Form Ptax-341 - Application For Returning Veterans' Homestead Exemption - 2010

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PTAX-341
Application for Returning Veterans’ Homestead Exemption
Step 1: Complete the following information
1
3
_______________________________________________
Write the assessment years for which you are filing this form.
Property owner’s name
___ ___ ___ ___
___ ___ ___ ___
________________________________________________
Year you returned home
Year after you returned home
Street address of homestead property
4
Write the property index number (PIN) of the property for
IL
________________________________________________
which you are requesting the returning veterans’ homestead
City
State
ZIP
exemption. Your PIN is listed on your property tax bill or
(_______)________________________________________
you may obtain it from your Chief County Assessment Officer
Daytime phone
(CCAO). If you are unable to obtain your PIN, write the legal
description on Line b.
Send notice to (if different than above)
a
PIN __________________________________________
2
________________________________________________
Name
b
Write the legal description only if you are unable to
________________________________________________
obtain your PIN. Attach a separate sheet if needed.
Mailing address
Edwardsville
______________________________________________
_______________________________________________
______________________________________________
City
State
ZIP
(_______)_______________________________________
______________________________________________
Daytime phone
Step 2: Complete eligibility information
5
9
Are you a veteran and an Illinois resident?
Is the residence operated as a cooperative?
Yes
No
Yes
No
6
Have you served as a member of the U.S.
1 0
On January 1 of the year you returned home,
Armed Forces, Illinois National Guard, or
were you the owner of record or did you have a
U.S. Reserve Forces?
Yes
No
legal or equitable interest in this property?
Yes
No
7
Did you return from active duty in an armed
If “No”, write the date you acquired an
conflict involving the armed forces of the
interest in this property.
___ ___/___ ___/___ ___ ___ ___
United States?
Yes
No
Month Day Year
If “Yes”, write the date you
11
On January 1 of the year you returned home, did you occupy
___ ___/___ ___/___ ___ ___ ___
returned home.
this property as your principal residence?
Yes
No
Month Day Year
• If “No”, write the date you first
8
Check your type of residence.
occupied this property?
___ ___/___ ___/___ ___ ___ ___
Single-family dwelling
Duplex
Month Day Year
Townhouse
Condominium
12
On January 1 of the year you returned home,
Apartment
Other __________________
were you liable for the payment of real estate
taxes on this property?
Yes
No
Note: You must provide documentation with this form. See the back of this form “Do I need to provide documentation?”.
Step 3: Attach proof of ownership
13
15
Check the type of documentation you are attaching as proof
Is the instrument recorded?
Yes
No
that you are the owner of record or have a legal or equitable
interest in the property.
16
If known, write the date recorded and the document number from
the county records.
D eed
Contract for deed
Trust agreement
Other written instrument
___ ___/___ ___/___ ___ ___ ___
Date recorded
Lease
Specify: ___________________
Month Day Year
14
Write the date the written
Recorded document number ____________________________
_ __ ___/___ ___/___ ___ ___ ___
instrument was executed.
Month Day Year
Step 4: Sign below
I state that to the best of my knowledge, the information on this application is true, correct, and complete.
_ ___________________________________________________
___ ___/___ ___/___ ___ ___ ___
Property owner’s or authorized representative’s signature
Month Day Year
PTAX-341 Front (R-12/10) IL-492-4533

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