LANDOWNER
TURKEY
APPLICATION
Instruction:
Separate
applications
must
be
submitted
for
each
permit
request.
Check
applicable
boxes
and
provide
accurate
name,
mailing
address,
personal
description,
date
of
birth
and
the
last
four
(4)
digits
of
applicant's
Social
Security
number.
Also
provide
the
legal
description
of
all
qualifying
property
you
will
be
hunting.
Submitting
incomplete
information
will
result
in
the
return
of
your
application.
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.
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)
$
The
farm
or
ranch
land
listed
in
this
application
must
be
used
for
agricultural
purposes.
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
Permit
Resident _
_
Spring
turkey
.
.
.
.
.
.
.
.
.
$16.50
_
_
Fall
turkey
.
.
.
.
.
.
.
.
.
.
.
$16.50
Nonresident _
_
Spring
turkey
.
.
.
.
.
.
.
.
.
$65.50
_
_
Fall
turkey
.
.
.
.
.
.
.
.
.
.
.
$65.50
All
permit
prices
include
a
$3
issuing
fee.
