Form Ptax-337-R - Combined Application For Conservation Right Public Benefit Certification And For Reduced Assessed Valuation Of Property
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1
2Illinois Department of Natural Resources
PTAX-337-R
Combined Application for Conservation Right Public
Benefit Certification and for Reduced Assessed Valuation of Property
Instructions
You must complete and file Part 1 and Part 2 of this applica-
If a conservation right public benefit certification is approved,
tion to request the Illinois Department of Natural Resources
you may request a reduced assessed valuation of property by
(IDNR) to certify that the conservation right on the listed
completing and filing Part 3 and Part 4 of this notarized
property provides a demonstrated public benefit under Section
application with the chief county assessment officer in the
10-167 of the Property Tax Code (35 ILCS 200/10-167).
county where the property is located.
You must attach a copy of the entire recorded document
Note: If your property is registered under the Illinois Natural
conveying the conservation right to your application. Mail your
Areas Preservation Act (525 ILCS 30/16), follow the instruc-
completed application to the Illinois Department of Natural
tions on the reverse side of this application.
Resources, One Natural Resources Way, Springfield IL
62702-1271. IDNR will return your application after process-
ing. If you have questions, call IDNR at 217 785-8774.
Part 1: Identify the property
Owner of record
Entity holding conservation right to property
(Not applicable for registered land.)
Name
______________________________________
Name
______________________________________
Mailing address
______________________________________
Mailing address
______________________________________
______________________________________
______________________________________
Daytime phone
______________________________________
Daytime phone
______________________________________
Location of registered land or land encumbered by
conservation right
Part 2: Sign below
Street address
________________________________________
I hereby request the Illinois Department of Natural Resources to
County or counties
_____________________________________
certify that the conservation right on the listed property provides a
demonstrated public benefit as provided in Section 10-167 of the
City or town
__________________________________________
Property Tax Code (35 ILCS 200/10-167).
Township/range/section
_________________________________
Property index number (PIN) _____________________________
_____________________________________________
(If PIN is unavailable, use a separate page listing the property's complete legal description.)
Applicant's signature
Date
Number of acres
______________________________________
For use by Illinois Department of Natural Resources
Is the property encumbered by a conservation right?
Yes
No
If yes, is the encumbrance perpetual?
Yes
No
Does the conservation right on the property provide a demonstrated public benefit?
Yes
No
If yes, the property qualifies because it protects at least one of the following:
an opportunity for public access to outdoor recreation or outdoor education
a habitat for state or federal endangered or threatened species or federal candidate species
land identified in the Illinois Natural Areas Inventory
land determined to be eligible for registration under the Register of Land and Water Reserves
land contributing to the ecological viability of a park, conservation area, nature preserve, or other high quality terrestrial
or aquatic area that is publicly owned or otherwise protected
land included in, or consistent with a government policy or plan for the conservation of wildlife habitat or open space, for
restoration or protection of lakes and streams, or for the protection of scenic areas
Date received: _________________________________________
Evaluation prepared by:
Certification number _____________________________________
_________________________________________________
IDNR staff
Date
Certified
Not certified
____________________________________________________________________________________
Reasons (if not certified)
______________________________________________________________________________________________________
______________________________________________________________________________________________________
_____________________________________________
IDNR Director
Date
PTAX-337-R front (R-04/02)
IL-492-3461
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