Form Ptax-330 - Application For Solar Energy Assessment

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PTAX-330
Application for Solar Energy Assessment
Who should complete this form?
You should complete this form to request an alternate assessment if you are using a solar energy system that has been
installed on your property. The solar energy system must conform to the standards established by the Illinois Department of
Natural Resources. You must file this form with the chief county assessment officer (CCAO) at the address shown below.
Note: Attach copies of receipts for cost and installation of the solar energy system. If you discontinue the use of the solar
energy system valued under this alternate assessment, you must notify the CCAO in writing, by certified mail, within 30 days.
Step 1: Complete the following information
1
5 a Describe in detail the use of the system.
Property owner’s name
Street address
b Write the amount of area that is served by the solar
City
State
ZIP
energy system, such as square feet or number of rooms.
(
)
Phone
Send notice to (if different than above)
6 Write the total installed cost of
2
the solar energy system. _________________________
Name
7 Write the property index number (PIN) of the property for
Mailing address
which you are requesting this solar energy assessment.
Your PIN is listed on your property tax bill or you may
City
State
ZIP
obtain it from the CCAO. If you are unable to obtain your
(
)
PIN, write the legal description on Line b.
Phone
a PIN
3 Write the date you began using
b Write the legal description only if you are unable to
the solar energy system.
____/
___
/
obtain your PIN.
Month
Day
Year
4 Check the type of solar energy for which the system
is being utilized.
a
d
8 Write the street address of the property, if different than
Hot water
Heating
b
e
the address in Item 1.
Cooling
Generating electricity
c
Other (Describe in detail.)
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-330 to:
MADISON
(618) 692-6270
County Chief County Assessment Officer
157 N MAIN ST, SUITE 229
Mailing address
Edwardsville
IL
62025
City
ZIP
Do not write in this space.
For use by the CCAO
Attach one copy of this document to the property record card.
Date received
____/___ /
Month
Day
Year
Approved
Yes
No
Denied
Yes
No
Date approved _____/___ /
Date denied
____/___/
Month
Day
Year
Month
Day
Year
Reason for denial
PTAX-330 (R-12/97) IL-492-3105
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