Laserfiche WebLink
Able— <br /> Via, D Application for Exemption FORM ot <br /> REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations 457 <br /> •To be tiled with your county treasurer. <br /> •Read Instructions on reverse side. <br /> Applicant's Name Type of Ownership <br /> TRINITY LUTHERAN CHURCH <br /> ®Nonprofit <br /> Street or Other Mailing Address County Corporation <br /> 212 W 12TH 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 /> Title Name,Address,City,State,Zip Code <br /> CkUJcrviart Co • e .. i71 -4-,nin %%CtXI as - III (tn4-. nnr.al pr. 0 avid Is land N (eR.WD) <br /> VI CC.CLtftarm •• 1i ca , kt. ! 1 hilt • - . . • - lb r 1I <br /> -Vita.Su.V49 r 17,11 W 1 I Pxcrrs— 'liq W Z-t St. ' r 11 <br /> n t d1 . k . . A I - inn - f • • , C ni✓LCLh NI E <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> •Attach an additional sheet,if necessary. <br /> ' Registration Date or <br /> Motor Vehicle Make Model Year BodyTyPe Vehicle ID Number Date of Acquisition, <br /> II Newly Purchased <br />. Docile. Igg5 R .,wt- Nfa airs. Pa3.�o a65w335Z�_SKbiBo? <br /> Ft,v_ .. • .. CA_ • • rt' F a. <br /> Exempt Uses of Motor Vehicle: Are the motor vehicles used exclusively <br />• ❑AgriculWrelMorlicultural Educational (�I Religious ❑Charitable ❑Cemetery as indicated? <br /> UP <br /> Give detailed description of use,including an explanation it multiple use classifications exist: l AI YES El No <br /> I l zd -For trccf1 S p or YLgJ Cr`1 U k'C�l cc v1(� S C 11 co 1 It No.give percentage of exempt use: <br /> Ani u kV '�Uv- attlVit1CS. % <br />• <br /> Under penalties of law,I declare that I have examined this application and that it is,to the best of my knowledge and belief,true,complete,and correct.I <br /> also declare that I am duly authorized to sign this exemption application,and that the organization owning the above-listed property does not discriminate <br /> in Membership or employment based o(n1 race,color,or national origin. <br /> signn ' <br /> as 0.7L2,`_i^ Q L k.Vl Fj5[.1A NQjt y y �y L1C_Il \ y1� <br /> here 'AuthorizedSignature Title Dat t e q <br /> FOR COUNTY TREASURER RECOMMENDATION <br /> APPROVAL RECEIVED COMMENTS: 'I1rr /2t'.i A-1l67_5- " 77—Q.0.? <br /> ID DISAPPROVAL DEC 2 2014 <br /> Qom/dj /-9—./.. <br /> • Signature of County Treasurer Date <br /> HALL COUNTY <br /> TREASURERS OFFICE FOR CC UNTY BOARD OF EQUALIZATION USE ONLY <br /> GKAINU ISLAND,NEBRASKA <br /> 93.APPROVAL COMMENTS: r <br /> -❑DISAPPROVAL ,If :/ <br /> �.onzed igm, re Date <br /> Nebraska Department a Reaenue Authorized by Neb.Rea.Slat 1§77-202(1)(e)and(d).and 80-3,185.and 803,189 <br /> 98-2532006 Rev.6-2011 Supersedes 96-253-2008 Rev.5-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />