04/18/2017 - Laserfiche WebLink

Home Browse Search

File with Exemption Application FORM Your County for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 Assessor Read instructions on reverse side. Failure to properly complete or timely file this application will result in a denial of the exemption. Name of Organization County Name Tax Year FRIENDSHIP HOUSE, INC HALL 2017 Name of Owner of Property State Where Incorporated FRIENDSHIP HOUSE INC NEBRASKA Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Properly re IM i 406 W. KOENIG City State Zip Code Contact Name Phone Number GRAND ISLAND NE 68801 CHASE FRANCL 308-382-0422 XT 1 Type of Ownership 9 Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Charitable Organization ❑Cemetery Organization Title Name of Officers, Address,City,State,Zip Code Directors,or Partners SEE ATTACHED Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: RAILROAD ADDITION, BLOCK 106, 1&2, HALL COUNTY � �r� . ._ [,� E!"�C I! 06-D 701 Ai a 1 )�i ,t( (, 4Rd 1/512017 NM) RN) " CIAILL COUNTY ASSESSOR Property described above is used in the following exempt category(please mark the applicable boxes): G AND IS LA N0; NEBRASKA ❑Agricultural and Horticultural Society ❑ Educational ❑ Religious @Charitable ❑ Cemetery Give a detailed description of the use of the property: y. ! .L 1 - , �' ,ry. t%i a Not.t1 —re of # 1>te ;za!•.n -b+ �r✓nrl ek o...r evi ren4 c4 -tnSe1s.4j s.t . cee5 4.. q'" t" Lsio.4d ' si4 1VI'VU✓KtL ' 1 r�u�itr.. rr'CS 9n51tsiti c-^d $�xo.,,s%1 -�s�g t.'r[J „nit.,..d VG.VS Lk (✓�m,� J • All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the property used exclusively as described above? 0 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 for the sale of alcoholic beverages? ❑YES ®NO If Yes,state the number of hours per week Is the property owned or used by an organization which discriminates in membership or employment based on race,color, or national origin? OYES in NO Under penalties of law.I declare that I have examined this exemption application and,to the best of my knowledge and belief,it is correct and I plete.I also declare that 1 am du authorized to . n this exemption application. sign 0,7_,,,,44,_ „t EXECUTIVE DIRECTOR 3/14/17 here Authorized Signature Title Date Retain a copy for your records. I For County Assessor's Recommendation RApproval COMMENTS: C O yp:i 77-- an .A ❑ Approval of a Portion r Lt ❑ Denial ► e . : . 1 .;,�. - T- ■a- k-Z Signature of' . Assessor Date For County Board of Equalization Use Only 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 h laws of the State of Nebraska. gApproved COMMENTS: ❑�Approval of a Portion ❑ Denied -- /' —.<, V, l/ Ite Signature of County Boa Mir.e 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 Department of Revenue.Property Assessment Division Authorized by Nell Rev.Slat.§§77-202.01 and 77-202.04 96-135-1999 Rev.1-2014 Supersedes 96-135-1999 Rev.7-2012