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Nebraska Department of Property Assessment and Taxation  


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Forms for County Officials

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, see Dept. of Revenue’s Web site: http://www.revenue.state.ne.us/info/7-203.pdf.

The Property Assessment Division provides camera ready copies of the following county forms directly to the county officials and printing companies. County offices must obtain their own supply of forms. You may contact our office at (402)471-5984 or by email for a list of printing companies or further assistance regarding forms.

For certain forms there is a choice for “Editable PDF” which allows you to fill-in the form on your computer and then print it. You are responsible for completing the form per instructions and printing the necessary copies for filing. The information is not transmitted electronically to any location. Note: The Editable PDF forms are “savable” to your own computer if you have a version of Acrobat (8.0) or higher. The free version of Acrobat Reader does not allow you to save your completed forms to your computer.

 
  • Index of Forms for County Officials- PDF (30k)
  • Car Line & Air Carrier Forms
     
  • Homestead Exemption Forms
  • Public Service Entities and Railroad Forms
     
  • Education Forms    
     
         
    TYPE FORM # SELECT FORM TITLE
    Real 401 Separate Assessment Application For Severed Minerals - PDF (12k) | Editable PDF(204K)
    Real 402 Improvements on Leased Land Assessment Application - PDF (6k) | Editable PDF(204K)
    Real 402P Improvements on Leased Public Land Assessment Application - PDF (6k)| Editable PDF (17k)
    Real 456 Special Valuation Application for Agricultural Land and Horticultural Land - PDF (14k) |Editable PDF (28K)
    Real 521 Real Estate Transfer Statement - PDF (14k) |Editable PDF (110k)
    Real 521MH Manufactured Housing Transfer Statement - PDF (14k) | Editable PDF (62k)
    Real/
    Personal
    Guideline
    Form
    422 Property Valuation Protest and Report of County Board of Equalization Action - PDF (16k) | Editable PDF (48k)
    (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 - PDF (16k)| Editable PDF (54k)
    (Form 422A allows real property valuation to be stated in total)
    Real   Notice to Divide Tax for Community Redevelopment Project- PDF (18k) | Editable PDF (26k)
    (Tax Increment Financing Project TIF)
    Real    Improvement Information Statement - PDF (10k)| Editable PDF (19k)
    Personal
    Property
      Nebraska Personal Property Return - PDF (17k) | Editable PDF (40k)
    Personal
    Property
      Nebraska Net Book Value Personal Property Schedule - PDF (6k) | Editable PDF (295k)
    Personal
    Property
      Notice of Change in Personal Property Assessment - PDF (6k) | Editable PDF (54k)
    Personal
    Property
      Notice of Failure to File Personal Property Return - PDF (11k) | Editable PDF (203k)
    Personal
    Property
      Notice of Penalty on Personal Property - PDF (10k) | Editable PDF (22K)
    Personal
    Property
      Notice of Action by the County Board of Equalization for Personal Property - PDF (7k) | Editable PDF (24k)
    Personal
    Property
      Notice of Unsigned Personal Property Return - PDF (5k) | Editable PDF (196k)
    Personal
    Property
      Nebraska Aircraft Information - PDF (41k) | Editable PDF (83k)
    (aircraft hanger report to assessor)
    Personal
    Property
    Exemption 
    1027 Exempt. App. - Personal Property for Qualified Beginning Farmer or Livestock Producer - PDF ( 18k) | Editable PDF (35k)
    Guideline
    Form
      Subpoena Duces Tecum - PDF (6k)
    (assessor subpoenas taxpayer)
    Exemption 451 Exemption Application - PDF (13k) | Editable PDF (56k)
    (agricultural society, education, religious, charitable, cemetery)
    Exemption 451A Statement of Reaffirmation of Tax Exemption - PDF (7k) | Editable PDF (45k)
    ( agricultural society, education, religious, charitable)
    Exemption 453 Exemption Application for Veterans for Mobile Home & Motor Vehicle - PDF (16k)| Editable PDF (45k)
    Exemption 457 Exemption Application Motor Vehicle - PDF (16k) | Editable PDF(65k)
    (agricultural society, education, religious, charitable, cemetery)
    Exemption 775P  Employment and Investment Growth Act
        Claim For Personal Property Exemption Form 775P - PDF (11k) | Editable PDF (56k)
        Schedule I - Turbine Powered Aircraft - PDF ( 11k) | Editable PDF( 34k)
        Schedule II - Mainframe Computers and Peripherals - PDF ( 118k) | Editable PDF (56k)
        Schedule III - Business Equipment - PDF ( 11k) | Editable PDF (56k)
    Exemption 5725X Nebraska Advantage Act
        Claim For Personal Property Exemption Form 5725X - PDF ( 27k) | Editable PDF (63k)
        Schedule I - Turbine Powered Aircraft - PDF ( 18k) | Editable PDF (36k)
        Schedule II - Mainframe Computers and Peripherals - PDF ( 18k) | Editable PDF (43k)
        Schedule III - Agricultural Processing/ Distribution Facility Equipment - PDF ( 18k) | Editable PDF (54k)
     

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