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Owner Occupancy Affidavit (For Appeals Only) - Illinois
| Owner Occupancy Affidavit (For Appeals Only) 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 Owner Occupancy Affidavit Appeal Year (for appeals only) Town Appeal Number Property Index Number(s) Owner / Taxpayer Property Index Number(s) Owner's Mailing Address Property Street Address City State Zip City State Zip Daytime Phone Number Township Email Address I, (Affiant's Name) , do hereby state under oath as follows: I owned and occupied the property described above by address and Property Index Number as my primary residence from to . Signature of Owner/Lessee Print Name Date Subscribed and sworn before me this day of , Signature of Notary Public Notary Stamp American LegalNet, Inc. www.FormsWorkFlow.com
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