LANDOWNER
BIG
GAME
APPLICATION
Instructions:
Separate
applications
must
be
submitted
for
each
permit
request.
Applicants
are
limited
to
one
landowner
permit
for
deer,
antelope,
elk,
and
spring
and
fall
turkey.
Check
applicable
boxes
and
provide
the
legal
description
of
all
qualifying
property
you
will
be
hunting.
Make
checks
payable
to
Nebraska
Game
and
Parks
Commission
and
enclose
the
appropriate
fee
with
your
application.
Mail
to:
Nebraska
Game
and
Parks
Commission,
P.O.
Box
30370,
Lincoln,
NE
68503-0370.
Application
must
be
received
at
NGPC
by
5
p.m.
on
final
day
of
application
period.
Permit
(Choose
only
one)
Resident —
Antelope*
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$25.50
—
Deer
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$20
—
Turkey
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$16.50
Nonresident —
Antelope*
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$96.50
—
Deer
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.$122.50
—
Turkey
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$56
All
permit
prices
include
a
$3
issuing
fee.
*
Includes
$5.50
nonrefundable
application
fee
Email
address
of
applicant
for
permit
notification
First
Name
Middle
Initial
Last
Name
City
Mailing
Address
State
ZIP
Yes
No
I
certify
that
I
am
a
RESIDENT
of
the
State
of
Nebraska
as
defined
by
the
rules
and
regulations
of
the
Nebraska
Game
and
Parks
Commission.
I
certify
that
my
privilege
to
hunt,
fish
or
harvest
fur
is
NOT
currently
revoked
in
any
jurisdiction
(county,
state,
city,
federal
or
Canadian
province),
and
I
am
NOT
delinquent
on
any
child
support
payments.
NOTE:
Submitting
incomplete
information
will
result
in
the
return
of
your
application.
—
Hunters
Helping
the
Hungry
Donation
(tax
deductible)
$
Daytime
Phone
Number
Last
Four
Digits
of
Social
Security
Number
Bowhunter
Education
Number
–
State
Certified
Firearm
Hunter
Education
Number
–
State
Certified
Feet
Inches
Pounds
Month
Day
Year
Hair
Color
Eye
Color
Height
Weight
Birthdate
Sex