Application For Disabled Persons' Homestead Exemption Form - Lake County, Illinois printable pdf download

Application For Disabled Persons' Homestead Exemption Form - Lake County, Illinois

Application for Disabled Persons’

Homestead Exemption

Name of Applicant: ____________________________________________

Property Address: _____________________________________________

_____________________________________________

Township: ___________________________________________________

Permanent Index Number: ______________________________________

Applicant’s Telephone Number: __________________________________

I attest to the fact that the above address is my primary residence, I am the

owner of record, or I have a legal or equitable interest in the property as

evidenced by written instrument, and that I am liable for paying the taxes on this

property. I also attest that I am disabled during tax year ______ under the

Federal Social Security Act, and that if my disability continues, I will file this form

each year that I am eligible in order to retain this exemption.

In support of this application, I hereby supply a copy of my Illinois Disabled

Person Identification Card stating that I am under a Class 2 disability. (A copy of

this card must be attached to this form).

Signed: __________________________ Dated: ____________________

Please return this form to:

Chief County Assessment Office

18 North County Street – 7

Floor

Waukegan, IL 60085

Pursuant to 35ILCS 200/15-168, this exemption will only apply for the year in which application was made, and will remove $2,000

from the equalized assessed value of the home for the year. Application must be made for each year the claimant remains eligible.

If the applicant has claimed an exemption under 35ILCS 200/15-165 (Disabled Veterans) or 35ILCS 200/15-169 (Disabled Veterans

Standard Homestead Exemption), the claimant is not eligible to apply for this exemption.

Application For Disabled Persons' Homestead Exemption Form - Lake County, Illinois