Laserfiche WebLink
Aug. 3. 2016 11 :28AM trinity lutheran gi No. 0251 P. 2 <br /> Application for Exemption FORM <br /> Nebraska Depaeeenl of <br /> nEra E from Motor Vehicle Taxes by qualifying Nonprofit Organizations �J G7 <br /> -T6-be filed with your counlytreasurer, <br /> •Read instructions on reverse side. <br /> Applicant's Name Type el Ownership <br /> TRINITY LUTHERAN CHURCH ®Nonpreil <br /> Street or Omer Mailing Address County Corporation <br /> 212 W 12TH STREET HALL ❑plher{specify} <br /> Oily Sale Zip Code Slate Where Incorporated <br /> GRAND ISLAND NE 88801 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OFTHE NONPROFIT ORGANIZATION <br /> Tale Name,Address,Oily,Spl4 Zip Code <br /> CHAIRMAN OF CONGREGATION GARY SPOTANSKI-3016 BRENTWOOD BLVD GRANO ISLAND.NE 66801 <br /> VICE CHAIRMAN OF CONG. DAVE RICHARDSON-221 E ASHTON GRAND ISLAND,NE 68801 <br /> TREASURER TAMMY BEERS-710 W 7TH STREET GRAND ISLAND,NE 68001 <br /> CHAIRMAN OF TRUSTEES LARRY WILTON-2S6 E AIRPORT ROAD GRAND ISLAND,NE 66803 <br /> DESCRIPTION OFTHE MOTOR VEHICLES <br /> •Attach an additional aheet,Ii naceasary. <br /> Raulslftictl Dote or <br /> MatarWhiele Make ModelYeat BadyType Vehicle ID Number Otte d Acquisition, <br /> It Newly Machined <br /> FORD 2010 CUTAWAY VAN E450 1FDFE4FS7ADA74436 <br /> Exempt Lien of MolorVelicle: Are the motor vehicles used exclusively <br /> as indicated?ApiwlwaVHorliaMuTal S Educeyonal Ragld ❑pudelae ❑Cemetery <br /> Caws:dersied daaeipion at use,including an e>alanalion If mu6iple use clasdlicaliona Set RYES ❑we <br /> USED FOR TRANSPORTING CHURCH AND SCHOOL MEMBERS FOR ACTIVITIES. gNo she percentage d exempt use: <br /> Mom emanate of law,I maws Ines t nave examined this apptcetbn and Thal it is to the beet of my knowledge and belief, me,complete,and mrrect.I <br /> atao nectars Niel lam duly authorized to sign this exemption application.and that the arfanaalion awning the amveaeted properly does not discriminate <br /> b membership or employment based on race,color,or national origin. <br /> Sign e ! i , BUSINESS MANAGER 8/3/2016 <br /> here Author'teed Signature- Tile Bate <br /> FOR COUNTY TREASURER RECOMMENDATION cc <br /> JCPPROVAL COMMENTS: Dtn9 /121-4—) %' '5 �, '77—�� <br /> ❑PISAPP AL RCLsCIVt� N � T11 <br /> Al if 3 2016 Signature ountyl7eeeure pate <br /> FOR COLIN'Y BOARD OF EOUAUZATION USE ONLY <br /> HALL COUNTY _-APPROV L TREASURERS OFFICE'''" EKYS: <br /> / GRAND ISLAND NEBRASKA <br /> ❑DISAPPROVAL <br /> Au.e z • - - Pt Bata <br /> reewaskaDepenmeM at Revenue MatlmedbyNe4 nnSloL if f.a2l7LM and(4 aMMW,led.OM MAIM <br /> 9&2542006 PaL 1-2011 Sylaraedes lie-20.2006 flat 6-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />