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Click ‘Get Form’ to open the cce form in the editor.
Begin by entering your Nebraska ID Number, if applicable, followed by your name and location address. Ensure that both the legal name and mailing address are filled out accurately.
In the Credit or Debit Card Information section, provide only the last four digits of your card along with its expiration date. Remember, a separate application is needed for each card.
Attach required documentation as specified: a copy of the billing statement (with sensitive information redacted), a copy of the front side of the credit or debit card, and proof of payment made to the issuing bank.
Answer whether any person other than the exempt entity will be billed for purchases made using this card. If yes, provide an explanation in the space provided.
Finally, sign and date the application, including your title and contact information before submitting it to ensure compliance.
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