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DEC-29-2016 03:46P FROM:KANSAS EAST CONE 785-272-9135 TO: 13083855059 P. 1/1 <br /> File with Exemption Appli ation ! FORM <br /> Your County forTax Exemption on Real and Personal Prope by Qualifying Organizations <br /> Assessor Reed MOWN.*on - side. 451 <br /> Failure to properly complete or timely gale this application II result In a denial of the exemption, <br /> Nun.el OtgaNxadon County 'mbYear <br /> caveat Ffaivts Uniirad ►s-il dist Covli'etevlce t,.. Hal 20t7 <br /> r I i chary State Incorporated <br /> /tfele Ann dal Conceit-cc of•r4r iMiixej Mel-Inerst ran Sag <br /> Sweet or Other Inane Address orApp ad Chard" Total - Value��at Rat and Pomona'Properly-Parer ID Numbber^� <br /> $ 2 / &Z2.- 4 •✓4 076 • <br /> coy Zip .. CerRact Mme Number <br /> t_IY1COiIl I�k� �a6&o4 P f f f pl�i 23 .0 <br /> Type cf OmrnhD <br /> OAgrloeual end Nwu:taw&Sod.ty 0 Educational Organization an us• Doewse Omaniredern OCemetery Organization <br /> 1 Name Tole ra,a of o facaP.rinare re, Address,City.State,State,Zlp Ca 1 <br /> alreele <br /> Coat, Rona, rrasurer- '4-20t Sot) J. +i+cf- Tsptdca. KS (14.04 - <br /> tap!d..alpaon of mei properly aid sarandeacfptfm of all drpmelable targlbla patroalpmpiny, i - •t 9Cau.d motor whiffet <br /> • <br /> k CD Rf lYI+ . °e� <br /> Roper y daubed above Is used In ten following exempt category(plena mark W epplcbii banal: es . <br /> ❑Aviculture:and NwtlnMUdsowo' ❑Educational Va Religious ❑Chant. ❑ Caning 10f� <br /> ON.•defied d..wlpdm ef the use el the property- <br /> AY organizations,avicepl tom Agdouhual and Horuculluml Society,mud complete the • • rig questions <br /> te r of as pmpedy used.date se degOlbed eawy I ®YES ONO ;' <br /> is the pnpeny used for era dd pin at Noel to Aar the owner or owner or mymendon rlteWng - she use of the pmpety ❑Yes 121 NO <br /> Is■pardon ci the ptoperly used for the isle of Mach*b.vemges? OYES ®NO <br /> N1M.Male the number of heron pet week <br /> Is ea popery owned or used gran oganleatlon which daalmlnws in nmmbemmp or band mina Son <br /> or national origin? I ❑TES fa NO <br /> under penalise of law.I that l maned Iles.xempdon application .,in the but of my knowledge and latel.It Is comet and <br /> also declare tat I duy ad b sign Nall exemption application. <br /> sign �" -,ate ZSZa c.1� i rerun i2.1Zg1!(. <br /> here M"a"re° Ogle <br /> Retain a copy for your 1 -cords. <br /> I ��??ll For County Asaessa,'.P -. I.mendsTtlon I <br /> ykt Appronl COMMENTS: El' <br /> n ;, (t I 77-- .Z r n� <br /> ,❑`Approval of a Portion _../� -7 <br /> ❑ Denial ' leaser QV V rrt..n& <br /> OM_ v7y c ` <br /> S pnea•� <br /> For County Bas of Equalize ,• use Only I <br /> 1 depw that to the but of my knowledge end DAM me delennbatbn made by dead of Egrab lion Is carom puauerd It IS • <br /> laws et the Slate ce Nebruke <br /> Alapprived COMMENTS: <br /> ❑ Approval of a Portion a ga <br /> .Rats. County Baud ,ate <br /> County Clark:A legible copy of this form showing the final • glen of the County Board of Equalization <br /> must be delivered sdetronlally to the Nebraska Department of nor within seven days after the Board's decision. • <br /> rtbmb Oselou.ts t Revenue Preens An.rr.w.motel ANMbsd by Nib.lid See ire?foetal Red 77.2l.0e <br /> ee.ni.teeb net 14011 Supermen•b.ts.t •k An tame <br />