DNR Form 962-4 "Name and Address of Mortgage Holder or Deed of Trust Holder" - Nebraska

What Is DNR Form 962-4?

This is a legal form that was released by the Nebraska Department of Natural Resources - a government authority operating within Nebraska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2006;
  • The latest edition provided by the Nebraska Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DNR Form 962-4 by clicking the link below or browse more documents and templates provided by the Nebraska Department of Natural Resources.

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Download DNR Form 962-4 "Name and Address of Mortgage Holder or Deed of Trust Holder" - Nebraska

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January 2006
DNR Form 962-4
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
NAME AND ADDRESS OF MORTGAGE HOLDER OR DEED OF TRUST HOLDER
D
A
F
T
N
.
ESCRIPTION
DDENDUM
OR
RANSFER
O
Complete the following by printing in ink or typing the name and address of each mortgage holder or deed of trust holder for
OF LANDS
land now under permit
1.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
2.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
3.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
4.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
5.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
clrshare/france/forms
January 2006
DNR Form 962-4
STATE OF NEBRASKA
DEPARTMENT OF NATURAL RESOURCES
NAME AND ADDRESS OF MORTGAGE HOLDER OR DEED OF TRUST HOLDER
D
A
F
T
N
.
ESCRIPTION
DDENDUM
OR
RANSFER
O
Complete the following by printing in ink or typing the name and address of each mortgage holder or deed of trust holder for
OF LANDS
land now under permit
1.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
2.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
3.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
4.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
5.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
clrshare/france/forms
January 2006
DNR Form 962-4
6.
Name and Address:
Zip
(
)
Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
7.
Name and Address:
Zip
(
)
Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
8.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
9.
Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
10 Name and Address:
(
)
Zip Code
Telephone Number
(
)
Cell Phone Number
e-mail address:
State of Nebraska
Department of Natural Resources
301 Centennial Mall South
P.O. Box 94676
Lincoln, Nebraska 68509
(402) 471-2363
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