DELIVER or MAIL TO:
Sarpy County Clerk/ROD
1210 Golden Gate Drive Suite 1250
Papillion, NE 68046
Sarpy County
Property Valuation Protest Form 422
Protest Number
(Office Use Only)
2025-
NAME OF PERSON FILING PROTEST (Please Print)
STREET OR OTHER MAILING ADDRESS
CITY
STATE
ZIP CODE
The person filing this protest is the owner of the property or authorized to protest on behalf of the owner. If the protest is on behalf of the owner, written authorization by the owner is required with the protest; include as attachment below with evidence.
Parcel Number REQUIRED
Phone Number
Email
Date Filed (Office Use Only)
REQUESTED VALUATION REQUIRED
Land
$
Buildings
$
Outbuildings
$
Total Land and Buildings
$
Real Property Description (Include Lot, Block, Addition, Location Address, Section, Township, Range, and County)
Did you have a preliminary hearing with the Assessor?
The County Board of Equalization will hold a Referee hearing, review the protest and all information submitted. You are not required to attend this hearing. If you do not wish to attend or select a choice below, your protest will still be given full consideration. Please indicate how you would prefer to attend your hearing by marking one of the boxes below.
No, I do not plan to appear.
My protest will be given full consideration.
I will appear in person
(distancing required)
I request a conference call at phone number:
REASON FOR FILING FORM 422
A.  Equalization
  • Your property is overvalued in relation to similar properties
  • Physical Characteristics of the property are incorrect
B.  Valuation
  • A recent appraisal of the property (appraisal data)
  • Sales of similar properties in a similar area, or evidence of a recent sale of the subject property (sales data)
  • Income, vacancy and expense data relating to commercial property
PROVIDE ALL EVIDENCE SUPPORTING YOUR REQUESTED VALUATION CHANGE (type or attach).
IMPORTANT REMINDERS: Forms submitted prior to June 1 or submitted after June 30 cannot be accepted as timely filed. The property decision, and reason for the protest, and (e)signature must be included. Protest documents are public records - please redact sensitive information on any pages submitted with this form. A separate form must be submitted for each parcel.
Click the Attach button on the left to select files for uploading.
You may select multiple files for attaching within the file explorer.
 
** This form only accepts PDF, Microsoft Word, Microsoft Excel, and image file formats as supporting documents. Upload documents for online submissions only.
Would you like communications related to the protest (otherwise, they will go directly to the owner)?
Electronic Signature Acknowledgment: You agree that your typed signature has the same legal validity and effect as your handwritten signature on the document.
sign
here
 
                                                                                          
Signature of Person Filing Protest

Date
© 2025 - Property Valuation Protest
Version 2.0.0.0