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Owner Lessee Verification Affidavit - Illinois
| Owner Lessee Verification Affidavit Form. This is a Illinois form and can be used in Assessors Office Cook Local County . |
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COOK COUNTY ASSESSOR JOSEPH BERRIOS COOK COUNTY ASSESSOR'S OFFICE 118 NORTH CLARK STREET, CHICAGO, IL 60602 PHONE: 312.443.7550 FAX: 312.603.3616 WWW.COOKCOUNTYASSESSOR.COM Appeal Year Owner / Lessee Verification Affidavit Owner / Taxpayer Owner's Mailing Address City State Zip Daytime Phone Number Email Address Town Appeal Number Property Index Number(s) Property Index Number(s) Property Street Address City Township State Zip I, Name of Affiant being first duly sworn on oath state: 1. That I am (please check one): An Owner of the property described above A Lessee of the property described above A Tax Buyer of the property described above (year(s) purchased) A duly authorized Officer/Agent of the corporation/partnership which owns the property described above 2. I have sufficient knowledge of the operations of the above property to execute this affidavit 3. I have personal knowledge that the above property: has been purchased within the last 3 years has been refinanced within the last 3 years If sold or refinanced: Purchase Price Variable Date of Purchase Interest Rate: Type of Rate: Fixed % Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com COOK COUNTY ASSESSOR JOSEPH BERRIOS COOK COUNTY ASSESSOR'S OFFICE 118 NORTH CLARK STREET, CHICAGO, IL 60602 PHONE: 312.443.7550 FAX: 312.603.3616 WWW.COOKCOUNTYASSESSOR.COM Owner / Lessee Verification Affidavit 4. that for the assessment year I have authorized whose name appears on the appeal form to represent me before the Assessor relative to the assessment of the property listed; 5. that any income and expense information provided by me, either directly or through my representative, accurately reflects the result of the operations; 6. that I am familiar with the day-to-day operations and the financial records and statements concerning the subject property; and 7. that any and all documentation and supporting data to be tendered to the Cook County Assessor's Office by my attorney or representative are true and accurate, and further that any documents which purport to have been filed with any government agency, including the Internal Revenue Service, were, in fact, so filed. Further affiant sayeth not. Signature of Owner/Lessee Date Print Name Daytime Phone Number Subscribed and sworn before me this , Signature of Notary Public day of Notary Stamp As appointed attorney or representative for the owner/lessee of the property described above, I affirm that I have read the Cook County Assessor's Rules for Filing Appeals. Signature of Attorney/Representative Print Name Date Atty / Rep Code Firm Name Street Address City Daytime Phone Number State Zip Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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