OutdoorNebraska

1. q Is rated by the United States Department of Veterans Affairs as fi¡y percent or more disabled as a result of service United States; 2. q Receive a pension from the Veterans Administration as a result of total and permanent disability. Not incurred service. - (NO FEE REQUIRED) A veteran who is a resident of Nebraska shall, upon application and without payment of any fee, be issued one disabled motor vehicle. All disabled veteran permits issued shall became void upon termination of eligibility. Send to: U.S. Department of Veterans Affairs 3800 Village Dr. Lincoln, NE 68516-4737 Phone: 800-827-1000 OR 3. q Is 64 years of age or older with time in service. - $5.00 Permit Fee - (Annual Renewal Required) 4. q RENEWAL - $5.00 Permit Fee Verification of veteran 64 years of age or older certified by: ______________________________________________________________________ Signature – Veteran's Service Officer First time applicants: must attach a legible copy of their DD214 or driver's license with a Veteran Indicator. If a DD214 from a Veteran Service Center manager is needed. Applicant's birth date and social security number must be verified. is permit 31 of each calendar year, and must be renewed each year for a fee of $5.00. Residency must be maintained. is permit Return to: Nebraska Game and Parks Commission, Attention: Permit Section, PO Box 30370, Lincoln, NE 68503-0370 If paying by credit card please provide the following information: Card Holder's First Name Last Name Address City State _________/_________/________/_________ ________________ _________ Credit Card Number - Visa, MasterCard or Discover Expiration Date 3-digit code q In addition to my Lifetime Disabled Veteran permit I would like a free Nebraska Resident Disabled Veteran Lifetime q I have a Lifetime Disabled Veteran permit #________________________and would like a free Nebraska Resident Park Entry Permit. ________________________________________________________________________ Signature – Veteran's Service Center Manager is is to certify that the above veteran is currently rated: Certification of 50 percent or total disability 1 & 2 must be signed by the Veteran's Service Center Manager. Disabled permits have no expiration date and are valid as long as the individual remains a resident of Nebraska, and meets the disability guidelines. 1. q Is rated by the United States Department of Veterans Affairs as fi¡y percent or more disabled as a result of service in the armed forces of the United States; 2. q Receive a pension from the Veterans Administration as a result of total and permanent disability. Not incurred in the line of duty in military service. - (NO FEE REQUIRED) A veteran who is a resident of Nebraska shall, upon application and without payment of any fee, be issued one disabled veteran permit for a resident motor vehicle. All disabled veteran permits issued shall became void upon termination of eligibility. Send to: U.S. Department of Veterans Affairs 3800 Village Dr. Lincoln, NE 68516-4737 Phone: 800-827-1000 OR 3. q Is 64 years of age or older with time in service. - $5.00 Permit Fee - (Annual Renewal Required) 4. q RENEWAL - $5.00 Permit Fee Verification of veteran 64 years of age or older certified by: ______________________________________________________________________ Signature – Veteran's Service Officer First time applicants: must attach a legible copy of their DD214 or driver's license with a Veteran Indicator. If a DD214 is not attached, a signature from a Veteran Service Center manager is needed. Applicant's birth date and social security number must be verified. is permit will expire on December 31 of each calendar year, and must be renewed each year for a fee of $5.00. Residency must be maintained. is permit includes State stamps. Return to: Nebraska Game and Parks Commission, Attention: Permit Section, PO Box 30370, Lincoln, NE 68503-0370 If paying by credit card please provide the following information: Card Holder's First Name Last Name Address City State ZIP Code _________/_________/________/_________ ________________ _________ Credit Card Number - Visa, MasterCard or Discover Expiration Date 3-digit code 3-digit card verification number on back of card ' q In addition to my Lifetime Disabled Veteran permit I would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. q I have a Lifetime Disabled Veteran permit #________________________and would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. ________________________________________________________________________ Signature – Veteran's Service Center Manager ______________________________________________________________________ Cardholder's First Name Last Name ______________________________________________________________________ Address City State ZIP Code child support payments. is is to certify that the above veteran is currently rated: Certification of 50 percent or total disability 1 & 2 must be signed by the Veteran's Service Center Manager. Disabled permits have no expiration date and are valid as long as the individual remains a resident of Nebraska, and meets the disability guidelines. 1. q Is rated by the United States Department of Veterans Affairs as fi¡y percent or more disabled as a result of service in the armed forces of the United States; 2. q Receive a pension from the Veterans Administration as a result of total and permanent disability. Not incurred in the line of duty in military service. - (NO FEE REQUIRED) A veteran who is a resident of Nebraska shall, upon application and without payment of any fee, be issued one disabled veteran permit for a resident motor vehicle. All disabled veteran permits issued shall became void upon termination of eligibility. Send to: U.S. Department of Veterans Affairs 3800 Village Dr. Lincoln, NE 68516-4737 Phone: 800-827-1000 OR 3. q Is 64 years of age or older with time in service. - $5.00 Permit Fee - (Annual Renewal Required) 4. q RENEWAL - $5.00 Permit Fee Verification of veteran 64 years of age or older certified by: ______________________________________________________________________ Signature – Veteran's Service Officer First time applicants: must attach a legible copy of their DD214 or driver's license with a Veteran Indicator. If a DD214 is not attached, a signature from a Veteran Service Center manager is needed. Applicant's birth date and social security number must be verified. is permit will expire on December 31 of each calendar year, and must be renewed each year for a fee of $5.00. Residency must be maintained. is permit includes State stamps. Return to: Nebraska Game and Parks Commission, Attention: Permit Section, PO Box 30370, Lincoln, NE 68503-0370 If paying by credit card please provide the following information: Card Holder's First Name Last Name Address City State ZIP Code _________/_________/________/_________ ________________ _________ Credit Card Number - Visa, MasterCard or Discover Expiration Date 3-digit code 3-digit card verification number on back of card ' q In addition to my Lifetime Disabled Veteran permit I would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. q I have a Lifetime Disabled Veteran permit #________________________and would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. ________________________________________________________________________ Signature – Veteran's Service Center Manager LOTurkey/Rev. 10-19 tmr I certify that I am eligible to apply for a limited landowner permit. All farm- and ranchland listed is qualifying property owned and/or leased by me or a member of my immediate household. I, as the qualified applicant, request a limited landowner permit to be issued to me. Signature of Qualified Applicant: Date: The farm- or ranchland listed in this application must be used for agricultural purposes. Check the box below that best certifies your qualifications for a limited landowner permit: Relation: Possession: Qualifying Landowner (Owner/Leaseholder/Partner/Officer/Shareholder/Beneficiary) Own Spouse Child/Stepchild Sibling Sharing Ownership Lease (Resident only) Spouse of Child/Stepchild Spouse of Sibling Sharing Ownership Name of property owner/leaseholder/Partnership/Corporation/ Trust (individual or Entity) Resident NonResident FARM- AND RANCHLAND - LEGAL DESCRIPTION (If additional room is needed, an attachment form is available. Photocopied application forms are acceptable.) Owner Name Quarter Section Township Range County Acres Own Lease Corp., Part., Trust John Doe W1/2NW1/4 16 28N 15E Cather 80 X Check One Box for Each Parcel Listed Expiration Date 3-digit code 3-digit card verification number on back of card Credit Card Number – VISA, MasterCard or Discover

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