OutdoorNebraska

LANDOWNER TURKEY APPLICATION Instruction: Separate applications must be submitted for each permit request. Check applicable boxes and provide accurate name, mailing address, personal descrip- tion, 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 appro- priate 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 . . . . . . . . . . $56 _ _ Fall turkey . . . . . . . . . . . . $56 All permit prices include a $3 issuing fee. LANDOWNER TURKEY APPLICATION Instruction: Separate applications must be submitted for each permit request. Check applicable boxes and provide accurate name, mailing address, personal descrip- tion, 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 appro- priate 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. Check the box below that best certifies your qualifications for a limited landowner permit: 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 . . . . . . . . . . $56 _ _ Fall turkey . . . . . . . . . . . . $56 All permit prices include a $3 issuing fee. LANDOWNER TURKEY APPLICATION Instruction: Separate applications must be submitted for each permit request. Check applicable boxes and provide accurate name, mailing address, personal tion, 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 Submitting incomplete information will result in the return of your application. Make checks payable to Nebraska Game and Parks Commission and enclose priate 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 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 Bowhunter Education Number – State Certified Firearm Hunter Education Number – State Certified Feet Inches Pounds Month Day Year Hair Color Eye Color Height Weight Birthdate Permit Resident _ _ Spring turkey . . . . . . . . . $16.50 _ _ Fall turkey . . . . . . . . . . . $16.50 Nonresident _ _ Spring turkey . . . . . . . . . . $56 _ _ Fall turkey . . . . . . . . . . . . $56 All permit prices include a $3 issuing fee. LANDOWNER TURKEY APPLICATION Instruction: Separate applications must be submitted for each permit request. Check applicable boxes and provide accurate name, mailing address, personal descrip- tion, 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 appro- priate 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) $ 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 . . . . . . . . . . $56 _ _ Fall turkey . . . . . . . . . . . . $56 All permit prices include a $3 issuing fee. The farm- or ranchland listed in this application must be used for agricultural purposes.

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