Instructions:
Click on the link below and the form will open.
Save a copy of the form to your hard drive or your desktop.
Fill out the form and return to the address below:
NOTE: Applications must be postmarked no later than July 1st.
State Treasurer's Office
Room 2005, State Capitol Bldg
Lincoln, Nebraska 68509
Forms:
Documents:
If you have any questions about the form, please call Treasury Management at (402)471-2455
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