Laserfiche WebLink
�^--�- Application for Exemption of b`(p <br /> Nebraska Department of FORM <br /> REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations <br /> •To be filed with your county treasurer. 457 <br /> •Read Instructions on reverse side. <br /> — <br /> Appicanl's Name Type of Ownership <br /> OVERLAND TRAILS COUNCIL BOY SCOUTS OF AMERICA ®Nonprofit <br /> Street or Other Mailing Address County Corporation <br /> 2808 O'FLANNAGAN ST HALL <br /> ❑Other(specify): <br /> City State Zip Code State Where Incorporated <br /> GRAND ISLAND NE 68803 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OFTHE NONPROFIT ORGANIZATION <br /> Title Name,Address,City,State,Zip Code <br /> Prflyrf Protrlvr.t MnrlcMn.tMn '72-0CcsHt1nu;8 t\rI Lane I{9ar-nr.isNNFLk Fs'Y`i <br /> j-'1i arrt.Trro as:to r Pirxr, Vin nitrites r-12.1 N M rch 4n Atte 6mnci_ slci r.c l: NE 1n 5M3 <br /> f]nani,i¢Crpinr,1 I.--3r nerF PIA- iNaAj e Pi nr,d, i5 V4 V\ . I1ivt nu Grarrd tsln..rl NF la&0-I <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> •Attach an additional sheet,It necessary. <br /> Registration Date or <br /> Motor Vehicle Make Model Year Body Type Vehicle ID Number Date of Acquisition, <br /> If Newly Purchased <br /> 1{nitFm0 n 2015 'Trailer 58HFX14941 nThente4O 1-1-IV-1�i <br /> 1-ia.t,Ln-irk. 20 ILI —17-as(-Lk- 53 6137-q2.2E61 20 401k 3-3i-ICI , <br /> Fnrri 149"1 Cab-Cba; in-?rerun 1F73 LF41F2V�1�(1T'I1 3-i1-t4 <br /> Exempt Uses of Motor Vehicle: Are the motor vehicles used exclusively <br /> 0 AgricuhuralMortcuaural Educational ❑Religious ❑Charitable ❑Cemetery as indicated? <br /> Give detailed description of use,including an explanation If multiple use classifications exist: ®YES ONO <br /> Trwier-s `. .corn\ru.cL Used Rr- Card p GpQ.ra- 1tt'\- <br /> If No,give percentage of exempt use: <br /> 1 Tatars a15b used mobile. QCt1VLilts in VGrtbt-S Ccrnmun.i-ies % <br /> I <br /> rider penalties of law,I declare that I have examined is application and that i is,to the best of my knowledge and beief,true,complete,and correct.I <br /> a declare that lam duly authorized to ,-!n this.. , • n application,and that the organization owning the above-listed property does not discriminate <br /> in rhembe ' r employment •-.-.on •• , ional origin. <br /> (t <br /> sign <br /> hereTitle - Ee�;r-E,;te I2.-2-15 <br /> A Signature Title Date <br /> FOR COUNTY TREASURER RECOMMENDATION <br /> APPROVAL RECEIVED COMP ENTS: EASURy, "(2/1-1--) /v <br /> ZP— 'c a' <br /> t.I.TR <br /> E]DISAPPROVAL �,S icti- q <br /> DEC 7 2015 of or�¢a..�, cksEALLY .A /4P-//'-/..r <br /> CC �7'y it Signature of County Tteasurer Date <br /> TR MALI.ERS OFF FOR COUNTY BOARD OF EQUALIZATION USE ONLY <br /> GRAND ISLAND.NEBRASKA - <br /> 'APPROVAL COMMENTS: <br /> • <br /> E]DISAPPROVAL 4' / <br /> A :. Sigma- are rate <br /> Nebraska Department of Revenue Authorized by Nth Rev.Scat.§1 77-202(1)(0)and(d),and 60.3,185,and 60-3,189 <br /> 96-253-2006 Rev.8-2011 Supersedes 98-253-2008 Rev.5-2009 <br /> PLEASE RETAIN A COPY FORYOUR RECORDS. <br />