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<br />o <br /> <br />DR-504 <br />A. 06/88 <br /> <br />AD VALOREM TAX EXEMPTION APPLICATION <br />AND RETURN <br /> <br />RETURN/APPLICATION NUMBER <br /> <br />For use of organizations applying for exempt status under Chapter 196, Florida Statutes which are organized and operated <br />for one or more of the following purpose(s): (Check one or more) <br /> <br />:B Religious 0 Literary 0 Charitable 0 Scientific 0 lIospltals, Nursing lIomes, lIomes for Special Services, 1I0mes for Aged <br /> <br />o (Other) <br /> <br />IKJ GENERAL INFORMATION <br />I. Full Name of Organization: I <br />Trustee Corporation of First Baptist CblU'chof Zephyrhills,Inc <br />2. (',olllplete A(ldress: <br /> <br />County Where Property is Located: <br /> <br />Pasco <br /> <br />Business Phone: <br /> <br />38300 Fifth Avenue <br /> <br />78Z-5574 <br /> <br />3 Address of Property if Different From 2: <br /> <br />51 ZZ Sixth Street <br /> <br />4. List All Owners of the Property and Their Proportionate Interest: <br /> <br />5. Legal Description (Appraiser's R.E., Parcel No. etc. may be substituted): <br />The West 90 feet of Lots ZI, ZZ, Z3, & Z4 Block 185, City of Zephyrhills, as recorded in Plat Book 1, <br /> <br />PaRe 54, Public Records of Pascou County, Florida. <br /> <br />6a. Is the Organization Incorporated? <br />~ Yes 0 No <br />7a. Is any of this property rented or leased? <br /> <br />6b. If not incorporated, what is forlll of organization? <br /> <br />o Yes :XX No <br /> <br />17b. If yes attach a copy of all active rental and/or lease contracts last year. <br /> <br />8. Owner's statement of full value: <br />Heal Property Improvements............"............,..............,..,....... <br /> <br />Heal Property Land...........,............,.,................................... <br /> <br />Tangible "ersonal Property.....,...,....",.....,.",........",.,...."..."... <br />9. What is the property lIsed for? <br /> <br />s......................................... <br /> <br />S.. ..... ....... .... .................. ..... <br /> <br />S......................................... <br /> <br />Shelter for abused women & their families <br /> <br />10. Is any portion of the ahove desf'I"lhed property used for non-exempt purposes? <br /> <br />o Yes Xi No <br /> <br />(H yes attach detailed explanation) <br /> <br />Attach Extra Sheet if Necessary <br />