Application For Organizational License Plates
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1Application for
Organizational License Plates
§60-3,104.02
This application is included with an Application for Creation of a Specialty License Plate Design for an Organization.
Applicant Information:
Registered Owner’s Name
Email Address
Daytime Phone
Address
City
State Zip
IMPORTANT: Applicant’s name must appear on the Nebraska Certificate of Title or, in the event the vehicle is leased or non-resident military, the
registration of the vehicle. Non-resident military must include a copy of their registration with this application.
Vehicle Information:
Motor Vehicle
Motorcycle/Autocycle
Trailer
Semitrailer
Cabin Trailer
VIN
Make
Year
Title Number
County of Registration
Co #
Is vehicle leased?
Yes
No
Lessor
Motor vehicles, motorcycles/autocycles, trailers, semitrailers and cabin trailers are eligible for an Organizational License Plate.
Fee: $70.00
Name of Organizational Plate design for which this application is submitted:
Nebraska Bicycling Alliance
Note: Plates will not be ordered until the requesting Organization has been certified and the DMV has received the minimum number
of prepaid applications required to proceed.
Date
Signature of Motor Vehicle Owner
This application is submitted by the Organization requesting creation of the plate design, along with the appropriate fee, as
part of the Application for Creation of a Specialty Plate Design for an Organization process. Questions may be addressed to:
Nebraska Department of Motor Vehicles
Driver and Vehicle Records Division
P.O. Box 94789
Lincoln, NE 68509-4789
402.471.3918
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Parent category: Legal