Laserfiche WebLink
Dec 06 2016 04:48PM HP Fax page 2 <br /> TO BE FILED WITH Application for Exemption FORM <br /> YOUR COUNTY from MotorVahldeTaxas <br /> TREASURER by Qualifying NonprofltOrganizations I 457 <br /> •Read futrucSons on remise side <br /> `k es t C u I 1'tPE o:pav�wship <br /> Street OM NOM 5_�1 i > ��jP}*/�''d'l A�'.t IYceuMy Nut V't ; Corporation IGV(I.L�•,1 ` �� C} lam"/ `• C(1J!`'/�� 'smfawnan Incorpaaed <br /> Salo �0 <br /> iONtyy ORCfS.Dlmcias.or Partners i <br /> Tat 1 Neme.Address.Ott Stab,4 Code 1 <br /> 1 <br /> Per Pk-5t-1/440.,a. I <br /> I <br /> LIST SPECIFIC DESCRIPTION OF THE MOTOR VEHICLES <br /> *Attach edditlored sheet it necessary <br /> eeggWrt6Cn f <br /> flkrdcb5%a Model Year Body Type I Vehicle NeatieradonNumber <br /> PRutC p e <br /> Per Pc-rxptl 1 I I <br /> Nflnol Use of ,,a,y.(( I i I <br /> o APIa:ItnLfl4 tj Leal 9LE]u.mt n ul Are the rMtas wNeate used <br /> r� C AeliggW 0 cable D C.mexry exclusively as indsa0em <br /> Doe Wad casesipepn cs 6N.OclWdg In explanation if mute*CWaififatens exist <br /> %VS 0 n <br /> aif No.glw P.ReriLpe' n; <br /> Alt l ma • 1 L a _. 1* C .. . _ • t- l I, <br /> • <br /> �. ! _' <br /> lri\rt`�I HTLc, a y a 0 _ e- O .s, 1 Y <br /> 1-C3raat-6 ' CrNM�MLck 2r,00:?vs c -3W-189 <br /> Image penWtn of bw.I aol . I haze eaamtrwd fhb ppk�on and.to tha east of my Iauwlasga and beget it ie eoawq and — <br /> complete.I aft decWe that t am duty audiorlad to sign this exemption spplason.end mat the ergenbadon owning said praparty dons not <br /> diaalminm in membership or employment bated on raw.cola.or rations,origin. <br /> Dab <br /> FOR COUNTY TREASURER'S RECOMMENDATION <br /> t_xirrROVAL R EC E IVEDIENTS. ,�- .✓,�:�. # 7'7—Ga.2 <br /> 0 DISAPFROVA. <br /> _ DEC 8 201b � ► ��T �i3& /�' /6 <br /> Dale <br /> 1 FOR COUNTY BOARD OF EQUALIZATION USE ONLY '- -1 <br /> HALL COUNTY <br /> 0 APPROVAL TREASURERS ORRI ENTS. <br /> GRAND ISLAND,NEBRASKA <br /> `j DISAPPROVAL <br /> __ /e.,,� ..-_,� /--/a /7 <br /> .IQed Sig ' '1/ Dale <br /> Nebraska Oconee el Reww N,e,adahl I40.Rev.wee.4fl4C2igah16160-50 H KOdl id <br /> 152541006 Ref Stet Satnadee 56155.202 Aeon-20M <br /> PLEASE MAKE A COPY FOR YOUR RECORDS <br /> • <br />