Form Ptax-329 - Certificate Of Status - Senior Citizens Homestead Exemption - Illinois
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PTAX-329
Certificate of Status—Senior Citizens Homestead Exemption
Who should file this form?
When and where must I file?
You should file this form each year if you received a senior citizens
You must file this form with the CCAO at the address shown below by
homestead exemption in the prior year and your chief county assess-
May 31 of each year. Contact your CCAO for information on how you
ment officer (CCAO) requires annual verification of your eligibility status.
designate another person to receive a duplicate of a property tax
Failure to file this form may result in the termination of the exemption.
delinquency notice for your property.
Note: You may be required to provide additional documentation.
Step 1: Complete the following information
Please type or print
1 __________________________________________________
2
Enter the assessment year for
____ ____ ____ ____
Property owner’s name
which you are filing this form.
____________________________________________________
3
Enter the property index number (PIN) of the property for which
Street address of homestead property
you are filing this form. Your PIN is listed on your property tax bill
____________________________________________________
IL
or you may obtain it from the CCAO. If you are unable to obtain
City
State
ZIP
your PIN, attach a copy of the legal description.
(________)___________________________________________
a PIN:_____________________________________________
Daytime phone
Step 2: Complete the eligibility status certification information
8
On January 1 were you liable for the payment
4
Did you receive a senior citizens homestead
of real estate taxes on this property?
Yes
No
exemption on this property last year?
Yes
No
9
Did you receive a senior citizens homestead
5
On January 1 were you the owner of record or
exemption on any other property in Illinois
did you have a legal or equitable interest in this
last year?
Yes
No
property or did you have a life care contract
with a facility under the Life Care Facilities Act?
Yes
No
If Yes, enter the county location and the PIN. If you are unable
6
to obtain your PIN, attach a copy of the legal description.
On January 1 did you occupy this property as
your principal residence?
Yes
No
a
___________________________________________ County
7
On January 1 were you a resident of a facility licensed
b
PIN:_____________________________________________
under the Assisted Living and Shared Housing
Act, Nursing Home Care Act, or ID/DD
(intellectually disabled/developmentally disabled)
Note: Your exemption can continue if you now reside in a facility
Community Care Act, MC/DD (Medically Complex for the
licensed under the acts listed in Line 7 if your property is occu-
Developmentally Disabled) Act, or Specialized Mental
pied by your spouse, who is 65 years of age or older, or your
Health Rehabilitation Act of 2013?
Yes
No
property remains unoccupied during the assessment year.
If Yes,
a
enter the name and address of the facility.
_____________________________________________
_____________________________________________
b
was this property occupied by your spouse
who is 65 years of age or older?
Yes
No
If “Yes”, enter spouse’s date of birth: __ __/__ __/__ __ __ __
c
did this property remain unoccupied?
Yes
No
Step 3: Sign below
Under penalties of perjury, I state that to the best of my knowledge,
Subscribed and sworn to before me this ____ day
the information on this form is true, correct, and complete.
of_____________________________, ____ ____ ____ ____.
______________________________________ _____/_____/_____
_____________________________________ _____/_____/_____
Property owner’s or authorized representative’s signature
Month
Day
Year
Notary public
Month
Day
Year
If you have any questions, please call:
Mail your completed Form PTAX-329 to:
(______)___________________________
___________________ County Chief County Assessment Officer
___________________________________________________
Mailing address
_____________________________________ IL ____________
City
ZIP
Official use. Do not write in this space.
Date received ___ ___/___ ___/___ ___ ___ ___
Approved
Denied
PTAX-329 (R-08/15)
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