Free 09283.pdf - Indiana

REPORT OF ASSESSMENT FOR OMITTED OR UNDERVALUED PROPERTY ASSESSMENT AND ASSESSMENT PENALTIES
State Form 9283 (R3 / 10-01)

FORM 122
Assessment year

March 1, 20 ______

You are hereby notified that the undersigned has assessed the taxpayer mentioned below for omitted or undervalued property as follows:
Name of taxpayer For year of

Address (number and street or Rural Route, city, state, ZIP code)

Taxing district

Township

County

Original personal property return filed

Date return was due

________________________________, 20 ______ ORIG. ASSESSMENT PERSONAL PROPERTY REAL ESTATE LAND IMPROVEMENTS TOTAL
Description of Real Estate

________________________________, 20 ______ ADDED ASSESSMENT $ _________________ $ _________________ $ _________________ TOTAL ASSESSMENT

$ _________________ $ _________________ $ _________________

0.00 $ _________________

0.00 $ _________________
0.00 $ _________________

0.00 $ _________________

0.00 $ _________________

0.00 $ _________________

The county auditor shall add the penalty(s) to the property tax installment next due for the return.

IN ADDITION TO THE ADDED ASSESSMENT(S) SHOWN ABOVE, THE FOLLOWING PENALTIES ARE TO BE ADDED. PENALTIES
20% of Tax on Undervalued Personal Property

25.00 $25.00
(a) Fails to include on a personal property return the information that the Department of Local Government Finance requires (6-1.1-37-7(d); 6-1.1-3-9; 6-1.1-5-13). (b) Fails to file a required personal property return on or before the due date (6-1.1-37-7(a)).

20% of Tax

(c) Fails to file the personal property return within thirty (30) days after the due date (6-1.1-37-7(a)). (d) Undervalues the property that he reports on a personal property return and if the amount by which the person undervalues that property exceeds five percent (5%) of the value which should have been reported on that return, then the County Auditor shall add a penalty of twenty percent (20%) of the additional taxes finally determined to be due as a result of the undervaluation (6-1.1-37-7(e))

TOTAL PENALTIES TO BE ADDED

$25.00

$0.00

$0.00

A penalty is due with an installment under (a), (b), (c), or (d) whether or not an appeal is filed under IC 6-1.1-15-5 with respect to the tax due on that installment.
Signature of official Title Date

ORIGINAL - County Auditor; DUPLICATE - Assessing Official