Ptax-766 Form - Application And Affidavit For Irc 501(C)(2), (C)(8), Or (C)(10) Fraternal Organization Assessment Freeze Page 2
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1
2Form PTAX-766 Instructions
What is the IRC 501(c)(2), (c)(8), or (c)(10)
b Proof of exempt status under IRC Section 501(c)(2), (c)(8), or
Fraternal Organization Assessment Freeze?
(c)(10) such as
The Internal Revenue Code (IRC) Section 501(c)(2), (c)(8), or
• an IRS group exemption letter to an organization, plus a
(c)(10) fraternal organization assessment freeze, enacted under
copy of an annual IRS filing by that organization, that lists
35 ILCS 200/10-360, allows any qualified fraternal organization or
your organization covered by the exemption letter; or
its affiliated Illinois not-for-profit corporation chartered prior to
• Your U.S. Form 990; or
1920 to elect to freeze the assessed value (AV) of the real
• Your IRS determination letter in response to your filing of
property it owns and uses. The AV is frozen by the chief county
U.S. Form 1024.
assessment officer (CCAO) at 15 percent of tax year 2002 AV for
property that qualifies in tax year 2003, or 15 percent of the AV
c Proof of ownership or other legal or equitable interest in the
for property for the tax year the property first qualifies after tax
property, such as
year 2003.
• a deed; or
Any improvements or additions made to the property that in-
• a contract for deed; or
crease the AV of the property also are frozen at 15 percent of the
• a trust document; or
AV of the improvement or addition in the year first assessed.
• a title insurance policy; or
• an organizational agreement; or
Who qualifies for the assessment freeze?
• an incorporation document; or
To qualify, a fraternal organization or its affiliated Illinois not-for-
• a court order; or
profit corporation chartered prior to 1920 must
• an affidavit of adverse possession.
• own and use real property,
d Copies of leases or contracts concerning the property, if
• be an exempt entity under IRC Section 501(c)(2), (c)(8), or
applicable.
(c)(10), and
When should I file Form PTAX-766?
• consist of members who provide, directly or indirectly,
For all counties but Cook County: You must file Form PTAX-766,
financial support for charitable works, such as medical care,
with your CCAO by December 31 of the assessment year for which
drug rehabilitation, or education.
you are applying.
How do I apply for the assessment freeze for the
For Cook County: You must file Form PTAX-766, with the Cook
first time?
County Assessor by January 31 of the assessment year for which
you are applying.
The fraternal organization’s chief presiding officer should complete
and sign Form PTAX-766, to apply for this assessment freeze. You
What if I need additional assistance?
must have the form notarized and attach supporting documenta-
If you need additional assistance, please contact your CCAO,
tion. See “What do I need to attach to Form PTAX-766?”.
whose address and phone number are shown below.
How do I renew the assessment freeze?
Where do I mail my completed Form PTAX-766?
If you are renewing this assessment freeze and have no
Mail your completed Form PTAX-766 to:
changes to report for this assessment year, the chief presiding
officer only needs to complete Step 1, sign this form, and have it
notarized before filing it with the CCAO.
MADISON
_____________________________________ County CCAO
If you are renewing this assessment freeze and have changes to
report for this assessment year, the chief presiding officer must
157 N MAIN ST, SUITE 229
_________________________________________________
complete Step 1, any lines in Step 2 that have changed, sign this
Mailing address
form, and have it notarized before filing it with the CCAO. In
62025
_____________________________________ IL _________
Edwardsville
addition, you must attach documentation explaining any changes.
City
ZIP
Some examples of changes you should report include
If you have any questions, please call:
• additions or improvements,
• change in name of fraternal organization,
618 692-6270
(
_____________________
)
—
• conveyance of property,
• destruction or removal of improvements,
• leasing of property.
What do I need to attach to Form PTAX-766?
Your fraternal organization must attach copies of the following to
Form PTAX-766.
a Proof of an Illinois not-for-profit corporation charter prior to
1920 —
• your fraternal organization’s Illinois charter issued prior to
1920; or
• a certification that your fraternal organization was char-
tered in Illinois prior to 1920; or
• a certification that your fraternal organization was affiliated
with a qualified fraternal organization that was chartered in
Illinois prior to 1920.
PTAX-766 (N-1/03)
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