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Property Assessment Forms

Homestead Exemption | Exemption (Permissive)Employment & Investment Growth Act 
Nebraska Advantage Act | Property Valued by the State (Centrally Assessed Property) | Education


Pursuant to Regulation 70-003.02, “There shall be no changes made in the prescribed or approved forms issued by the Tax Commissioner without first obtaining written permission for such changes from the Tax Commissioner.” To receive approval for forms, a letter of intent shall be submitted in accordance with Guidelines for Substitute Nebraska Tax Forms.

Most forms listed below are available in a  “fill-in”  format, meaning you can view, complete, and print the form from your computer. You will need the latest version of the free Acrobat Reader.

  • There is no computation, validation, or verification of the information you enter.
  • You are responsible for entering all required information.
  • Instructions may require some information to be handwritten on the printed form (for example, signatures).

Note: The free Acrobat Reader does not allow you to SAVE completed forms electronically.

  • You must fill in the form and print it out in one session.
  • If you experience problems with downloading forms, it is recommended that you upgrade to the latest version of the Acrobat Reader.
  • You should print 2 copies in order to file one with the Department and keep the other for your records.

Forms in this list marked with an asterisk (*) are not available in fill-in format.

TYPE FORM # FORM TITLE
County Officials
Real 401 Separate Assessment Application for Severed Minerals (6/2012)
Real 402 Improvements on Leased Land Assessment Application (6/2012)
Real 402P Improvements on Leased Public Land Assessment Application (6/2012)
Real 456 Special Valuation Application for Agricultural Land and Horticultural Land (2/2013)
Real 521 Real Estate Transfer Statement (2/2016)
Real 521MH Manufactured Housing Transfer Statement (2/2016)
Real/Personal
Guideline Form
422 Property Valuation Protest and Report of County Board of Equalization Action (4/2014)
(Form 422 allows real property valuation to be stated for land, buildings, and total)
Real/Personal
Guideline Form
422A Property Valuation Protest and Report of County Board of Equalization Action (4/2014)
(Form 422A allows real property valuation to be stated in total)
Real   Notice to Divide Tax for Community Redevelopment Project Tax Increment Financing TIF Project (3/2013)
Real    Improvement Information Statement (7/2012)
Personal Property   Nebraska Personal Property Return and Schedule  [calculating]  [blank, non-calculating] (12/2015)
Personal Property   Notice of Change in Personal Property Assessment (12/2013)
Personal Property   Notice of Failure to File Personal Property Return (12/2013)
Personal Property   Notice of Penalty and Interest on Personal Property (12/2013)
Personal Property   Notice of Action by the County Board of Equalization for Personal Property (8/2012)
Personal Property   Notice of Unsigned Personal Property Return (8/2012)
Personal Property   Aircraft Information Report (5/2015)
(aircraft hangar report to assessor)
Personal Property
Exemption 
1027 Exempt. Application - Personal Property for Qualified Beginning Farmer or Livestock Producer (6/2012)
Real/Guideline Form 191 Vacant or Unimproved Lot Application (9/2014)
Real/Guideline Form   Mobile Home Report (3/2016)
Guideline Form * Subpoena Duces Tecum (4/2015)
(assessor subpoenas taxpayer)
Exemption Forms (Permissive)
Exemption 451 Exemption Application (1/2014)
(agricultural society, education, religious, charitable, cemetery)
Exemption 451A Statement of Reaffirmation of Tax Exemption (1/2014)
(agricultural society, education, religious, charitable)
Exemption 453

Exemption Application for Honorably Discharged Disabled Veterans (6/2013)
(for mobile home and motor vehicle)

Exemption 457 Exemption Application Motor Vehicle (8/2011)
(agricultural society, education, religious, charitable, cemetery)
Employment and Investment Growth Act
Exemption 775P Claim for Nebraska Personal Property Exemption (5/2012)
Exemption 775P Schedule I - Turbine Powered Aircraft (5/2012)
Exemption 775P Schedule II - Computer Systems and Certain Peripheral Components (5/2012)
Exemption 775P Schedule III - Business Equipment (5/2012)
Nebraska Advantage Act
Exemption 312P Claim for Nebraska Personal Property Exemption (5/2012)
Exemption 312P Schedule I - Turbine-Powered Aircraft (5/2012)
Exemption 312P Schedule II - Mainframe Computers and Peripherals (5/2012)
Exemption 312P Schedule III - Business Equipment used in the Manufacturing or Processing of Agricultural Products; Distribution Facility; or Other Qualified Property (5/2012)
Property Valued by the State (Centrally Assessed Property)
Air Carrier 40 Nebraska Air Carrier Annual Report and Schedule [Excel file] (3/2016)
Car Line 44 Private Car Line Company Report and Schedule [Excel file] (3/2016)
Railroad 41 Nebraska Railroad Tax Report (1/2016)
  [Excel]  [pdf]
PSU - Fluid Pipelines 43 Nebraska Public Service Entity Report for Fluid Pipelines (1/2016)
  [Excel]  [pdf]
PSU - Gas Pipelines 43 Nebraska Public Service Entity Report for Gas Pipelines (1/2016)
  [Excel]  [pdf]
PSU - Utilities 43 Nebraska Public Service Entity Report for Utilities (1/2016)
  [Excel]  [pdf]
PSU - Telecommunications 43 Nebraska Public Service Entity Report for Telecommunications (1/2016)
  [Excel]  [pdf]
Assessor Certification and Education Forms
Education   Nebraska County Assessor/Deputy County Assessor Certification Examination Application (7/2015)
Education   Course Registration (2/2013)
Education   Request for Continuing Education and Recertification Credit (6/2013)
Education   Provider Request for Education Course Approval (4/2012)

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