Get IL PTAX-340 2021-2022
Note You must sign your Form PTAX-340 and have it notarized before you file it with your CCAO. Return your completed Form PTAX-340 to your CCAO s office or mail it to the address printed. When must I file File Form PTAX-340 with the CCAO by the due date printed on the bottom of Page 2. You must file Form PTAX-340 every year and meet the qualifications for that year to continue to receive the exemption. Note The CCAO may require additional documentation i.e. birth certificates tax returns to verify the information in this application. What if I need additional assistance If you have questions about this form please contact your CCAO also known as the supervisor of assessments or county assessor at the address and phone number printed at the bottom of Page 2. Signature of applicant Date month day year Subscribed and sworn to before me this day of 20. Notary public Note The CCAO may conduct an audit to verify that the taxpayer is eligible to receive this exemption. Mail your completed Form PTAX-340 to WILL Chief County Assessment Officer N. Chicago Street If you have any questions please call 740 0 1 / Month Day Year Joliet 6 0 4 3 2 This form is authorized in accordance with the Illinois Property Tax Code. 2 of 4 Reset Print Form PTAX-340 General Information What is the Senior Citizens Assessment Freeze The Senior Citizens Assessment Freeze Homestead Exemption 35 ILCS 200/15-172 allows you as a qualified senior citizen to have your home s equalized assessed value EAV frozen at a base year value and prevent or limit any increase due to inflation. The base year generally is the year before the year you first qualify and apply for the exemption. For example if you first qualify and apply in 2018 your property s EAV will be frozen at the 2017 EAV. Date received Application number Base year Revised base year Approved PTAX-340 R-12/17 Income verified EAV of added improvements Base amount 1 of 4 Part 4 Affidavit Sworn under oath I state the following 1 Mark the statement that applies. PTAX-340 2018 Senior Citizens Assessment Freeze Homestead Exemption Application and Affidavit 07/02/2018 Last date to apply Part 1 Applicant information Please type or print. 1 3 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX First name MI Last name Tax ID number Mailing address Date of birth month day year City State ZIP Area code and phone number Email address Part 2 Property information Street address of property for which this exemption application is filed IL Township ZIP County Property parcel index number PIN Note The PIN is shown on your property tax bill. You also may obtain it from your chief county assessment officer CCAO. Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes. If you cannot obtain the PIN attach a copy of the legal description* 3 Have you or your spouse received this exemption for this property previously If you answered Yes write the base year if known* 4 If your spouse maintains a separate residence has he or she applied for this exemption Yes No Part 3 Household income for 2017 You must include the income of you your spouse and all other individuals who live in your household.
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