STATE OF GEORGIA, BIBB COUNTY, CITY OF MACON
AD VALOREM TAX STATEMENT
THOMAS W. TEDDERS, JR.
TAX COMMISSIONER
RUN DATE 09/22/2004 A04 TAX YEAR = 2004 OFFICE PHONE # 478-621-6500
OWNER NAME POLK CHAD A & PAIGE C ACCOUNT NUMBER G15720-001
PROPERTY ADDRESS 0224 CHADWICK CIR TAX DISTRICT 2
100% VALUE 117,900 EXEMPTION CD S1
40% VALUE 47,160 MORTGAGE CD
MAP/ROUTE L003-0219 MILL RATE 33.9387 MAP CODE 110 47
PROPERTY DESC
HOMESTEAD EXEMPTIONS 7,000.00
STATE COUNTY CITY SCHOOL
BOND TAX 54.33
REGULAR TAX 11.29 730.29 694.72
PENALTIES
TOTAL TAX 11.29 730.29 749.05
SALES TAX CREDIT 118.34-
HTRG CREDIT 2.00- 121.90- 138.39-
NET TAX 9.29 490.05 610.66
ORIGINAL AMOUNT DUE-------> 1,110.00
ADJ FROM VALUE CHG
INTEREST
DELINQUENT PENALTY
FIFA
NSF FEES
PAYMENTS 4.65- 245.03- 305.33-
CURRENT NET TAX 4.64 245.02 305.33
CURRENT AMOUNT DUE--------> 554.99
FI.FA.S WILL BE ISSUED 30 DAYS AFTER DUE DATE
APPEAL RESOLUTION ADJUSTED BILL - PLEASE PAY
RETURN THIS PORTION WITH YOUR 2ND INSTALLMENT PAYMENT
TAX YEAR ACCOUNT # 2ND INSTALLMENT DUE DATE AMOUNT PAID
AMOUNT
2004 G15720-001 11-22-2004
INTEREST ACCRUES AFTER 11-22-2004
CHAN JEFF
224 CHADWICK CIR
MACON GA 31210-8835
RETURN THIS PORTION WITH YOUR 1ST INSTALLMENT PAYMENT
TAX YEAR ACCOUNT # 1ST INSTALLMENT DUE DATE TOTAL DUE AMOUNT PAID
AMOUNT
2004 G15720-001 11-22-2004 554.99
PLEASE SEE SECOND HALF COUPON
CHAN JEFF
224 CHADWICK CIR
MACON GA 31210-8835