REAL ESTATE ASSESSED VALUATION COMPLAINT THE BOARD OF REVIEW

2008 REAL ESTATE ASSESSED VALUATION COMPLAINT THE BOARD OF REVIEW OF COOK COUNTY RESET FORM DO NOT LIST COMPARABLES BELOW COMPLAINT NO. Received & Checked by: List in ascending order all Permanent Index Numbers of related parcels of the property owned by Appellant. TYPE OR PRINT ALL INFORMATION. COMPLY WITH BOARD RULES AND REGULATIONS IN FILLING OUT THIS FORM. Name of Appellant Address of Appellant City Phone: State Fax: Zip Check if property is residential and owner resides there and is age 65 as of 1/1/08 Taxing Body or Taxpayer Alleging Underassessment PERMANENT INDEX NUMBER 1. 2. 3. 4. VOLUME STATUS OF APPELLANT Owner Beneficiary of Trust Former Owner Liable for Tax Executor Tenant Liable for Tax Other (Explain) LOCATION AND IDENTIFICATION OF REAL ESTATE Address Single Family Description of Property: Commercial Mixed Use If purchased on or after January 1, 2005. City 6 Apartments or Less Industrial Vacant Land Year Purchased Over 6 Apartments Not-for-Profit Condo Purchase Price $ Township Co-op Other 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. If purchased prior to January 1, 2005, insert “prior” The undersigned Appellant states that the above described real estate is OVERASSESSED by the Assessor of Cook County for the year 2008. Appealed to PTAB in 2007 Appealed to Assessor in 2008 Appealed to the Board of Review in 2007 Yes Yes Yes No No No The undersigned states that he/she has read the above complaint, 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. Signature of Appellant or Attorney ATTORNEYS ONLY ATTORNEY’S CERTIFICATION: I, ATTORNEY’S NAME (PRINTED OR TYPED) FIRM , certify that I have obtained from FIRM ADDRESS CITY ZIP PHONE (1) explicit authorization to file this 2008 assessment complaint and (2) the APPELLANT TITLE OR POSITION Appellant’s assurance that I am the only attorney so authorized. 17. 18. 19. 20. 21. 22. Attorney fax number Attorney signature Board Atty Code 23. 24. 25. NOTICE TO APPELLANT: You will be notified by mail of the time and place of your hearing. You must be prepared at that time to present any evidence you have in support of your claim. Please see the Rules of the Board which govern all appeals. JOSEPH BERRIOS COMMISSIONER BRENDAN HOULIHAN COMMISSIONER LARRY R. ROGERS, JR. COMMISSIONER

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