Property Assessment Forms

Most forms listed below are available in a  “fill-in”  format, meaning you can view, complete, and print the form from your computer.

Form
Application for Sales-Restricted Valuation Adjustment for Residential Properties Under Deed Restricted Sales - Form 1317SR
Separate Assessment Application for Severed Minerals - Form 401 (06/2018)
Improvements on Leased Land Assessment Application - Form 402 (6/2024)
Improvements on Leased Public Land Assessment Application - Form 402P (10/2020)
Special Valuation Application for Agricultural and Horticultural Land - Form 456 (05/2024)
Real Estate Transfer Statement - Form 521 (09/2025)
Affidavit Refuting Foreign Government Affiliation - Form 521-AFF (07/2024)
Manufactured Housing Transfer Statement - Form 521MH (10/2020)
Property Valuation Protest and Report of County Board of Equalization Action - Form 422 (06/2023) (Form 422 allows real property valuation to be stated for land, buildings, and total)
Property Valuation Protest and Report of County Board of Equalization Action - Form 422A (06/2023) (Form 422A allows real property valuation to be stated in total)
Report of Damaged Real Property - Form 425 (04/2025)
Assessor Report of Damaged Real Property, Form 425A (04/2025)
Improvement Information Statement (01/2020)
Vacant or Unimproved Lot Application - Form 191 (09/2014)
Conservation Easement Application (12/2021)
Form
Broadband Exemption Application  - Form 1317BB
Property Valuation Protest and Report of County Board of Equalization Action - Form 422 (06/2023) (Form 422 allows real property valuation to be stated for land, buildings, and total)
Property Valuation Protest and Report of County Board of Equalization Action - Form 422A (06/2023) (Form 422A allows real property valuation to be stated in total)
Nebraska Personal Property Return and Schedule (09/2021) Calculating Form
Nebraska Personal Property Return and Schedule (09/2021) Non-Calculating Form
Notice of Change in Personal Property Assessment (12/2013)
Notice of Failure to File Personal Property Return (12/2013)
Notice of Penalty and Interest on Personal Property (12/2013)
Notice of Action by the County Board of Equalization for Personal Property (08/2012)
Notice of Unsigned Personal Property Return (10/2020)
Exempt. Application - Personal Property for Qualified Beginning Farmer or Livestock Producer - Form 1027 (06/2019)
Subpoena Duces Tecum (04/2015) Not available in fill-in format (assessor subpoenas taxpayer)
Form
Notice to Divide Tax for Community Redevelopment Project Tax Increment Financing (TIF) Project (03/2025)
Certification of Completion of Expedited Community Redevelopment Plan Tax Increment Financing (TIF) Project (10/2020)
Form
Aircraft Information Report (05/2015) (aircraft hangar report to assessor)
Mobile Home Report (03/2016)
Law Enforcement or Nebraska National Guard Law Enforcement Application for Withholding Address from Public (08/2025)
Form

Return of Unused Real Property Tax Credit (prior Form 403)  - Form 403RTC (03/2025)

Return of Unused School District Property Tax Relief Credit - Form 403STC (03/2025)
 
Exemption Application Form 451EI (11/2024) (application for tax exemption of student housing owned by a charitable organization)
Exemption Application Form 451NF (12/2024) (application for Qualifying For-Profit Nursing Facilities)
Exemption Application Form 451 (10/2023) (agricultural society, education, religious, charitable, cemetery)
Statement of Reaffirmation of Tax Exemption - Form 451A (06/2019) (agricultural society, education, religious, charitable)
Exemption Application for Honorably Discharged Disabled Veterans - Form 453 (01/2022) (for mobile home and motor vehicle)
Exemption Application for Motor Vehicle - Form 457 (07/2024) (agricultural society, education, religious, charitable, cemetery)
Form
Claim for Nebraska Personal Property Exemption - 2025 Form 312P (03/2025)
Claim for Nebraska Personal Property Exemption - 2025 Form 1107P (03/2025)
Form
Nebraska Air Carrier Annual Report and Schedule - Form 40 (01/2025)
Private Carline Company Report and Schedule - Form 44 (01/2025)
Nebraska Railroad Tax Report - Form 41 (01/2025) — Excel Version
Nebraska Public Service Entity Report for Fluid Pipelines - Form 43 (01/2025) — Excel Version
Nebraska Public Service Entity Report for Gas Pipelines - Form 43 (01/2025) — Excel Version

Nebraska Public Service Entity Report for Utilities- Form 43 (01/2025) — Excel Version

Nebraska Public Service Entity Report for Telecommunications — Excel Version

Homestead Exemption Forms

Form
Nebraska County Assessor/Deputy County Assessor Certification Examination Application (08/2017)
Education Calendar (contains links to registration)
Request for Continuing Education and Re-certification Credit   (03/2020)
Provider Request for Education Course Approval (08/2017)

Documentary Stamp Tax Forms

Form
Renewable Energy Generation Facility - Annual Report - Nameplate Capacity Tax - Form 424-AR (03/2022)
Nameplate Capacity Tax Remittance - Form 424-R (12/2023)
Form
County Inheritance Tax Report - Form CIT (07/2025)
Petitioner's County Inheritance Tax Report - Form PCIT (07/2024)
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