Form Ptax-762 - Application For Model Home Assessment - 2003
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2PTAX-762 Application for Model Home Assessment
Who should complete this form?
When and where must I file?
You should complete this form to request an alternative
You must annually file this form with the Chief County Assessment
assessment if your property is used for model home purposes. The
Officer (CCAO), at the address shown below, on or before April 30
property must be a single-family residence, town home, or condo-
in Cook County and December 31 in all other counties. Failure
minium, used solely as a model home for prospective buyers, and
to file in a timely manner will result in waiver of the model home
not occupied as a dwelling. The model home may contain home
assessment for that year.
furnishings, appliances, offices, and office equipment to further sales
Note:
When any portion of this property no longer
activities. No more than three model homes can be located at the same
qualifies as a model home, you must notify
time within a three mile radius, the center of each radius is the model
the CCAO within 60 days by completing
home that has been used for the longest period of time. No model home
Form PTAX-762-C, Certificate of Ineligibility
can be used for model home purposes longer than ten years.
for Model Home Assessment.
Step 1: Complete the following information
1.
4.
Write the date the property
began to be used for model
Property owner’s name
/
/
home purposes.
5
. This model home is a:
Single-family residence
Street address of model home property
Town home
IL
Condominium
City
Zip
6.
Have you applied for other
(
)
model home assessments
Daytime phone
in this county?
Yes
No
Send notice to:
(if different than above)
7.
Write the parcel # of the property for which you are
2.
requesting this model home assessment. Your parcel #
is listed on your property tax bill or you may obtain it from
Name
the CCAO. If you are unable to obtain your parcel, write
the legal description on line b.
Mailing address
a.
Parcel #
b.
Legal description
City
State
Zip
(
)
Daytime phone
3
Write the assessment year for which you are
requesting this model home assessment:
Step 2: Sign below
Under penalties of perjury, I state that, to the best of my
Subscribed and sworn to before me this
day
knowledge, the information on this form is true, correct,
and complete.
of
,
.
/
/
/
/
Property owner’s or authorized representative’s signature & date
Notary Public
Date
If you have any questions, please call: (309) 558-3660
Notary stamp:
Mail your completed form PTAX-762 to:
Rock Island County Chief County Assessment Officer
rd
1504 3
Avenue
Rock Island, Illinois 61201
For use by the CCAO
Date complete
Date sold
Do not write in this space
Date received
/
/
Full year value
Instant
Approved:
Yes
No
Pro-rated L
I
T
Date approved
/
/
TAX-762 (R-09/03) IL-492-3076
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