Transcription of Nebraska Homestead Exemption Application • Application …
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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?
I am a qualified alien under the Federal Immigration and Nationality Act. My immigration status and alien number are sign as follows: _____ and I agree to provide a copy of my USCIS documentation upon request. here Signature of Applicant (required) Date Phone Number (required) For County Assessor’s Use Only
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