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Nebraska Department of Property Assessment and Taxation  


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Forms for County Officials

Pursuant to Title 350, Chapter 70, County Officials Regulations, REG-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”. 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 may be a second choice for “editable PDF”. Editable forms allow the user to fill out the form on-line and then print it. The information is not saved and is not transmitted electronically to any location. It remains the end user’s responsibility to complete the form per the instructions and print the necessary copies for filing.

Index of Forms for County Officials (pdf 30k)

Type Form # Form Title Select form
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 (19k)
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 (8k) 
editable PDF (28k)
Real 521 Real Estate Transfer Statement PDF (14k)
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  (Form 422 allows real property valuation to be stated for land, buildings, and total) Editable PDF (48k)
Real/Personal  Guideline Form 422A Property Valuation Protest and Report of County Board of Equalization Action  (Form 422A allows real property valuation to be stated in total) Editable PDF (54k)
Real   Notice to Divide Tax for Community Redevelopment Project  (Tax Increment Financing Project TIF) PDF (18k)
editable PDF(26k)
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
(aircraft hanger report to assessor)
PDF (41k)
Editable PDF(83k)
Guideline Form   Subpoena Duces Tecum
(assessor subpoenas taxpayer)
PDF  (6k)
Exemption 451 Exemption Application
(agricultural society, education, religious, charitable, cemetery)
PDF  (13k)
Exemption 451A Statement of Reaffirmation of Tax Exemption
(agricultural society, education, religious, charitable)
PDF (7k)
Exemption 453 Exemption Application for Veterans for Mobile Home & Motor Vehicle PDF  (16k)
Exemption 457 Exemption Application Motor Vehicle
(agricultural society, education, religious, charitable, cemetery)
PDF (16k)
Exemption 775P Employment & Investment Growth Act
    Claim For Personal Property Exemption Form 775P PDF
Editable PDF
    Schedule I – Turbine Powered Aircraft

PDF  (11k)
Editable PDF

    Schedule II – Mainframe Computers and  Peripherals PDF (11k)
Editable PDF
   

Schedule III – Business Equipment

PDF  (11k)
Editable PDF

Exemption 5725X Nebraska Advantage Act
    Claim For Personal Property Exemption Form 5725X PDF  (27k)
Editable PDF
    Schedule I – Turbine Powered Aircraft PDF  (18k)
Editable PDF
    Schedule II – Mainframe Computers and Peripherals PDF  (18k)
Editable PDF
   

Schedule III – Agricultural Processing/ Distribution Facility Equipment

PDF  (18k)
Editable PDF

Exemption  1027 Exemption Application for Personal Property For Qualified Beginning Farmer or Livestock Producer PDF (22k)
Editable PDF (29k)

 

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