Laserfiche WebLink
Nebraska Department or <br /> ^rr'•""'..•`�•• •v. ...v••.t...•v•. .40 I Le rurim <br /> 1 REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations T\ 457 <br /> •To be filed with your county treasurer. <br /> •Read instructions on reverse side. _ <br /> Applicant's Name Type of Ownership <br /> ST. STEPHENS EPISCOPAL CHURCH <br /> t i Nonprofit <br /> Street or Other Mailing Address County Corporation <br /> PO BOX 2317-422 W. 2ND STREET HALL <br /> ®Other(specify): <br /> City State Zip Code State Where Incorporated <br /> i GRAND ISLAND NE 68802 NEBRASKA i <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Title Name,Address,City,State,Zip Code <br /> Rector Rev. Dr. Robert M. Lewis:2642 Carleton Ave.#8 Grand Island, NE 68803 - <br /> Rector's Warden Mr.Byron Moore:2808 Lakewood Circle Grand Island,NE 68801 <br /> People's Warden Mrs.Kathy Stoddard:1607 S. Harrison St. Grand Island,NE 68803 <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> •Attach an additional sheet,if necessary. <br /> Registration Date or 1 <br /> Motor Vehicle Make Model Year Body Type Vehicle ID Number Date of Acquisition, <br /> if Newly Purchased <br /> Ford-Taurus 2007 4-door sedan 1 FAFP53UX7A148569 8/15/2008 <br /> Exempt Uses of Motor Vehicle: Are the motor vehicles used exclusively <br /> Agricultural/Horticultural Di Educational ®Religious ❑Charitable ❑Cemetery as indicated? <br /> Give detailed description of use,including an explanation it multiple use classifications exist: ®YES ONO <br /> Transportation for the Rector, Parish staff and or its members in order to share the gospel, <br /> provide outreach and ministry to all persons, including shut-ins, and the needy of Grand If No,give percentage of exempt use: <br />. Island and beyond.Also used for travel to and from services, residences and church o <br /> meetings, conferences, retreats and Youth events such as summer camp. <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 on race,color,or national origin. <br /> /7 <br /> Sign , <br /> A t ' s _ I I—I3- 15 <br /> her • ,n ::—ignature — / Title Date <br /> I Lam''" FOR COUNTY TREASURER RECOMMENDATION <br /> � / S <br /> [�]APPROVAL RECEWED COMMENTS: �--�—"' eerie �v4:5 �7 c0c . <br /> �-424,37y - L <br /> .1/4.04494.t <br /> LI DISAPPROVAL n1 C- � oEF� : <br /> NOV 2 0 2 15 to to,d��- <br /> ' ►Signature of County Treasurer Date <br /> TALL COUNTY <br /> GrtAiV <br /> TREASURERS I�R COUNTY BOARD OF EQUALIZATION USE ONLY <br /> [APPROVAL COMMENTS: <br /> El DISAPPROVAL / <br /> Au.S riz,.a • :41. z Date° <br /> Nebraska Department of Revenue Authorized by Neb.Rev.Slat.§§?l-202(1)(c)and(dl,and 60-3,185,and 60-3,189 <br /> 96-253-2006 Rev 8.2011 Supersedes 96253-2008 Rev 5-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS, <br />