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0% <br /> +a — Application for Exemption FORM <br /> Neh M rnsku o.pertrnem <br /> ig i from Motor Vehicle Taxes by Qualifying Nonprofit Organizations <br /> •Tkb�WOy�countye.s, : 457 <br /> •Read in Woodrum on reverse skis. <br /> Thee Ownership <br /> ! rmrent /� / p ea <br /> /1l i g t te—h-C s lea. L Nours,�r[sl J erd,cG£ 2. Nm„Pgy <br /> Sheet orOdor Meaarm Address 'Comay Corporation <br /> J.S 3 C Cee Isle r- 'A d'C 1- 4. t I <br /> City Slate Code S Y h d <br /> Gr .4 (s(earl �� 6 s aa 3 <br /> 'IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OFTHE NONPROFIT ORGANIZATION , <br /> TNa N,�aTme,Addro%Q5XSlate,Zip Cods <br /> itOn�j . iO.k4 4Cle.i 1 0 &c t3s( &U.kin. '/Z-Z 6 7 Bo.i <br /> L?L'• So.tcpn s-n Po art C6ir _I4o (3 St Laaar �6 6 s Y 7-1._ <br /> • $ e o f Trea„s AIll�h tta-k Roil K St Onk ,U£ C586z <br /> Ce t o to tes.e e �B bo f[ .U.6 Al unitar, Astass .t/E 6 rta <br /> • <br /> DESCRIPTION OFINE MOTOR VEHICLES - <br /> •Attach an additional sheet,It necessary. <br /> • MotorVehbie Maim ModelYear Redyrypa - Vehicle I)Number O Registration <br /> ogaskion, <br /> I Newly Purchased <br /> ZoSe Grea Mtn< I/awn 2 co Ivie elissiiir 7s1t64 rl•/7-It <br /> Exempt Uses of Motor Vehicle: - — Are be ircbn*4cIes mod oxctoslv4, <br /> f ❑A ialMal/Fbr&Wknl ❑Educational ❑Religious )(Charades ❑Cemetery as Indicated? <br /> y Otte detailed description of use,including an explanation it MA*i use dasslkadone east OYES ❑NO . . <br /> 44 ( 1 <br /> PT•aW[di SC.tr•VLG� S TOY - [na.:Ji�u..a.15 d Net glue percentage a mewl user <br /> In Ats•t roars bn. Irasn.SQ arty tt L Far- <br /> n Aiac1 nag's, In Se 94ot1PFA, rz n'ted. r f Ti 3 <br /> ecits Fr-Nn I.ssrk <br /> tclucs..-ban a-nd rccrreC[ ca:N. tRe¢Lts , <br /> Under penalties airs I declare that I harm examined this apprcatbn and that it is,b the beat of my knowledge and belie(true,complete,and correct 1 <br /> also declare that I am duly authorized to sign the exemption application,and Thal the organization owning the above-listed property does not disaiminan <br /> in membership cc evnpbyrnert based on moo,cola,or national oagln. ' <br /> • <br /> sign £s'kk�e✓ n 2818 <br /> here,Aalraiaed� Tale Dam <br /> I RECEIVED FOR COUP TYTREASURER RECOMMENDATION <br /> ( APPROVAL COMMErS: fJ14i N55" z 7-aca <br /> ❑DISAPPROVAL NOV 3 0 2018 1 r J <br /> glob_ASERTREURS OFFlC< II' o rnesure <br /> `-°^'S• r-• .. BOARD OF EQUALIZATION USE ONLY <br /> iii APPROVAL COMMENTS: _ <br /> DISAPPROVAL , <br /> a .,. ..:dallavdum sae <br /> Nebraska Ospertrneet a Rwenxe Authorized by Mesas'MILOS f-e"kt)(c) flu.ands <br /> es xis-Mc0 Roe swan Sapersedsc 90.253.2006 Rev 5.2000 <br /> PLEASE RETAIN A COPY FOR YOUR RECORDS. <br />