Form Ptax-761 - Request For Reduction Due To Destruction Form - Illinois
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Request for Reduction Due to Destruction
PTAX-761
Read this information first
You must complete Form PTAX-761 to request a reduction of assessment if a building, structure, or other improvement assessed for
property tax purposes was damaged or destroyed and rendered uninhabitable and unfit for occupancy or customary use. The destruc-
tion must be by natural disaster or accidental means and not by the willful misconduct of the owner. You must file Form PTAX-761 within
90 days after the destruction or 90 days after the township or multi-township assessor mails you the application. Failure to do so shall
result in no reduction of assessment to the property.
Step 1: Provide the following information
1
__________________________________________________
Send notice to (if different than Line 1)
Property owner’s name
2
__________________________________________________
__________________________________________________
Name
Property owner’s street address
__________________________________________________
__________________________________________________
Street address
City
State
ZIP
__________________________________________________
Telephone: (___ ___ ___)___ ___ ___ - ___ ___ ___ ___
City
State
ZIP
Telephone: (___ ___ ___)___ ___ ___ - ___ ___ ___ ___
Email address: ______________________________________
Property owner on January 1 of the assessment year
Email address: ______________________________________
if different than Line 1: ______________________________
Step 2: Identify the property
4
Write the property (parcel) number (PIN) listed on your
3
Provide the street address of the property if different than the
property tax bill or obtain it from the Chief County Assessment
address you identified in Step 1, Line 1.
Officer.
__________________________________________________
a
PIN: _______________________________________
Street address
b If unable to obtain your PIN, provide a legal description.
__________________________________________________
_______________________________________________
City
State
ZIP
_______________________________________________
Step 3: Describe the property’s destruction
5
Write the date the improvement became uninhabitable or unfit for occupancy or customary use? ___ ___/___ ___/___ ___ ___ ___
6
Was the improvement damaged by natural disaster or accidental means? ____yes
____no
7
What caused the destruction (you may attach additional documentation): ______________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Step 4: Sign below
I state to the best of my knowledge, the information contained in this request true, correct, and complete. If the improvement is re-
placed, I will file a request for reassessment due to construction of improvements, within 30 days after the completion date.
____________________________________________________
___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Property owner’s or authorized representative’s signature
Step 5: Mail your completed Form PTAX-761
If you have any questions, please call (___ ___ ___)___ ___ ___-___ ___ ___ ___.
Mail your completed Form PTAX-761 to:
________________________________________________
________________________________________________
Mailing address
______________________________ IL ______________
City
ZIP
PTAX-761 (R-2/12)
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