS EAST CONE 785-272-9135 TO:13083855059 P.1'1 <br /> File with I Exemption Application I FORM <br /> Your County for Tax Exemption on Reel and Personal Property by Qualifying Organizations <br /> Assessor Reed Inetructle.s an raver tiOrilde. 451 <br /> Failure to property complete or timely ate this application/via result In•dental of the exemption. <br /> None ol Organization County tire tenni <br /> fired+Flaios Unified stkiedist Conker once Inc Hal 20W <br /> S+off s a my Cade Whys Incnpmled <br /> into le Atnnual Curcroierite oar' 4-4r Units 4i Mel-Wary( ran Sag <br /> siset or Mar wain°Adds.&App cant Clds/rare Total MCI Value of Real and Amon.Property Parcel ID Mints -Tl� <br /> $ 2 ! en- ev <br /> Pnpne Number _ <br /> .incoln roc 66s04- Ra{rFk bl cfrel etc-74S Za& <br /> Toe aDrains <br /> ❑AgricMtnl rid itenlnse.el Soddy ❑Educational Ofgan+radon Sfteepous Orr.nhaacn ❑csnlae.Orpnnelon ❑Cemetery Orgenlxncn <br /> Mama TNte a Wain, Aden.,City,Stale,Zip Code <br /> alneten,err Partners <br /> Loan, f4eadi era surer A-zot Su) IfrLa${- tcpd a, KS 124.04. <br /> Sod deeabafm0f reel Poperya nd wend deaakeor a all d.praclabla•tasirepemmatprapeny.PM'ecned IDS vehcle ; <br /> 41 \a(i 011+ . °fig • <br /> Property descMed above Is used in the tasawng exempt canto moose mark the applicable bonny 'S <br /> Q Agricultural and wntwnu.r eoalsy ❑ Edw./atonal g Raba ❑feedbag* ❑ Censay ?Of, <br /> GIW•detailed de.odPdan of the me al Me Propertr <br /> All organIsatlera,except loran Walton and Horticultural Society,must canplele the lotwing question. gyp,, <br /> te as el ere properly used*tusk*a described WWMWT.. La•ga ❑NO 4 <br /> Is the property used far enema pin or moat le sew the Wine arowpe!or organization Meow gctuslva ISP a the propertn Qns is NO <br /> Is a°orlon of the properly used tar the sale of skate*bevn.p.s? DYES ®NO <br /> The,slate the number ad lieu..p.r win <br /> Is Is property awned or used by en organization welch deaknlnwa In mambnMp or enpeymerp based an race,anoc <br /> or national angle ❑TES ®NO <br /> Under penalise al lard tee I ve essmhed eras armpYan application aryl,lo the bee a my knowledge and belie,e la coned and <br /> she dean sat I duly tied to sign tide.anpeon epptice on. <br /> Sign rue tz <br /> zcJt.. <br /> here , � Den <br /> Retain a copy for your *cords. <br /> I �/i For County Assassor's Recoestnandation I ' <br /> W!.Apprbye COMMENTS: �it[,p z�ft �� 77- ;If- >;� , <br /> /❑`Approval a.Portion / —T'> <br /> El Denial l) � AS, e (\J n <br /> w 17—ci 'Sanders tyAwuea Oats •I Foe County of Egwgntcn Use Only I <br /> I flare Me to ere beet a my kmaxledge and bask the Samaras kin made or erCardyBoard of Ukase:aeon ls correct pursuant lame <br /> laws of the grate of Nebnelr. <br /> *Approved COMMENTS: • <br /> ❑ Approval of is Portion MI Al > <br /> ..Cotutyeadni 'se <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 Reymann within seven days:Mar the Board's decision. • <br /> Ne&.uai Deeober.a Revenue,RaMMA/.WnA Make Pfeherbed by Nob.l .sal ear Tia2.01 and 17420204 <br /> 00.0e.1ea Rev.$.aHd Superodroll1S121.11119 f W.Fam2 <br />