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. - z - Application for Exemption PO <br /> soma from Motor Vehioie Taxes by Qualifying Nonprofit Organizations 457 <br /> �.. •TO be MadwaA your county treasures, 45 <br /> •Road InMspttlgrte cm revers side. <br /> Wine. --_ lye*otOwnereltP <br /> GOODWILL INDUSTRIES OF GREATER NEBRASKA,INO, kt Nonprofit <br /> Street&Other Haalm9 Address --. County CorWration <br /> PO BOX 1883(DOM:1804 S EDDY,GRAND ISLAND NE 68801 NALL <br /> Dotter t+paztX <br /> OW State AMOacle State Wawa!Incorporeted <br /> , <br /> GRAND ISLAND NE 68862 NEBRASKA <br /> -. _._. - IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OFE NONPROFIT ORGANIZATION <br /> Tata - Name,Address,CItySStam,'2'!pCcde <br /> SEE ATTACHED LISTING i' <br /> TH <br /> DESCRIPTION OPINEMOTOR VEHICLES - -. <br /> •Attach an eddhtonai sheets'treceesayy. <br /> - - - --- Reglstve0on Date or <br /> MotoruoMeeMelte M*dIYear BodyTPRe Vehicle al Number Oats of Acquisition, <br /> II-Newly Purchased <br /> DODGE ..20'17 SXT WAGON 204RDGGG7HR60428$.-. . 112512x17 -.. <br /> Exempt Useace arotw4dYelq;. Ark The IligO,PvelilOad peed edcltskely -_ <br /> o NrleuauraUHamcbapral. 'I Educational 0 Relf9lous 0ctwitetie ❑Cemetery asUdfdemdl <br /> Give detaied descdpgon or free:NtdWln9 an erpfana9cn If multiple use-classifications aaist: kr YES ONO <br /> Used for picking up and taking home clients. Also used for support of clients activities and it No.on or tempt we <br /> training, % <br /> Under penance ottaw,I dectarathatl baa4 examined ells appltoaten and 11*1 a Is;to the best of my knowledge and bend,true,complete,and cared I <br /> also Omare mar em Morattlmarodto sign riirasemption epPecattlon.and Catlike otganizaaon omengtheabove-toted property:does not decrimr inate <br /> In membership or employment based on race,castor er naibn&l odgal <br /> Sign , k , _ Chief Financial Officer 11/1/2017 <br /> here A4>n p Data <br /> _ FOR COUNTY TREASURER RECOMMENDATION <br /> M'APP tiOVAL RECEIVED COMMENTS; _ �" -. <br /> DISAPPROVAL RECEIVED <br /> �,p /l,9-17 <br /> NOV 2 2017 Signature el CountyTreasurer Date <br /> I - -FOR COUNTY BOARD OF EOUALIZATION USE.ONLY I <br /> HALL OVUM? <br /> TREASURERS OFFICE <br /> tot APPn GRAND ISLAND,NEBRASKA r MENTS: <br /> Q DISAPPROVAL ` _. <br /> - �!!. _st. < < /.0-r-✓ /7-7S-77 <br /> e `edsrOna re Dam <br /> Nebraska DeparMerad Revenue momma's'd bvemIllex sec ref-2o2ttuq mid Ph aid aas18tena'ece. e <br /> 95.2504008 Ree 040113upersedee 9 62534008 Rev.54009 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS.. <br />