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)
2022-
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.
Date Filed (Office Use Only)
REQUESTED VALUATION REQUIRED
$
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.
REASON FOR FILING FORM 422
PROVIDE ALL EVIDENCE SUPPORTING YOUR REQUESTED VALUATION CHANGE (type or attach).
IMPORTANT REMINDERS: Forms submitted prior to June 1 or postmarked 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.
** This form only accepts PDF, Microsoft Word, Microsoft Excel, and image file formats as supporting documents.
Upload documents for online submissions only.