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9 O (6 <br /> evy --z_-- Application for Exemption FORM <br /> Nebraska Department al <br /> REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations 457 <br /> l' •To be filed with your county treasurer. <br /> •Read Instructions on reverse side. <br /> Applicant's Name Type of Ownership <br /> THE SALVATION ARMY <br /> Nonprofit <br /> Street or Other Mailing Address County Corporation <br /> 818 W THIRD ST HALL Other(specify): <br /> City State Zip Code State Where Incorporated <br /> GRAND ISLAND NE 68801 NE - <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Iitle Name,Address,City,State,Zip Code <br />• <br /> k &%.ac 0-;t% Vi`1Il1r�Vvr VYleo-l7 IRl5 1141>La•-ft, C4- Co:br�9 ±SLoaO,NEA�3 <br /> .c r¢.r��77C.r._.In1 �a.;n X4.A Meo-ly 1 215 1kowan9 CA.C rb_veR. lc�.rvM N G,SRcL3 <br /> 4 s V Si_ 7 170a--c c e4-c-40.-t LoI <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> •Attach an additional sheet,if necessary. <br /> Registration Date or <br /> Motor Vehicle Make Model year <br /> BodyType Vehicle ID Number Date of Acquisition, <br /> ) `j A r io S SE 414ZA\A2.33566095156 <br /> if Newly Purchased <br /> (41' 0v Co Xe- 6:b p 9 door Sr. ( I IGNKRGtbXAS3o74s6 <br /> ay.4v ro le" 02OI0 yroess v - n I Ma 6lbGs14i134sa5 <br /> Co re of t� O L.00tmerriL! e“. .4c NiJE-35L89DA8oYsb <br /> ftUsd. 1198 -t-tRu.re- IFb}V7a31WAo63Rl+ <br /> Fxe pt Uses of Motor Vehicle: Are the motor vehicles used exclusively <br /> 9 AgricuturalMorticutural ❑Educational 'Religious DOCharitable ❑Cemetery e as indicated? <br /> Give detailed description of use,including <br /> ((""a�n explanation if multiple use classifications exist:W t 9-,LK v to o—hrl ES 9 NO <br /> (�` p 0-VC ea-00e. - -rt).. G Y-�� C,o vr3 m,v.■ }�r 21Je-w}s If No,give percentage of exempt use: <br /> II .J {� co1r'�A_I s o-S4e-t'S S:,c,h a-S £loodS -Porn.-dots c' . % <br /> tn.� �,�c.v.: u� ak-v.ct cl zt i Ju- -1'oor:Q, C 1o+-�. :nc{ f-n. -f-L,re, , <br /> W l I 19, c,t4 ld fp b�Ilr-: ..cJ.uS o-wQ ciA-rJ :S'k'mrS Ka'HH<S, <br /> 2 OAS <br /> Under penalties• - ave examined this application and that lt is,to the best of my knowledge and belief,true,complete,and correct.I <br /> r gn this exemption application,and that the organization owning the above-listed property does not discriminate <br /> ce,color,or national origin. <br />• <br /> • <br /> Si • .�� � S c /7— is -}e/S` <br /> here Authorized Sign- �. `i,wm Yy. aog i 39o_ Liao 9 Date <br /> iTiTlr� FOR COUNTY TREASURERHECOMMENDATION <br /> [ APPROV• R q, ,r ' <br /> COMMENTS: /�""�"'�` ��, "s`�' ��y�Ri <br /> DISAPPR 1VAL NOV 1 4 Cd14 <br /> Signature df cSumy Treasurer Date <br /> I IALL COUNTY <br /> TREASURERS OFFICCOR COL NTY BOARD OF EQUALIZATION USE ONLY <br /> GRAND ISLAND,NEBRASKA <br />• <br />' [APPROVAL COMMENTS: <br /> 9 DISAPPROVAL <br /> /, s/, j_!a-45 <br /> 7Cthon •Yi• -drew ate <br /> Nebraska Department of Revenue ARMmM by Nth.Rev.Stet.§ 77-9n9(1)(c)awl(a).end 60-3,185,and 603,189 <br /> 96-253-2006 Ras.8-2011 Supersedes 96-253-2006 Rev.5-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br /> A <br />