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Nebraska Homestead Exemption Application • Application …

1 Do you currently own this residence?.. YES NO 2 Do you currently occupy this residence? .. YES NO 3 If you or your spouse are currently residing in a nursing home, please answer these questions: What date did you enter the nursing home? _____/_____/_____ (Mo/Day/Yr) or spouse _____/_____/_____ (Mo/Day/Yr) Have the household furnishings been removed from your residence? .. YES NO Is the residence currently occupied, leased, or rented by another person? .. YES NOIf Yes, who is residing in the residence? 4 Is this Homestead owned by a trust? .. YES NO If Yes, are you residing at this Homestead as a beneficiary under the trust instrument?

Application for Transfer must be filed by August 15 if moving to a new homestead. ... Retain a copy for your records. Form No. 96-295-2009 Rev. 1-2021 Supersedes 96-295-2009 Rev. 1-2020. Please Type or Print. Applicant’s Date of Birth (Mo/Day/Yr) Applicant’s Social Security Number

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