COOK COUNTY ASSESSOR’S OFFICE
118 NORTH CLARK STREET, RM 320
C
C
A
OOK
OUNTY
SSESSOR
CHICAGO, IL 60602
PHONE: 312.443.7550
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O S E P H
E R R I O S
TAXPAYER EXEMPTION APPLICATION FOR TAX YEAR 2017
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Property Index Number(s)
Owner / Taxpayer
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Property Index Number(s)
Property Address
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State
Zip
Daytime Phone Number
City
2017 HOMEOWNER EXEMPTION
You must please, include a copy of a recent property tax bill and a copy of one of the following valid
forms of residency with this application: an Illinois Driver's License OR an Illinois Identification (ID) Card.
As owner of the above property, I hereby apply for the Homeowner Exemption. I affirm by signature that this property
was occupied by its current or previous owner as a principal residence as of January 1, 2017. I understand that it is
against the law to provide false information on this Homeowner Exemption application.
_______________________________
_______________________________
Date
Applicant's Signature
2017 SENIOR CITIZEN EXEMPTION
You must please, include a copy of a recent property tax bill and a copy of one of the following valid forms of
proof of age and residency with this application: an Illinois Driver's License OR an Illinois Identification (ID)
Card.
NOTE: Individuals using forms indicating a different name must demonstrate a connection to the current name by
including a copy of a marriage certificate or other supporting documents. Owners of Cooperative Apartments must also
submit a copy of their Stock Certificate, Occupancy or Trust Agreement.
I affirm that I was born in 1952 or earlier, or my spouse was born in 1952 or earlier. I further affirm that myself or my
spouse is liable for payment of the taxes and that this property was occupied by its current or previous owner as a
principal residence.
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Date of Occupancy
Date of Birth
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Date
Applicant's Signature
Please note that policy requires that the Assessor’s Office receive only original, signed application forms containing
original (“wet”) signatures. So, we are unable to accept forms by scan/email or by FAX. All original, signed forms
must please be mailed or dropped off at a Cook County Assessor’s Office location:
• Chicago office: 118 N. Clark St., Room 320, Chicago, IL 60602 (312) 443-7550
• Skokie office: 5600 Old Orchard Road, Room 149, Skokie, IL 60007 (847) 470-7237
• Bridgeview office: 10200 S. 76th Ave., Room 237, Bridgeview, IL 60455 (708) 974-6451
• Markham office: 16501 S. Kedzie Ave., Room 237, Markham, IL 60455 (708) 232-4100
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