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Neer —� <br /> REVENUE <br /> n°AEa= ao,e „E from MotarApplication f <br /> A�licanrs Nana Vehicle Taxes b or Exemption GOR / <br /> Do�° OSarMaau �HABITATF HUMANITY <br /> r0 by Qualifying <br /> Organizations <br /> FORM <br /> ISLAND �Re d�1edwithyaayla mot), asurer rganizatio <br /> City <br /> W SECOND FOR MANITY verse side. <br /> ND PO BOX 457 <br /> GRAND GRAND ISLAND Type of Ownership <br /> State ®Nonanofit <br /> Z' <br /> NE <br /> l IDFN7)FY OFFICERS,DIRECTOpS,OR PARTNERS 68802 Stars Where lrxxxporetetl ❑Omatr(ratsp��A,). <br /> �fi- . •..: OF THE NONPROFIT NE <br /> MLcrKvI LIca. Ztt40 17'ORGANIZATION —'� <br /> `lSeah 4v N . k 1_ <br /> ril-t r } La bci O Gz N E b c.• 3 <br /> el I <br /> +{-1 b frg0 3 <br /> `�i53 Late,vrr <br /> •,,-pie G� r� <br /> DESCRIPTION OF ri 2cn0. Av� bS3" <br /> • �ttach an THE MOTOR VEHICLES b g YQ. <br /> additional sheet✓f necessary. <br /> OR COACHWORKS WORKS <br /> 2008 ,- <br /> fAl CARGO - , <br /> HOME 2000 CARGO TRAILER <br /> 1 Registration Oats or <br /> MADE TRAIL <br /> CARGO GTEC14C98Z BNe of Acquisition, <br /> Exempt Uses TRAILER <br /> 2005 flGO TRAI 14 X1074 vtl Purchased <br /> uxo,f1,M�1a.ro�r VelNOle; 2013 FLAT BED 4Xg7SE822W7005835 <br /> ❑A "a on auura! X25YN017039 <br /> Give detailed <br /> o Edwationa1 4JBUF182X5B071861 <br /> 0 <br /> oos/crtpuon of Religious <br /> ��h�`6� P-n Y i Fuse,including u explanation mumPk use Religious <br /> rations cichamaNe ❑Cemetery asIndicated? vehicles used e o <br /> P 5 d ex st us vey <br /> 1.4 r_0(•• 1°t7 C 51 -rYc�`a �'� �'�ySc Ii d• b'1 °L.."'" c, g dCn Zcc.c,�S/ 2i YES NO <br /> 4n <br /> Ec1'1..-p;'+-i e- }• es, �,a�c,,s aefSC I� If NO,give percentage of exempt use: <br /> U 96 <br /> Under of <br /> .eml'so Declare that I am duy�1e that!have <br /> a', NP Or enW'0'mem basetl an hl and that hetthero the bear of my <br /> '�e `` organization '"'0K'toOge antl bagel,true <br /> AWp- -e, Opp yq, the above-fisted oomPlele,and �ct.1 <br /> 'aeU S19neture ""`--+'i-e _ � om vid cozate <br /> FOR COUNTY TA idle <br /> APPROVAL <br /> TREASURER RECOMMEN Date <br /> ta / (e <br /> RSAPPROVA RECEIVE�MMEN , - DA710ry <br /> DEC 4 zoos �4s� 4. .��6� <br /> HALL COUNTY()NTKj. 3 �L� !' <br /> ROVAL <br /> GRAND ALuL ISLAND NTY()-SKgU BOARD OF EQUALIZATION EQUALIZATION USE ONLY /� 49----"C <br /> 'PROVAL <br /> COMMENTS: Data <br /> 8-2011 SUrorseees eg' -a0o8 Rev <br /> 5.zppe thonzetl"Mnatul:��- /,a _�/� <br /> - L` <br /> �J— a <br /> nem of Revenue <br /> PLEASE RETAIN A COPY FOR YOUR RECD <br /> AuThenzee by Neb.Rea Stet gg 77-2020)(c) (d),end 60-3•185.and 60-atau <br />