Senior Freeze Exemption - Cook County Assessor - 2016 Page 4

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S
F
E
I
ENIOR
REEZE
XEMPTION
NFORMATION
Please review before completing
Senior Freeze Exemption application.
Who is eligible?
What is included in household income?
To qualify for the 201 Senior Freeze Exemption you must:
Income that must be included in your household income:
limon
eceived
e 65 years of age or older in 201 ;
nnuity benefits
have
a
total
household
income
of
no
more
Black Lung benefits
than$55,000 for 201 ;
have used the property as your principal place of
usiness income
residence on January 1, 201
and January 1, 201 ;
apital gains
own the property, or have legal, equitable or
ash assistance from Public Aid
leasehold interest in the property on January 1, 201
ash winnings from raffles, lottery, etc.
and January 1, 201 , and
Civil Service benefits
be liable for the payment of 201 and 201 property
amages awarded in a lawsuit for nonphysical injury
taxes
ividends
arm income
If your spouse died in 201 and would have qualified for the
nterest
exemption in 201 , and you meet all of the above
nterest received on life insurance policies
requirements except the age requirement, you are eligible
for this exemption
201
and possibly
201 .
ump sum Social Security payments
Please contact our office for further information.
ilitary retirement pay
onthly insurance benefits
If you previously received this exemption and now reside in
ension and IRA benefits
a nursing home and if your property is unoccupied, or is
ailroad benefits
occupied by your spouse, you may be eligible if the other
ental income
requirements are met.
Social Security income (including Medicare
deductions)
Residents of cooperative apartment buildings or cooperative
Supplemental Security Income (SSI) benefits
life-care facilities may qualify for this exemption if they are
nemployment compensation
liable for the payment of property taxes on their residence
ages, salaries, and tips
and meet the other requirements.
Workers’ Compensation Act income
Workers’ Occupational Diseases Act income
What is a household?
A household means all persons, including the applicant’s
What is not included in household
spouse, who used the residence of the applicant as their
principal residence on January 1, 201 .
income?
Income you should not include in your household income:
limony paid
When must I file?
ash gifts
hild support payments
This form must be filed each year in order to continue to
Circuit Breaker grants
receive this exemption. The eligibility requirements listed
amages awarded from a lawsuit for a physical
under “Who is eligible” must be met each year.
personal injury
Energy Assistance payments
Note: Additional documentation (i.e., birth certificates, tax
ederal income tax refunds
returns, etc.) may be required to verify the information in this
application.
I.R.A.s rolled over into other retirement accounts
ump sums from inheritances
ump sums from insurance policies
oney borrowed against a life insurance policy
oney borrowed from any financial institution
pousal impoverishment payments
tipends from the Foster Parent and Foster
Grandparent programs
eteran’s benefits

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