Illinois > Local County > Cook > Assessors Office
Industrial Commercial Assessed Valuation Appeal - Illinois
| Industrial Commercial Assessed Valuation Appeal Form. This is a Illinois form and can be used in Assessors Office Cook Local County . |
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Cook County Assessor's Office 118 N. Clark Street - 3rd Floor Chicago, Illinois 60602 Office Hours: 8:30 A.M.- 5:00 P.M. Joseph Berrios Cook County Assessor 2012 Real Estate Assessed Valuation Appeal COOK COUNTY ASSESSOR APPEAL NUMBER IND. / COMM. I/C RECEIVED AND CHECKED BY: PLEASE COMPLETE ALL PARTS OF THE APPEAL FORM. TYPE OR PRINT ALL INFORMATION. COMPLY WITH ASSESSORS OFFICE RULES AND REGULATIONS IN FILLING OUT AND FILING THIS FORM IDENTIFICATION AND STATUS OF OWNER / TAXPAYER DO NOT LIST COMPARABLES BELOW List in ascending order all Permanent Index Numbers associated with the subject property. Name of Taxpayer / Owner Address Email State Zip Code Phone SUBJECT PROPERTY PERMANENT INDEX NUMBER(S) 1 2 3 CERTIFICATE OF ERROR YEAR(S) 2011 2010 2009 1 City Owner Select one: Other (Explain) Former Owner Liable for Tax Tenant Liable for Tax Executor Beneficiary of Trust 4 5 6 NATURE OF APPEAL - LOCATION AND IDENTIFICATION OF REAL ESTATE Appeal Type: Current Year Appeal Only Current Year & C of E C of E Only Taxable Ex Exempt 7 8 9 10 Street Address Location of Subject Property: City Township 11 12 2 How is the Subject Property used? Check all that apply. DATA SUBMITTED WITH APPEAL DATA TO BE SUBMITTED 13 14 Commercial Mixed Use Industrial Other (Explain) Not for Profit Condo Over 6 Apartments 15 16 LIST ADDITIONAL INDEX NUMBERS ON ANOTHER APPEAL FORM If purchased on or after January 1, 2009, indicate year purchased and purchase price. If purchased prior to January 1, 2009 insert "prior". Year Purchase Price FIELD CHECK REQUEST If yes, attach explanation YES NO The undersigned states that he/she has read the above appeal, has personal knowledge of the contents thereof, and the same is true in substance and in fact and further so certifies under the penalties as provided by law pursuant to section 1-109 of the Illinois Code of Civil Procedure. NOTE: FAILURE TO FILE OWNER / LESSEE AFFIDAVIT MAY RESULT IN DENIAL OF THIS APPEAL. Signature of Taxpayer or Attorney / Representative ATTORNEY / REPRESENTATIVE ONLY ATTORNEY/REPRESENTATIVE CERTIFICATION: I ATTORNEY / REPRESENTATIVE NAME (PRINT OR TYPE) FIRM / COMPANY NAME certify that I have obtained from 3 FIRM / COMPANY ADDRESS CITY ZIP PHONE TAXPAYER NAME (2) the Taxpayers assurance that I am the only attorney (1) explicit authorization to file this 2012 assessment appeal and/or Certificate of Error and TAXPAYER TITLE OR POSITION /Representative so authorized. Attorney / Representative Fax Number Attorney / Representative Signature and Code Number e-mail Address NOTICE TO FILERS: YOU WILL BE NOTIFIED BY MAIL OF THE APPEAL NUMBER. YOU CAN FIND YOUR APPEAL NUMBER AND CHECK APPEAL STATUS ONLINE @ www.cookcountyassessor.com THIS FORM MUST BE FILED IN DUPLICATE. FILE BOTH COPIES WITH COOK COUNTY ASSESSOR'S OFFICE - RETAIN TIME STAMPED COPY FOR YOUR RECORDS American LegalNet, Inc. www.FormsWorkFlow.com
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