Transcription of 2 0 1 8 Certificate of Error Application for Taxable ...
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17 Certificate of Error Applicationfor Taxable PropertiesAppeal NumberTownDO NOT USE this form if you are requesting a Certificate of Error (C/E) for a Homeowner Exemption, Senior Exemption, Senior Freeze Exemption or Exempt Index Number(s) (use PIN in effect during C/E year) Certificate of Error Year(s) (identify each year requesting C/E)For Office Use Only Grant Deny Date(use back of this page for additional PINs)Property ClassReason for C/E (be specific)Signature of Owner/LesseeDateZipStateCityApplicant's Street AddressApplicant's NameDaytime Phone NumberSignature of RepresentativeDateZipStateCityRepresenta tive's Street AddressRepresentative's Name/Firm NameDaytime Phone NumberFOR REPRESENTATIVE ONLY (IF APPLICABLE)16 5 COOK COUNTY ASSESSORJOSEPHBERRIOSCOOK COUNTY ASSESSOR'S OFFICE118 NORTH CLARK STREET, CHICAGO, IL 60602 PHONE: FAX: : By accepting this Application , there is no guarantee that the C of E will be approved.
17 Certificate of Error Application for Taxable Properties Town Appeal Number DO NOT USE this form if you are requesting a Certificate of Error (C/E) for a Homeowner Exemption, Senior Exemption, Senior Freeze Exemption or Exempt
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