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File with Exemption Application FORM Your County forTax Exemption on Real and Personal Property by Qualifying Organizations 451 Assessor Read Instructions on reverse aide. Failure to properly complete or timely file this application will result In a denial of the exemption. Name of Organization County Name Tax Year Platte River Whooping Crane Maintenance Trust, Inc. Hall 2017 Name of Owner of Property Slate Where Incorporated Platte River Whooping Crane Maintenance Trust, Inc. Nebraska Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel 10 Number 6611 Whooping Crane Drive $205,667.00 400448254 City Site Zip Code Conrad Name Phone Number Wood River NE 68883 Charles A.Cooper (308)384-4633 x 116 Type of Ownership 0 Agrictitural and Horticultural Society S Educational Organization fl Religious Organization Charitable Organization ❑Cemetery Organization Name Title of Officers, Partners Address,City,State,Zip Code Directors,or Partners Douglas L.Curry Chairman Erickson&Sederstrom PC LLO,301 S. 13th St.,#400, Lincoln NE 68508 Craig Thompson Vice Chairman do 6611 Whooping Crane Drive,Wood River,NE 68883 • Brad Korell Secretarv/Treasurer Olsson Associates, Inc.,601 "P"St.,Ste.#200, Lincoln,NE 68508 • • Legal description of real property and general description of all depreciable tangible personal properly,except licensed motor vehicles: South Platte TWP PT N 1/2 E 1/2 7-9-10(98.62 AC). • • Property described above is used In the following exempt category((Nease mark the applicable boxes): ❑ Agricultural and HortmIturat Society ® Educational ❑ Religious ®Charitable ❑ Cemetery Give a detailed description of the use of the property: • The Platte River Whooping Crane Maintenance Trust,Inc.("Crane Trust")is a charitable organization dedicated to protecting and maintaining critical habitat for Whooping Cranes,Sandhill Cranes,and other migratory birds.The Crane Trust is closing on this property on December 31,2016,and will use the said property in 2017 exclusively for this purpose and for related charitable,educational,and scientific purposes.The said property is exempt from taxation under Neb.Rev.Stat.§77-202(1)(d),among other reasons. All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all d the property used exduslvely as described above? ®YES ❑NO • 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 Is a portion of the property used KK the sale of alcoholic beverages? DYES ®NO If Yes,state the number of hours per week la the property owned or used by an organization which discriminates in membership or employment based on race,color, or national origin? rl YES NO Under pent- of • examined this exemption application and,to the best of my knowledge and ballet,It is correct and complete.'also ,00 zed to sign this exemption application. sign Attomev for Crane Trust 12/28/2016 here Auth•. : -( Title Date Retain a copy for your records. For County Assessor's Recommendation ❑ Approval COMMENTS: ❑ Approval of a Portion — r Denial Signature—. ••un y Assessor Date For County Boa • of Equalization Use Only 1 declare that to the best of my knowledge and belief,the determination made by the County Board of Equalization is correct pursuant to the laws of the State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion sn •-c7,2/—ct;fai 7 0-Denied MIer alt 4111P gnature of Coun p •; ber Date County Clerk:A legible copy of this form showing the final decision of the County Board of Equalization must be delivered electronically to the Nebraska Department of Revenue within seven days after the Board's decision. Nebraska Oapamient d mamma,Properly Assessment Division Authorized by Nab.Rev.Slat_1)77-202.01 and 7-202.04 99-135-1099 Rev.1-2014 supersedes 9E-135-1999 Rev.82012 •