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abfq <br /> el'----Z-- Application for Exemption FORM <br /> Nebvis�ka Department of <br /> RE Y GNU from Motor VehicleTaxes by Qualifying Nonprofit Organizations � � <br /> •To be filed with your county treasurer. <br /> CEInEIMEESEED •Read instructions on reverse side. <br /> APPISenth Hama ^--itTYpe of Ownership <br /> TRINITY LUTHERAN SCHOOL i 0 NonpreNt <br /> Street or Other Mtsfing Address County Corporation <br /> 208 W 13TH ST HALL _ D e;(specify): <br /> City State Zip Code ;State Where Incorporated 1 <br /> GRAND ISLAND NE 68801 I NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OF THE NONPROFIT ORGANIZATION <br /> Tee �� LL•� 1 Name.Address.CRY,State,Zip Code <br /> S.R Lfyazro�. aatlikrs. ? GarT�.l-attikl Slie_li/ 7�-J-aLdi_S2t4S116K�_R ._ititiot_-- <br /> a.assu! net _ -_. �antisaccer_I w_1"' S,__ J Is Ive Laleo! __ <br /> — <br /> Vin CJarna. i UB/iJf'ithrrds,n 221 f 4s4-h . Ave. 6Y3sIVIem.i, /14. flot <br /> I-nest/r e <br /> - C,(ras'r ms.. `: Larry uligo.r 235 e. Airport 41 erax 0-J Xs/e► 'Vl• tot go 3 <br /> DESCRIPTION OF THE MOTOR VEHICLES <br /> *Attach an additional sheet,If necessary. <br /> i I Registration Date or <br /> Motor Vehicle Make Model Yrar Body Type i Vehicle ID Number i Date of Acquisition, <br /> i I if NewlyPurchased-_- <br /> _--.guiAda td—_—____- - zoog.._ V(AIm--- . 134K DCKr1 ATP 25ASZ f ---------------------- <br /> I <br /> I <br /> I i I <br /> ' I — <br /> Nempt Uses of Motor Vehicle: ^y. I Are the motor vehicles i exdusiveiy <br /> 0 AgrlcufiuraLtiorticulturai lfEducat(one: !a neugious El Charitable i as indicated? <br /> �..3i Cemetery I <br /> Give detailed deem:Oen of use,including an explanation it multiple use classifications exist: I :✓J E*S L NO <br /> I <br /> 4.4ig Bus - 7raras pOritel9 <br /> C h nGrGJ. an.d I N No,give percentage of exempt use: <br /> i % <br /> Srl. tool /lent Len 40 acf-iwf'ies . <br /> 1 <br /> i <br /> I <br /> Under penalties of law,I declare that t have examined this apptrcadon and that:its,to the best of my iowutedge and Wet,true complete,and correct.I <br /> also declare that I am duly authorized to sign this exemption application,and that the organization owning the ebove-fistted property does not discriminate <br /> in membership or employment based on race.color,or national origin. <br /> . ^sin t:wL L t Bus,Nag 6111N111;e it f s/,i m. wit, ,ure <br /> me Dace <br /> L_ -__ .__ FOR COUNTYTREASURER RECOMMENDATION <br /> 9PPROVAL RECEIVEDMMENn: �� �c "7"7.-8e>-2-' <br /> Q DISAPPROVAL DEC 2 7 2017 8�aa/8 /�of i7 <br /> 0 Signature Treasurer Date <br /> L _._._._. HALL COUNTY/OR COUNTY BOARD OF EQUALIZATION USE ONLY <br /> - —?RtASURERS Or1'ICH--`-------- ---- --'---- ---'--'---------- <br /> GRAND ISLAND,NEBRASKA <br /> (yei'APPROVAL COMMENTS: <br /> o DISAPPROVAL <br /> 07 nurture —'-'.----- _'-----'-- -'-' <br /> Nsbrasxa Department N Revenue , Authorized by Web.Rev.Stat.§Sn-202(11NN and(d),and scales.and 00-8.188 <br /> 9e--25:+2000 Pee.8-2011 SMemeiss 26-253.2006 Rev 5-2000 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />