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File with Your County Exemption Application FORM Assessor on or for Tax Exemption on Real and Personal Property by Qualifying Organizations 451 Before December 31 Reed 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 Cathedral of the Nativity of the Blessed Virgin Mary Hall zg�,a 91)19 Name of Owner of Property State Where Incorporated 9`�� 1 Cathedral of the Nativity of the Blessed Virgin Mary Nebraska Street or Other Mailing Address of Applicant Total Actual Value of Real and Personal Property Parcel ID Number 112 S Cedar $79,950.00 City State Zip Code Contact Name Phone Number Grand Island NE 68801 James R Golka 308-384-2523 Email Address frjim @stmarysgi.com Type of Ownership ❑Agricultural and Horticultural Society ❑Educational Organization ®Religious Organization ❑Charitable Organization ❑Cemetery Organization Name Title of Officers, Directors,or Partners Address,City,State,Zip Code Joseph Hanefeldt President P O Box 1531, Grand Island, NE 68802 Charles Torpey Vice President 2635 Brennen Lane, Grand Island, NE 68803 James Golka Secretary 112 S Cedar, Grand Island, NE 68801 Legal description of real property and general description of all depreciable tangible personal property,except licensed motor vehicles: See attached Property described above is used in the following exempt category(please mark the applicable boxes): ❑ Agricultural and Horticultural Society ❑ Educational ® Religious ❑ Charitable ❑ Cemetery Give a detailed description of the use of the property: R[ 9 fDtt Construction of Nuns Quarters SEP 1 4 2018 y i �c�OFs All organizations,except for an Agricultural and Horticultural Society,must complete the following questions. GBAI ) !St f f f c A)Kr1 Is all of the property used exclusively 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 for the saleof alcoholic beverages? ❑YES 3 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? ❑YES 3 N 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 complete.I also declare that I am duly nauthorized to sign this exemption application. sign k C`CV , �a... " Rector 9/11 ' 1 here Authorized Signature Title Date/ Retain a copy for your records. For County Assessor's Recommendation _ ❑ Approval •MMENTS' I r/♦ It y f ♦ I J ❑ Approval of a Portion A II fl1�� -, , I Denial a t s L ■ Mir v _at r: o ty ' -uo I' — 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 laws of the State of Nebraska. ❑ Approved COMMENTS: ❑ Approval of a Portion I' Denied te . a✓2t fit. de : -(0 c-6- /O // __ Si. ature of••unty Boa. re Date County Clerk:A legible copy of this for sho ng the final decis • • • •- County Board of Equalization must be delivered electronically to the Nebras'. •- •artment of Revenue within seven days after the Board's decision. Nebraska Department of Revenue.Property Assessment Division Autnorized by Neb.Rev.Star §§77-20201 and 77-202.04 96-135-1999 Rev.4-2018 Supersedes 96-135-1999 Rev.1-2014