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NEB_ Application for Exemption FORM <br /> Good 1. Sr'.�•_ from Motor Vehicle Taxes by Qualifying Nonprofit Organizations <br /> •To be Med with your county treasure. 457124_44,--, <br /> a•ru,mOW Of.v.u• •Read Instructions on reverse side. <br /> Name of Organization Type of Omreraip <br /> Great Plains Annual Conference of The United Methodist Chu ®Nonprofit Corporation neither(specify): <br /> Name of Owner of Property County Name State Where Incorporated <br /> Hall KS <br /> Street or Other Mailing Address Contact Name Phone Number <br /> PO Box 4187 Patrick McKaig 785-272-9111 <br /> City State Zip Code Email Address <br /> Topeka KS 666044187 pmckaig©greatplainsumc.org <br /> Identify Officers,Directors,or Partners of the Nonprofit Organization <br /> Title Name,Address.City.Step,Zip Code <br /> President Loyd Hamrick 10323 W Alarm St,WtcNta,KS 67212-1221 <br /> Vice President Rev.Nell Gately,9359 Warmer St,Overland Park KS 66212-1450 <br /> Secretary Janette Erb,511 E 2nd St,Orchard,NE 687644446 - <br /> Treasurer Scott Brewer,PO Box 4187,Topeka,KS 86604-4187 <br /> — <br /> Description of the Motor Vehicles <br /> •Attach an additional sheet,If necessary. <br /> Registration Date or <br /> Motor Wake Male ModelYear Saly type Wake C Number Date et Acquisition. <br /> N Newly Purchased _ <br /> Toyota RAV4 2018 SUV JTMBFREV2JJ216184 08/13/2018 <br /> Toyota RAV4 2018 SUB 2T38FREV3JW721376 08/1372018 <br /> Exempt Uses of Moan Vehicle: Are the nab/dainties used exclusively <br /> ❑Agricultural and Horticultural Society ❑Educational ©Religious Q Charitable Q Cemetery as indicated" <br /> Give detailed description of use.Inducting an explanation it multiple use classifications exist: Ni YES ENO <br /> These vehicles are used by employees of the Annual Conference in necessary church duties <br /> of providing services to the churches of Nebraska and Kansas. Meetings are held Il No gee percentage a exempt use <br /> throughout both states and transportation is also needed to travel to connectional <br /> conferences in other states. <br /> Under penalties of law.I declare that I have examen ' exemption application and.to the best of my knowledge and beget,s is coned and complete. <br /> I also declare m authorized a sign tan application.•sign <br /> Property Coordinator 12/5/2018 <br /> here Atxtrortzed Signature — The Dale <br /> �!� For CountyTre�a[surer Reeccomm,e�ndation �7ri <br /> �g.approvei Commen{ts: $ntp t• /111- A145 I 8-o? <br /> ❑Disapproval 1pp 1 ' LAI lilt <br /> Signature of county Treasurer to <br /> \ For Coun Board of Equalization Use Only I <br /> Approval '�L� ( Comments:\ <br /> Y-c KA = Al. - <br /> El Disapproval <br /> Au . •:• Signature pap <br /> Nebraska Ilparanex a Raralwe ANxxiad by Ned Aav San 80 7820211*)and(dt,aid 80-3,trd and mats <br /> 9e-253-2006 Rev.7-2018 Supersedes 962534008 My 8-2011 <br /> Please retain a copy for your records. <br />