Illinois > Local County > Cook > Assessors Office
General Affidavit - Illinois
| General Affidavit Form. This is a Illinois form and can be used in Assessors Office Cook Local County . |
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COOK COUNTY ASSESSOR J OSEPH BERRIOS COOK COUNTY ASSESSOR'S OFFICE 118 NORTH CLARK STREET, CHICAGO, IL 60602 PHONE: 312.443.7550 FAX: 312.603.3616 WWW.COOKCOUNTYASSESSOR.COM GENERAL AFFIDAVIT ______________________________________ (affiant's name) _________________________________________ (relationship to property: owner, neighbor, etc.) of ________________________________________________________________________________ (affiant's address) being first duly sworn, deposes and states that: Property Index Number(s) _______________________ __________________________________________________________________________________ commonly known as ________________________________________________________________ (property address, city, state, and zip code) 1. Has been: (State pertinent facts regarding land and/or building) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ from ____________________ to ____________________. And further this affiant sayeth not. (date) (date) 2. Has Been: Demolished Vacant Uninhabitable Date of Demolition: ___/___/_____ Please provide all pertinent documentation, for example, certificate of occupancy, photos, permits, etc. If requesting relief for prior year(s), you must also provide a utility bill (example - electric, water) verifying shut off or a letter from the village/township attesting to its vacancy/uninhabitable status. Subscribed and sworn to before me this ___________________________ day of _________________________, 201___ ___________________________________ Signature of Notary Public ___________________________________ Signature of Affiant American LegalNet, Inc. www.FormsWorkFlow.com
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