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, n <br /> TO BE FILED WITH Exemption Application FORM <br /> YOUR for Tax Exemption on Real and Personal Property by Qualifying Organizations <br /> COUNTY ASSESSOR Read instructions on reverse side. 451 ' <br /> Failure to properly complete or file this application in a timely manner shall result in a disapproval of the exemption. <br /> Name of Organization Arno( .County County No. Type of Ownership <br /> Thissievl 0,y (St"ay'a Arno( V 1 cce Hall, 9 O'Nonprofit Corporation <br /> Street or Other Mailing Address State Where Incorporated ❑ Other(Specify) <br /> it).-9-a- W i2rh .Sir. IV <br /> City State Zip Code :Actual Value Parcel or Location ID Number <br /> grind 1s(a d Nc (c gel ' 55`f0) 90 ) 310 oo fib 9 b c/co(a <br /> Leal description of real property and general description of all tangible personal property,except licensed motor vehicles: 41 D O /f)4.,70 / 5 <br /> o%/i%zs Add -717) 'A !0_c7� ? {' 6 yea.-ti _T-310-,d L TS (o F 3 ?/f- 3 <br /> Wall/Lh5 AOp -TA -Mq. hrzird �& -�( LT- La !?/K /6 <br /> 1 Wet( is Act Te `M (Jt, '2 rk x r / 41K /(o <br /> Title of Officers, <br /> Name Directors,or Partners Address,City,State,Zip Code <br /> A/ire a I ItCCYCI Ai St di4d..i/dirty W'o C 'Ph c-f-- (j,va.J I lantt ; theRo/ <br /> Property described above is used in the following exempt category(please mark the applicable boxes): <br /> ❑ AgriculturaVHorticullural Society' ❑ Educational ® Religious ❑ Charitable ❑ Cemetery <br /> Give a detailed description of the use of the property: euurtf <br /> 'AgriculturaVHorticultural Society does not need to complete the following questions. <br /> .� <br /> Is all of the property used exclusively as described above? rinES U NO <br />• Is a portion of the property used for the sale of alcoholic beverages? ❑YES ..12..NO If Yes,state the number of hours per week <br /> Is the property owned or used by an organization which discriminates in <br /> membership or employment based on race,color,or national origin? ❑YES )2 NO <br /> 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 <br /> complete.I also declare that I am duly authorized to sign this exemption application. <br /> sign /Rely/et Ittazo A f /a /d' <br /> here Authorized Signature Title <br /> FOR COUNTY ASSESSOR'S RECOMMENDATION <br /> T <br /> XAPPROVAL COMMENTS: 7 7 -_ o• <br /> ❑ APPROVAL OF A PORTION }I <br /> DISAPPROVAL ' N �I <br /> ❑ • Signature C yo As e r Date " `� <br /> FOR COUNTY BOARD OF EQUALIZATION USE ONLY <br /> I declare that,to the best of my knowledge and belief,the determination hereby made by the County Board of Equalization is correct pursuant <br /> to the laws of the State of Nebraska. <br /> ;k((( APPROVED COMMENTS: // <br /> ❑ APPROVAL OF A PORTION / ` <br /> ❑ DISAPPROVED �i'aa.✓ . . .. . /e0 3 C !9' <br /> Signa 're of Co':o d Member [7 <br /> Nebraska Department of Reverre <br /> D6-135-1999 Rev.7-2010 Supersedes 96-135-1099 Rev.11-2009 R E I V EU §]1262.01 <br /> PLEASE MAKE A COPY FOR YOUR RECORDS JAN 1 2 2018 <br /> HALL COUNTY ASSESSOR <br /> GRAND ISLAND, NEBRASKA <br />