Application For Approved Organizational License Plate
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1
2Application for Approved
§60-3,104.02
Organizational License Plate
Instructions on the reverse side or check message availability at
.
Nebraska Serious Injury
Creighton University
Registered Owner Information
& Line-of-Duty Death
Name:
Address:
Friends of the Union
Nebraska Cattleman’s
Pacific RR Museum
Research & Education
City:
State: NE
ZIP:
Phone: (
)
Nebraska Corn Growers
Duck’s Unlimited Inc.
Vehicle Information
Association
Please check vehicle type (chooses one):
Passenger (Pickup, SUV, Truck, RV)
Motorcycle/Autocycle
Trailer (Mini Truck or Mobile Home)
University of Nebraska –
Greater Omaha
VIN:
Omaha
Chamber of Commerce
Make:
Year:
Current Plate Number:
Must include check or money order for exact amount, payable to DMV
Title Number:
County of Registration:
County Number:
Leased Vehicle? Yes/No
Lessor:
Signature:
Date:
Submit a completed application
and check or money order for $70.00 to:
Nebraska Department of Motor Vehicles
Driver and Vehicle Records Division
PO Box 94789
Lincoln, NE 68509-4789
Phone: 402-471-3918
Office Location: 301 Centennial Mall South
Rev 01/17
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