Form Ptax-245 - Disaster Area Application For Reassessment
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1PTAX-245
Disaster Area Application for Reassessment
Who should complete this form?
You should complete this form to request reassessment of property under Section 13-5 of the Property Tax Code
(35 ILCS 200/13-5) based on substantial damage caused by a disaster in a county that has been declared a major
disaster area by the President of the United States or the Governor of the State of Illinois. This form should also be
submitted with your flood appeal.
Step 1: Complete the following information
_____________________________________________
c Write the legal description of the damaged property
1
Property owner’s name
only if you are unable to obtain your PIN.
_____________________________________________
___________________________________________
Property owner’s mailing address
___________________________________________
_____________________________________________
___________________________________________
City
State
ZIP
___________________________________________
(_____)_________________________________________
Phone
___________________________________________
Send correspondence to (if different than above)
___________________________________________
_____________________________________________
2
___________________________________________
Name
___________________________________________
_____________________________________________
Mailing address
___________________________________________
_____________________________________________
___________________________________________
City
State
ZIP
4 Write a detailed description of the damage to your land,
(_____)_______________________________________
buildings, or other structures.
(Use extra pages if necessary.)
Phone
3 Write the property index number (PIN) of the property for
___________________________________________
which you are requesting this disaster area
___________________________________________
reassessment. Your PIN is listed on your property tax bill
___________________________________________
or you may obtain it from your chief county assessment
___________________________________________
officer (CCAO).
PIN __ __ - __ __ - __ __ __ - __ __ __ - __ __ __ __
___________________________________________
a
b Write the street address of the damaged property, if
___________________________________________
different than the address in Item 1.
___________________________________________
_____________________________________________
___________________________________________
Street address
___________________________________________
___________________________________IL _____________
City
ZIP
___________________________________________
Step 2: Sign below
I state that, to the best of my knowledge, the information contained in this application is true, correct, and complete.
____________________________________________________
______ ___ ___ _ __ ___
Property owner’s or authorized representative’s signature
Date
If you have any questions, please call:
Mail your completed Form PTAX-245 to:
(______)____________________________
Cook County Assessor's Office
118 N. Clark – 3rd Floor
_________________________________________________
Mailing address
_________________________________________________
60602
Chicago
__________________________________ IL ____________
City
ZIP
Do not write in this space.
Date received ___ ___/___ ___/___ ___ ___ ___
Application no. ___________________
__________ Approved
__________ Disapproved
Reasons (if disapproved)________________________________________________________________________________
______________________________________________________________________________________________________
This form is authorized in accordance with 35 ILCS 200/1-1 et seq. Disclosure of this information is
REQUIRED. This form has been approved by the Forms Management Center. IL-492-3379
PTAX-245 (R-5/02)
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