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JAN/05 :2017/TUE 04:42 PM Fonner Park FAX No. 308 384 2753 P. 002 <br /> a0 /7 <br /> ae- Application for Exemption FORM <br /> REVENUE from Motor VehicleTaxes by Qualifying Nonprofit Organizations <br /> imesemnin 'TO be filed raft gout county treasurer. 457 <br /> •Reed inalruclo ie on,averse side. <br /> Appitaulb Name Type of Owhersltlt <br /> HALL.COUNTY LIVESTOCK IMPROVEMENT ASSOCIATION FONNER PARK ®Nonprofit <br /> eet <br /> Yeor Other Hailing Address Count/ Corporation <br /> 700 E STOLLEY PARK RD PO BOX 490 HALL 0 Other(specify): <br /> City sale Zip Code State Where Incorporated <br /> GRAND ISLAND NE 68802 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Title PRESIDENT - =-. - - ••... gas aS_ y a t . it :til• : ► • i,►: Li,la,. : r ' b. : :► <br /> 1ST VICE t3tkeillj,'1. lt' •tD nott►];ioneia m1:131x <br /> 2 s _ • :7' :. ► . . a_ , : 1 :a <br /> 1 ' IS U;a: 111:101:lei%11111t1(e)•.1i:hR. El AI IMH.,laft:Risk, <br /> SE RETARY'.. 111 ►.HIV:Yi =g11LISPAA MORAN anai'le :Tti <br /> TREASURER RUSS RERUCHA 2024'STAGECOACH RD GI NE 68801 <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> 'Attach an additional fleet,H necessary, <br /> MotorWehktaHetre ModeIYeer Bo Dale ofadatDatin, <br /> dy7ype whlcq N Number Date of Pu mason <br /> It Newly Purcaasetl <br /> Xs?jeaser '.ono/ 2O O ,A2?on -frt.c/5 br7i/n2h1.A,C0. 1,4W/VS`y.- <br /> Aice— 4o.tP <br /> E>oe pt Uses or MolorvetdCle: Are the motor vehicles used excluehely <br /> III AgdcueuarbHorticularret ❑Educational p Religious [i OIpdWie 0 Cemetery u Indicated? <br /> Give dataaed description at use,including an wOYnalion V multiple use classifications exist (pees ❑NO <br /> 4-H ACTIVITIES, COMMUNITY ACTIVITIES, PROMOTIONAL EVENTS OF AN <br /> EDUCATIONAL OR CHARITABLE NATURE, HORSE RACING, AGRICULTURAL EVENTr 41"PStsaegadwaamPtlw-a: <br /> INCLUDING THE HALL CO FAIR & NE STATE FAIR & STATE 4-H HORSE SHOW % <br /> undo?penalties of law,I declare that I have examined this application and that t is,to the beet of myloewledge and bellef,true,complete,and cast I <br /> also declare that I an duly aut odrad to sign this exemption appic®Con,and that the organbation owing the above-Weed property does eat discriminate <br /> In mantereNP or eaploynMnl based on race,cola,or national orlym, <br /> sign .2•,►s — A%..'�t---.. <br /> CEO L9-1-16 <br /> here , sre BRUCE SWIHART Titre Date <br /> I FOR COUNTY TREASURER RECOMMENOATTON . <br /> laic ROYAL REGEIVEaMENTQ . ,e-t-- .ticicci. At- 7--4<o-g <br /> DISAPPROVA_ <br /> - <br /> JAN 3 2017 _9�5 # . /r.�=/7 <br /> •r. Verxdure of Treasurer Date <br /> HALL COUpUNTY POARD OF EQUALIZATION USE ONLY I <br /> TnCAalliCITC Oft <br /> GRANO ISLAND,NEBRASKA <br /> Li APPROVAL COMMENTS' <br /> I]DISAPPROVAL <br /> ts s/' _aa . //, �� /G —/7 <br /> A thor saedgnelufs - Date <br /> • <br /> 4 <br /> Hebraic.Deper nenl or novena Pedicd:ed by Neb.Rea%at.*,?eo2(1)(c)and(dl,ard G04,1es,and Walla <br /> 88-25320ea he 8.2011 Supersedes 9$4,12.2 000 KW.540ee <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />