Homeowner Exemption Form
Homeowner Exemption Form
Homeowner Exemption Form
EXEMPTION APPLICATION
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Property Owner(s) Name(s)
Property Address
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Daytime Phone Number City State Zip
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.
Cook County Assessor’s Office 118 N. Clark, 3rd Floor Chicago, IL 60602