Form Ptab-14-A - Farm Appeal
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4Docket No.______________________
FARM APPEAL
(Office Use Only)
State of Illinois — Property Tax Appeal Board
Room 402 Stratton Office Building
Suburban North Regional Office Facility
401 South Spring Street
9511 West Harrison Street, Suite 171
Springfield, IL 62706-4001
Des Plaines, IL 60016-1563
(217) 782-6076
(847) 294-4360
TDD (217) 785-4427
TDD (847) 294-4371
Failure to properly complete this form and provide the necessary documentation shall result in the dismissal of your appeal.
For Assessment Year 20____
Are you appealing off a recently issued township equalization factor being applied to the residence and homesite?
yes
no
If an appeal was filed with the Property Tax Appeal Board on this Tax Parcel for the prior year, please indicate the Property Tax Appeal Board
docket number to that appeal:___________________________________________
Section I
This form must be completed and filed within 30 days of the postmark on the decision you received from the Board of Review. Any additional written evidence
must be submitted with this PTAB form. If you are unable to submit the additional written information with this form, a letter requesting an extension of time for
filing the additional evidence must be submitted with this form. Without a written request for an extension, no evidence will be accepted after the 30 days. The
Property Tax Appeal Board will grant only reasonable requests up to 90 days. Faxed copies of this form will not be accepted.
WHERE TO FILE THIS APPEAL:
If your property is located OUTSIDE of Cook County, file your appeal and all related documentation with the SPRINGFIELD office. If your property
is located IN Cook County, file your appeal and all related documentation with the DES PLAINES office. The addresses are listed above. Without
prior Property Tax Appeal Board approval, a separate appeal must be filed on each individual Property Identification Number (P.I.N.), or a breakdown may be
submitted (see 2c below.).
This form must be submitted in triplicate.
Evidence must be submitted in duplicate where a change in assessed valuation of less than $100,000 is sought.
Evidence must be submitted in triplicate where a change in assessed valuation of $100,000 or more is sought.
Section II
Appellant _____________________________________________
Attorney for Appellant ___________________________________
Street ________________________________________________
Street ________________________________________________
City __________________________________________________
City __________________________________________________
State ________________
ZIP ________________________
State ________________
ZIP _________________________
Telephone _____________________________________________
Telephone _____________________________________________
Petition is hereby made to appeal from the final, written decision of the ___________________________________ County Board of Review
relating to the property described below. Notice of such decision was postmarked on ____________________________. Submit 2 copies
of the Notice of Final Decision on Assessed Value by the Board of Review.
2a Property ID No. (P .I.N.): ________________________________
Township : _____________________________________________
Address of property:___________________________________________________________________________________________
(Cook County) Property Class No._______________________________________ Volume No._______________________________
2b If appellant is not the owner, give name and address of the property owner: Owner __________________________________________
Address_________________________________________________________________________________________________
street
city
state
ZIP code
2c The assessments of the property for the year as made by the: (This information is available from the Supervisor of Assessments,
County Assessor or the Board of Review.)
Assessor
Board of Review
Appellant's Claim
Farmland
____________________
____________________
____________________
Homesite
____________________
____________________
____________________
Residence
____________________
____________________
____________________
Farm Bldgs.
____________________
____________________
____________________
Total
____________________
____________________
____________________
Which of the following assessments are you contesting?
Farmland
Homesite
Residence
Farm Buildings
May the Property Tax Appeal Board decide the appeal based on the evidence submitted by the parties without an oral hearing?
______ Yes
______No, I request an oral hearing.
2d
Date: __________________________
Signature: ____________________________________________
Attorney or Appellant only
PTAB-14-A (N-10/00)
IL-492-3699
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Parent category: Financial