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Owner-Lessee Attorney Verification Form - Illinois

Owner-Lessee Attorney Verification Form Form. This is a Illinois form and can be used in Board Of Review Cook Local County .
 Fillable pdf Last Modified 10/10/2012
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Owner/Lessee Attorney Verification Form 20__ Complaint No.: PIN: Township: Address City: I, 1. I am an owner, executor or trust beneficiary (check one) of this property; or Cook County Board of Review : State: Zip: Township: , being first duly sworn on oath state that: a lessee (tenant) liable for real estate tax of the property; or a former owner liable for real estate taxes; or a duly authorized officer of the which owns the property described above. 2. I have personal knowledge that the property described above has not been purchased within the last 3 years; or has been purchased on or after January 1, 2009 Purchase Price: $ 3. Date of Purchase : Corporation, partnership or LLC For assessment year 2012, I have explicitly authorized the following attorney/law firm: to represent me before the Cook County Board of Review. Affiant Owner/Lessee (SEAL) , 20 . My commission expires: Subscribed and sworn before me, this day of Notary Public or Board Deputy I certify that I have entered into the attorney-client relationship with the affiant and I have read the accompanying assessed valuation complaint, have personal knowledge of the content therein and the same is true in substance and in fact and further, I so certify all under the penalties as provided by law pursuant to Section I-109 of Illinois Code of Civil Procedure. Date Attorney BOR Attorney Code American LegalNet, Inc. www.FormsWorkFlow.com Rev. 6/15/12 BOR # A-1
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