Form Ptax-334 - Application For Open Space Purposes Assessment
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PTAX-334
Application for Open Space Purposes Assessment
Who should complete this form?
File this form to request an alternate assessment if your property is more than 10 acres and is used for open space purposes.
You must be liable for the property taxes and the property must have been used for open space purposes for the 3 years imme-
diately preceding this assessment year. Property is considered used for open space purposes if it:
• is actually and exclusively used for maintaining or enhancing natural or scenic resources,
• protects air or streams or water supplies,
• promotes conservation of soil, wetlands, beaches, or marshes, including ground cover or planted perennial grasses, trees,
shrubs, other natural perennial growth, and any body of water, whether man-made or natural,
• conserves landscaped areas, such as public or private golf courses,
• enhances the value to the public of abutting or neighboring parks, forests, wildlife preserves, nature reservations, sanctuaries, or
other open spaces, or
• preserves historic sites.
You must file this form with the chief county assessment officer (CCAO), at the address shown below, by January 31 in Cook
County or by June 30 in all other counties of each assessment year.
Note: When any portion of this property is no longer used for open space purposes, the person liable for taxes must immediately
notify the CCAO in writing, and will also be required to pay the county treasurer the difference based on the fair cash value of the
property in each of the 3 preceding assessment years, plus 5 percent interest. Payment is due by the following September 1.
Step 1: Complete the following information
5 Has this property been used for open
1 ______________________________________________
Property owner’s name
space purposes for three years
preceding this assessment year?
No
Yes
______________________________________________
Street address
6 Property index number (PIN) of property for which you are
______________________________________________
requesting this open space purposes assessment. Your
City
State
ZIP
PIN is listed on your property tax bill or you may obtain
(_______)____________ _________________________
it from the CCAO. If you are unable to obtain your PIN,
Phone
Email address
write the legal description on Line b.
Send notice to (if different than above)
a
PIN:________________________________________
2 ______________________________________________
Name
b Legal description only if unable to obtain your PIN.
______________________________________________
___________________________________________
Mailing address
___________________________________________
______________________________________________
City
State
ZIP
7 Total acreage of the property,
(_______)____________ _________________________
to the nearest tenth of an acre.
____________
Phone
Email address
3 Assessment year for which you
8 Write the street address of the property, if different than
are requesting this open space
the address in Item 1.
___ ___ ___ ___
purposes assessment.
______________________________________________
Street address
4
Date property began to be used
_______________________________ IL ____________
for open space purposes. ____/_____/_______
City
ZIP
Step 2: Sign below
Under penalties of perjury, 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
S ubscribed and sworn to before me this
_ ___ day of _______________, 2 0 __ __.
______________________________________ ____/____/____
Notary public
Date
Questions, please call: (_____)_____-___________
Mail your completed Form PTAX-334 to:
217
753 6805
___________________ County Chief County Assessment Officer
SANGAMON
_________________________________________________
200 S 9TH STREET, ROOM 210
Mailing address
___________________________________ IL ___________
SPRINGFIELD
62701
City
ZIP
Do not write in this space.
For use by the CCAO
Attach one copy of this document to the property record card. Date received : ____/____/______
Approved: Yes No Date: ____/____/______
Denied: Yes
No Date: ____/____/______
Reason for denial_______________________________________________________________________________________
_____________________________________________________________________________________________________
PTAX-334 (R-01/12)
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