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2O ' 7 <br /> • <br /> +Imo,,,► w.. Application for Exemption FORM <br /> REVENUE from Motor Vehicle Taxes by Qualifying Nonprofit Organizations 457 <br /> •TO be flied With your county treasurer. <br /> •Read Instructions on reveres side. <br /> ApplIcnnlb Name <br /> Type of Ownership <br /> THE SALVATION ARMY Nonprofit <br /> Streel or Other Mang Address County Corporation <br /> 818 W 3RD ST HALL ❑Other{spedly): <br /> City Slate Zip Code State Where Incorporated <br /> GRAND ISLAND NE 68801 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Tub <br /> CS •S O . ` o, or 'o-c ' O C , 'Jr y. a. 1 / - .;?• <br /> NW ,7..,W91,1111-411. lillit law-wilviallel■NIENNENNEN <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> *Attach an additional sheet,if necessary. <br /> Registration Date or <br /> Motor Vehicle Make Model Year Bodylyps Vehicle ID Number D <br /> If ate of <br /> ewlyPmasition <br /> KM 2008 SEDAN • KNDM6233586095158 <br /> CHEVY 2010 EXPRESS VAN,• IGA2G19G5A1134525 , <br /> FORD 2009 COMMERCIAL CUTAWAY ' 1FDWE35L89DA80956 <br /> FORD 1998 TRUCK 1FDNF70J8WVA01281 <br /> CARRYON 2011 TRAILER 4YMCL081XBM010917 <br /> Exempt Uses of MotorVehide: Are the motor vehicles used exduet.&y <br /> ❑AgriculturaWMonledbml ❑Educational [11 Religious ®Charitable ❑Cenlelery as indicated/ <br /> Give detailed description at use,including an explanation if multiple use dosrsklkadons exist: tow h car c.t.. .A1 ct>if 5 WEES ONO <br /> v,+,rsv...a-47 a si es..-A- , tit s o.a s . c a. Cb 3-4_:Th r"bAi <br /> 7 b t\i et�e. S <br /> II No.give percentage of exempt use: <br /> ,r•.::-et"- 'tc,K. �S_ �fo-,•.ep,; % <br /> cAn) G S `t-3 t-'ts . Co-w 5 . <br /> Under penallues• I de I;:thai I : :examined this application and that II S.le the best of my knowledge and belle,hue.complete.and correct.I <br /> alsodeclare. = am dye oar. ..sign this exemption application,and that the organization owning she above•IWed property does not discriminate <br /> In mambo i -or employ ba:..r on race,cob,or Na fonal origin <br /> sign , 'Me=sa-r t 1A0/poi b <br /> here Amh"-• Title 30//370-9,107 Dale <br /> FFOyR�COUNTY TREASURER RECOMMENDATION 44"5--,C <br /> %7 ! <br /> APPROVAL 'RECEIVED"CiJT3, $ t # �7-v�-'f <br /> ❑DISAPPROVAL �i <br /> NOV 1 4 2Li 6 IllfrSignelwe of Treasurer Dale <br /> FOR COUNTY BOARD OF EQUALIZATION USE ONLY <br /> HALL COUNTY <br /> ❑APPROVAL TREASURERS OF NTS: <br /> , GRAND ISLAND,NE� <br /> ❑DISAPPROVAL . <br /> —are-.sA,,�Je•Ld - . 7/c /7 <br /> . ,. re Dale <br /> Nebraska Departnwx of Revenue Auelgizedoy Net Rev.SIM.§§7730e(1)(e)and(a),and 503,185.and 60-3,159 <br /> 96253-2008 Rev.63011 Supersedes 962562006 Rev,5-2009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />