Form Ptax-341 - Application For Returning Veterans' Homestead Exemption

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PTAX-341
Application for Returning Veterans’ Homestead Exemption
Step 1: Complete the following information
1
3
_______________________________________________
Write the assessment year for which
Property owner’s name
you are filing this form.
___ ___ ___ ___
________________________________________________
Year
Street address of homestead property
4
Write the property index number (PIN) of the property for
IL
________________________________________________
which you are requesting the returning veterans’ homestead
City
State
ZIP
exemption. Your PIN is listed on your property tax bill or
(_______)________________________________________
you may obtain it from your Chief County Assessment Officer
Daytime phone
(CCAO). If you are unable to obtain your PIN, write the legal
description on Line b.
Send notice to (if different than above)
a
PIN __ __ - __ __ - __ __ __ - __ __ __ - __ __ __ __
2
________________________________________________
Name
b
Write the legal description only if you are unable to
________________________________________________
obtain your PIN. Attach a separate sheet if needed.
Mailing address
______________________________________________
_______________________________________________
______________________________________________
City
State
ZIP
(_______)_______________________________________
______________________________________________
Daytime phone
Step 2: Complete eligibility information
5
9
Are you a veteran and an Illinois resident?
Yes
No
Is the residence operated as a cooperative?
Yes
No
6
Have you served as a member of the U.S.
10
On January 1, were you the owner of
Armed Forces, Illinois National Guard, or
record or did you have a legal or
U.S. Reserve Forces?
Yes
No
equitable interest in this property?
Yes
No
7
Did you return from active duty in an armed
If “No”, write the date you acquired an
conflict involving the armed forces of the
interest in this property.
___ ___/___ ___/___ ___ ___ ___
United States?
Yes
No
Month
Day
Year
If “Yes”, write the date you
11
On January 1, did you occupy this property
___ ___/___ ___/___ ___ ___ ___
returned home.
as your principal residence?
Yes
No
Month
Day
Year
8
Check your type of residence.
12
On January 1, were you liable for the payment
of real estate taxes on this property?
Single-family dwelling
Duplex
Yes
No
Townhouse
Condominium
Apartment
Other __________________
Note: You must provide documentation with this form. See the back of this form “Do I need to provide documentation?”.
Step 3: Attach proof of ownership
13
15
Check the type of documentation you are attaching as proof
Is the instrument recorded?
Yes
No
that you are the owner of record or have a legal or equitable
interest in the property.
16
If known, write the date recorded and the document number from
the county records.
Deed
Contract for deed
Trust agreement
Other written instrument
___ ___/___ ___/___ ___ ___ ___
Date recorded
Lease
Specify: ___________________
Month
Day
Year
14
Write the date the written
Recorded document number ____________________________
___ ___/___ ___/___ ___ ___ ___
instrument was executed.
Month
Day
Year
Step 4: Sign below
I state that to the best of my knowledge, the information on this application is true, correct, and complete.
____________________________________________________
___ ___/___ ___/___ ___ ___ ___
Property owner’s or authorized representative’s signature
Month
Day
Year
PTAX-341 Front (R-01/08)
IL-492-4533

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