Homeowner Exemption Form

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2007 TAXPAYER

EXEMPTION APPLICATION

Subject Property Permanent Index Number

- - - -
Property Owner(s) Name(s)

Property Address

( ) -
Daytime Phone Number City State Zip

2007 HOMEOWNER EXEMPTION


As owner of the above property, I hereby apply for the Homeowner Exemption. I affirm by signature that this property
was occupied by its current or previous owner as a principal residence as of January 1, 2007. I understand that it is
against the law to provide false information on this Homeowner Exemption application.

Applicant’s Signature Date / /

2007 SENIOR CITIZEN EXEMPTION


IF YOU ARE APPLYING FOR THIS EXEMPTION FOR THE FIRST TIME AT THIS ADDRESS:
you must include a copy of a recent property tax bill
- Illinois Driver’s License (both sides)
and a copy of one of the following valid forms of proof
- Illinois Identification (ID) Card
of age and residency with this application:

NOTE: Individuals using forms indicating a different name must demonstrate a connection to the current name
by including a copy of a marriage certificate or other supporting documents. Owners of Cooperative Apartments
must also submit a copy of their Stock Certificate, Occupancy or Trust Agreement.

I affirm that I was born in 1942 or earlier, or my spouse was born in 1942 or earlier and myself or my spouse is liable for
payment of the taxes and that this property was occupied by its current or previous owner as a principal residence.

Date of Occupancy / / Date of Birth / /


Applicant’s Signature Date / /

Cook County Assessor’s Office 118 N. Clark, 3rd Floor Chicago, IL 60602

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