Form Ptax-245 - Disaster Area Application For Reassessment
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PTAX-245
Disaster Area Application for Reassessment
Who should complete this form?
You should complete this form to request reassessment of property under Section 13-5 of the Property Tax Code
(35 ILCS 200/13-5) based on substantial damage caused by a disaster in a county that has been declared a major disaster
area by the President of the United States or the Governor of the State of Illinois.
Step 1: Complete the following information
1 _____________________________________________
c
Write the legal description of the damaged property
Property owner’s name
only if you are unable to obtain your PIN.
_____________________________________________
___________________________________________
Property owner’s mailing address
___________________________________________
_____________________________________________
___________________________________________
City
State
ZIP
___________________________________________
(_____)_________________________________________
Phone
___________________________________________
Send correspondence to (if different than above)
___________________________________________
2 _____________________________________________
___________________________________________
Name
___________________________________________
_____________________________________________
Mailing address
___________________________________________
_____________________________________________
___________________________________________
City
State
ZIP
4 Write a detailed description of the damage to your land,
(_____)_______________________________________
buildings, or other structures.
(Use extra pages if necessary.)
Phone
3 Write the property index number (PIN) of the property for
___________________________________________
which you are requesting this disaster area
___________________________________________
reassessment. Your PIN is listed on your property tax bill
___________________________________________
or you may obtain it from your chief county assessment
___________________________________________
officer (CCAO).
a PIN __ __ - __ __ - __ __ __ - __ __ __ - __ __ __ __
___________________________________________
b Write the street address of the damaged property, if
___________________________________________
different than the address in Item 1.
___________________________________________
_____________________________________________
___________________________________________
Street address
___________________________________________
___________________________________IL _____________
City
ZIP
___________________________________________
Step 2: Sign below
I state that, to the best of my knowledge, the information contained in this application is true, correct, and complete.
____________________________________________________
___ ___ /___ ___ /___ ___ ___ ___
Property owner’s or authorized representative’s signature
Date
If you have any questions, please call:
Mail your completed Form PTAX-245 to:
Lake
847
377-2100
(______)____________________________
___________________ County CCAO
18 N County St - 7th Floor
_________________________________________________
Mailing address
_________________________________________________
Waukegan
60085
__________________________________ IL ____________
City
ZIP
Do not write in this space.
Date received ___ ___/___ ___/___ ___ ___ ___
Application no. ___________________
__________ Approved
__________ Disapproved
Reasons (if disapproved)________________________________________________________________________________
______________________________________________________________________________________________________
This form is authorized in accordance with 35 ILCS 200/1-1 et seq. Disclosure of this information
is REQUIRED. This form has been approved by the Forms Management Center.
IL-492-3379
PTAX-245 (R-5/02)
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