Form Ptax-327 - Application For The Natural Disaster Homestead Exemption Page 3
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5PTAX-327
Application for the Natural Disaster
Homestead Exemption
Application due date: ___/___/_______
Step 1: Complete applicant information
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Write the property index number (PIN) of the property for which
you are requesting a natural disaster homestead exemption. Your
Please type or print.
1 ______________________________________________
PIN is listed on your property tax bill or you may obtain it from the
Property owner’s name
local assessing official at the address on the back of this form. If
___________________________________________________
you are unable to obtain your PIN, write the legal description on
Street address of property (homestead)
Line b.
___________________________________________________
City
State
ZIP
a
PIN
__________________________________________________
(______)_______________
_________________________
b
Write the legal description only if you are unable to obtain
Daytime phone
Email
your PIN. (Attach separate sheet if needed.)
_________________________________________________
Send notice to (if different than above)
_________________________________________________
2 ______________________________________________
Name
4
______________________________________________
Describe the rebuilding on the property.
Mailing address
–––––––––––––––––––––––––––––––––––––––––––––––––––
___________________________________________________
–––––––––––––––––––––––––––––––––––––––––––––––––––
City
State
ZIP
(______)_______________
_________________________
Daytime phone
Email
5
Write the date rebuilding was completed and occupied.
___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Step 2: Complete eligibility information
9
6
Did you occupy the property as your
Did you rebuild a residential structure
principal residence?
Yes
No
following a natural disaster?
Yes
No
If Yes, list the date of its occurrence and describe the resulting
If No, was the property vacant due to a
damage or loss of property ___ ___/___ ___/___ ___ ___ ___
natural disaster?
Yes
No
Month
Day
Year
10 On January 1, were you liable for the payment
of real estate taxes on the property?
Yes
No
___________________________________________________
11
Have you sold or transferred ownership of
___________________________________________________
Note:
Attach a valuation complaint and a copy of the building
the property from the prior assessment year?
Yes
No
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permit if the property is located in Cook County.
Do you already have a homestead
improvement exemption on this property due
On January 1 of the year the rebuilding described in Step 1 was
to the same natural disaster for the rebuilt
completed and occupied,
residential structure for which you are
7
Check your type of residence.
requesting this exemption?
Yes
No
Single-family dwelling
Duplex
Townhouse
13
Are you claiming the exemption as a surviving
Condominium
Other____________________________
spouse of the applicant who previously
qualified for the exemption?
Yes
No
a Is the residence operated as a cooperative?
Yes
No
b Is the residence a life care facility under the
If Yes, do you permanently reside on the
Life Care Facilities Act?
Yes
No
homestead property as of January 1 of the
c If Yes to a or b above, are you liable by
assessment year?
Yes
No
contract with the owner(s) for payment of
Note: You may attach a separate sheet describing your specific
property taxes?
Yes
No
factual situation if you answered “No” to any of the
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Were you the owner of record for the property
questions 6 through 13 in Step 2.
or did you have a legal or equitable ownership
interest in the property?
Yes
No
Step 3: Attach proof of ownership
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Check the type of documentation you are attaching as proof that
Write the date the written
you are the owner of record for the property or have a legal or
instrument was executed.
___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
equitable ownership interest in the property.
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If known, write the date recorded and the document number from the
Deed (specify type)________________________________
county records.
Contract for deed
Trust agreement
Lease
Date recorded:
___ ___/___ ___/___ ___ ___ ___
Other written instrument (please specify)
Month
Day
Year
________________________________________________
Recorded document number: ____________________________
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-327 Front (N-12/12)
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