07/11/2017 - 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 Grand Island Area Habitat for Humanity Inc Hall ZO I-) Name of Owner of Property State Where Incorporated Grand Island Area Habitat for Humanity Inc Nebraska Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number 502 W 2nd St. $ 2_C)/000 f--40 0 t 2- 3 2 City State Zip Code Contact Name Phone Number Grand Island NE 68801 Dana Jelinek 308-385-5510 Type of Ownership 0 Agricultural and Horticultural Society ❑Educational Organization ❑Religious Organization ®Charitable Organization Cemetery Organization Name Title of Officers, Address,City,State,Zip Code Directors,or Partners Brian Schultz President 812 W. 15th, Grand Island, NE 68801 Matt Bennett VP 2524 W. Phoenix. Grand Island, NE 68803 Daniel Roth Treasurer 4153 Arizona Ave. Grand Island, NE 68803 Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: E-vans Add 131ktt Lot 4 RECEIVED Property described above is used in the following exempt category(please mark the applicable boxes): MAY 1 201 r ❑ Agricultural and Horticultural Society ❑ Educational ❑ Religious ® Charitable ❑ Cemetery HALL COUNTY ASSESSOR Give a detailed description of the use of the property: GRAND ISLAND, NEBRASKA Property has been acquired as a site for Habitat for Humanity housing. Cur nAc1 on t5 Ptt� — Dee , Plains ) BlcX Dep�. \ f ' "P e--r -�.�.- . All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. Is all of the property used exclusively as described above? /e YES ❑NO Is the property used for financial gain or profs 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 It NO if Yes,stale 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 1t,NO Under penalties of law,I declare t .ave examined this exemption application and.to the best of my knowledge and belief,it is correct and complete.I also are that I am du aut 'zed too sign thTexemp'on application. Sign ' & - ��it_i e� Executive Director col/ Ii 7 here Authorized Signature Tine Dare Retain a copy for your records. For County Assessor's Recommendation i gApproval COMMENTS: Clip .ertAr `Z— a 0? ❑ Approval of a Portion ❑ Denial 1111PAru . , • % t . % Cr —aril— 6, Signature o l- n -ssessor Date For County Boa • 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 laws of the Stare of Nebraska. Approved COMMENTS: ❑ Approval of a Portion ❑ Denied :,—c. ' /St• 4_,,L_.!,i. -f ,. 0 i/ e2.0/7 Signature of County Ain:. -.• her 0 / / 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 Reverse,Property Assessment Division Authorized by Neb.Rev.Star.077-202.01 and 77-202.04 96-1351999 Rev.1-2014 Supersedes 96-135-1989 Rev.7.2012