Affidavit For Homestead Exemption When A Motor Vehicle Is Titled In The Name Of A Business Entity And An Individual Co-Owner Form - Cobb County Tax Commissioner

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COBB COUNTY TAX COMMISSIONER
736 WHITLOCK AVE
P. O. BOX 649
SUITE 100
MARIETTA, GA 30061-0649
MARIETTA, GA 30064
770-528-8600
AFFIDAVIT FOR HOMESTEAD EXEMPTION WHEN A MOTOR VEHICLE IS TITLED
IN THE NAME OF A BUSINESS ENTITY AND AN INDIVIDUAL CO-OWNER
This Affidavit is submitted for the purpose of establishing eligibility for Homestead Exemption and payment of ad valorem
tax on a vehicle titled in the name of a business entity and an individual co-owner.
Property Address: _________________________________________________________Parcel ID ________________
I resided at the above described property on January 1 of the year for which application is made and declare this to be
my legal domicile. I understand Homestead Exemption will be granted or denied based on the statements contained
herein and those on the application.
following motor vehicle(s) titled in the name of a business entity and
In accordance with O.C.G.A. 48-5-444, I declare that the
an individual as co-owner are used solely in conjunction with my business and physically located for more than 184 days
a calendar year in the county where the business is located. Ad valorem taxes will be paid in ___________________
county.
NAME OF BUSINESS______________________________________________________________________________
ADDRESS _______________________________________________________________________________________
LIST ALL MOTOR VEHICLES AND TAG NUMBERS: _____________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
I understand that, by law, the applicant must pay motor vehicle taxes on all personal vehicles in the county where they claim
Homestead Exemption. I further understand the Tax Commissioner’s office must be notified in the event the vehicles are no
longer titled in the name of the business.
Please retain a copy of this affidavit for your records. A receipt will be sent to you after your application has been processed.
I do hereby swear or affirm under penalty of law that this information is true and correct to the best of my knowledge.
______________________________________________
_________________________________________
Signature of Applicant/Co-owner of vehicle
Daytime telephone number
______________________________________________
_________________________________________
Print name of Applicant
Date
____________________________________
(Notary Public)
My Commission Expires:
OFFICE USE ONLY
HS Case # ___________________________ Existing HS Code # ______________
Date processed_______________________________
New HS Code# _______________Base Yr # _____________ Tax Yr # __________
Parcel ID(s) _________________________________________________________
APPROVED
DENIED

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