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-7 c_- pjIJ3 <br /> Application for Exemption FORM <br /> Good Life.Great service. from Motor Vehicle Taxes by Qualifying Nonprofit Organizations 457 <br /> •To be filed with your county treasurer. i <br /> of 444 4 r •• <br /> "k& I •Read instructions on reverse side. <br /> Name of Organization Type of Ownership <br /> THE SALVATION ARMY ®Nonprofit Corporation ❑Other(specify): <br /> Name of Owner of Properly County Name State Where Incorporated <br /> HALL NE <br /> Street or Other Mailing Address Contact Name Phone Number <br /> 8158W3RDST Ste, Y'N .;1jo-C,+r 3o/3 bra _ 9 8S5 <br /> /� I <br /> City State Zip Code Email Address pp <br /> GRAND ISLAND NE 68801 s ext^1_ twv.AID_c co u5G sctiva4toant`s\y. D! <br /> Identify Officers,Directors,or Partners of the Nonprofit Organization <br /> Title Name,Address.City,State,Zip Code <br /> tit ++'' /�, r <br /> I t•+k CYw„y4 - Cold t4L.: EA •2.krt% Al,..1., 1$15 ttnao•j c{. artaa-u .t4lJt- bzs03 <br /> ri d v; serf C3a.4sP vr+.}s.c 1..e9 <br /> Description of the Motor Vehicles <br /> •Attach an additional sheet,If necessary. <br /> Registration Date or <br /> Motor Vehicle Make Model Year Body Type Vehicle ID Number Date of Acquisition, <br /> if Newly Purchased <br /> nda a o/4, Wa-'on SrNRLSkYa G,31311 s c <br /> — r0 . _ .. . Ott 3 - 09'5 56 <br /> e v y a a/o -5,)9,-es..) van .1 GAa G19G5A.1139sa 5 <br /> • rd, , ► „ !^i,..tar.+a r. I.'DJ s 56 <br /> esf'' 1998 "rrrxc K 15DNF7038WVA 01a81 <br /> Exempt Uses of Motor Vehicle: -i Are the motor vehicles used exclusively <br /> ❑Agricultural and Horticultural Society ❑Educational Heligious V.Chardable ❑Cemetery as indicated? <br /> 1 7S <br /> Give detailed description of use,including an explanation if multiple use classifications exist: DIES Ell NO <br />• <br /> VI G 1 CC-h et,cN —f3. cakmm..r:Ai eVe-r.#5, 6.:So-S'4ers <br /> o GQ L•‘O-EH;nq p_v,L ...c.....,. X'n:'i'�-f L e:c.:Y. "P 5• <br /> If No,give percentage of exempt use: <br /> T��^ yaor' be A% r;n344.5 0.v at G�1c15ktv.° V.4-.+-\e s <br /> C0- ` J <br /> Under penalties I w,I declare that I have examined this. emotion application and,to the best of my knowledge and belief,it is correct and complete. <br />• I alsod al duty authorizedto sign this mp'•' application. <br /> sign ///]�/ /0:"/7/14 /7-7a p <br /> here ignature i /, Tittle u ,l Date <br /> /� �—/C7 <br /> For County Treasurer Recommendation 1 <br /> • <br /> pproval vE irh uci no. £4EJh443IlI&l•11/4/55 l W <br /> 1'O <br /> Disa <br /> ❑Disapproval <br /> RE CEI <br /> DEC E G11 18 ∎Sig el o Treas Dalab'L iz <br /> For County Board of Equalization Use Only <br /> HALL COUNTY <br /> TREASURERS OFFICE <br /> Lyt Approval GRAND ISLAND.NERRAStf cents, <br /> it <br /> !❑`Disapproval _ <br /> 'uth• 'zil Sig . . . Date r <br /> f -- <br /> Nebraska Department or Revenue _,-Y Authorized by Neb.Rev.Slat.§§A-202(1)(c)and idl.and 60-3.185,and 60-3,189 <br /> 96-253-2006 Rev.7-2018 Supersedes 96-253-2006 Rev.8-2011 <br /> Please retain a copy for your records. <br />