Form Ptax-323 - Application For Homestead Improvement Exemption

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PTAX-323
Application for Homestead Improvement Exemption
Step 1: Complete applicant information
Please type or print.
1 ______________________________________________
3
Write the property index number (PIN) of the property for which
Property owner’s name
you are requesting a homestead improvement exemption. Your
___________________________________________________
PIN is listed on your property tax bill or you may obtain it from the
Street address of property (homestead)
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
City
State
ZIP
Line b.
(___________)_______________________________________
a
PIN___ ___-___ ___-___ ___ ___-___ ___ ___-___ ___ ___ ___
Daytime phone
b
Write the legal description only if you are unable to obtain
your PIN. (Attach separate sheet if needed.)
Send notice to (if different than above)
_________________________________________________
2 ______________________________________________
_________________________________________________
Name
______________________________________________
4
Describe the improvement or rebuilding on the property.
Mailing address
–––––––––––––––––––––––––––––––––––––––––––––––––––
___________________________________________________
–––––––––––––––––––––––––––––––––––––––––––––––––––
City
State
ZIP
(___________)_______________________________________
5
Write the date the improvement or rebuilding
Daytime phone
was completed and occupied. ___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Step 2: Complete eligibility information
6
Did you rebuild a residential structure
9 Did you use the property exclusively for
following a catastrophic event?
Yes
No
residential purposes without leasing any
If Yes, list the date of its occurrence and describe the resulting
part of it to another person or entity?
Yes
No
10
damage or loss of property ___ ___/___ ___/___ ___ ___ ___
Were you liable for the payment of real
Month
Day
Year
property taxes on the listed property?
Yes
No
11
___________________________________________________
Do you have a homestead improvement
___________________________________________________
exemption on any other property in Illinois?
Yes
No
Note:
Attach a valuation complaint and a copy of the building
If Yes, write the PIN or legal description of the property and list
permit if the property is located in Cook County.
the county where it is located _____________________County
a
PIN___ ___-___ ___-___ ___ ___-___ ___ ___-___ ___ ___ ___
On January 1 of the year the new improvement or rebuilding de-
b
Write the legal description only if you are unable to obtain your
scribed in Step 1 was completed and occupied,
PIN. (Attach separate sheet if needed.)
7
Were you the owner of record for the property
_________________________________________________
or did you have a legal or equitable ownership
_________________________________________________
interest in the property?
Yes
No
Note: You may attach a separate sheet describing your specific
8
Did you occupy the property as your
factual situation if you answered “No” to any of the
principal residence?
Yes
No
questions 6 through 10 in Step 2.
If No, was the property vacant
due to a catastrophic event?
Yes
No
Step 3: Attach proof of ownership
12
13
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.
Deed (specify type)________________________________
14
Is the instrument recorded?
Yes
No
Contract for deed
Trust agreement
Lease
15
If known, write the date recorded and the document number from the
Other written instrument (please specify)
county records. Date recorded___ ___/___ ___/___ ___ ___ ___
________________________________________________
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-323 Front (R-10/04)

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