Property Assessment Forms | Nebraska Department of Revenue

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 (07/2024)
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 Destroyed Real Property - Form 425 (11/2020)
Improvement Information Statement (01/2020)
Vacant or Unimproved Lot Application - Form 191 (09/2014)
Conservation Easement Application (12/2021)

Form
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 (02/2023)
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 (08/2023)

Form
Return of Unused Real Property Tax Credit - Form 403 (06/2022)


Exemption Application Form 451EI (11/2024) (application for tax exemption of student housing owned by a charitable organization)
Exemption Application Form 451NF (11/2024) (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 - Form 312P (04/2024)
Claim for Nebraska Personal Property Exemption - Form 1107P (04/2024)

Form
Nebraska Air Carrier Annual Report and Schedule - Form 40 (01/2024)
Private Carline Company Report and Schedule - Form 44 (01/2024)
Nebraska Railroad Tax Report - Form 41 (02/2023) — Excel Version
Nebraska Public Service Entity Report for Fluid Pipelines - Form 43 (02/2023) — Excel Version
Nebraska Public Service Entity Report for Gas Pipelines - Form 43 (02/2023) — Excel Version
Nebraska Public Service Entity Report for Utilities- Form 43 (02/2023) — 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 (07/2024)
Petitioner's County Inheritance Tax Report - Form PCIT (07/2024)