DUPAGE COUNTY BOARD OF REVIEW 421 N. COUNTY FARM RD., WHEATON, IL 60187 630-407-5888 COMMERCIAL / INDUSTRIAL REAL ESTATE ASSESSMENT APPEAL FOR YEAR__________ ______─______─_______─_______ (One Parcel Per Form) APPEAL NO._____________________ PERMANENT PARCEL NUMBER FILING THIS APPEAL IS NOT A PROTEST OF TAXES. THIS APPEAL ASSURES YOU OF A HEARING RELATIVE TO THE ASSESSMENT OF YOUR PROPERTY AS PLACED BY THE TOWNSHIP ASSESSOR AND/OR SUPERVISOR OF ASSESSMENTS. FAILURE TO PROPERLY COMPLETE THIS FORM SHALL RESULT IN DISMISSAL OF YOUR APPEAL SUBJECT PROPERTY STREET ADDRESS CITY/VILLAGE/POSTAL SERVICE PROVIDER _________________________________________________________________ ________________________________________________ NAME_(PROPERTY OWNER)________________________________________ DATE___________________________________________ ADDRESS________________________________________________________ HOME PHONE___________________________________ CITY/VILLAGE, STATE & ZIP________________________________________ BUSINESS PHONE________________________________ EMAIL ADDRESS_________________________________________________ FAX_____________________________________________ The present Assessment is HIGHER / LOWER , than the assessment of comparable properties. This appeal is based on:: (Please check appropriate box or boxes) Property Type: Commercial Industrial Office Vacant Land Recent Sale Comparable Sales Income Assessment Equity Other _____________________________________ No. of Bldgs _______ Recent Construction Recent Appraisal Contention of Law Land Size ______________ Bldg Size_______________No. of Floors _______ Appellant’s proposed assessment of said property___________________________________ Assessor’s AV ___________________________ Appellant’s opinion of fair market value of the year in question_________________________ Assessor’s MV ___________________________ Purchase Date_____________________________ Purchase Price_____________________________ PLEASE NOTE: Owner Occupied Leased - Provide & attach current rent roll, all leases & lessee’s tax participation. ALL DOCUMENTATION MUST BE SUBMITTED IN DUPLICATE AT TIME OF FILING. PLEASE PROVIDE CERTIFIED COPIES OF DETAILED INCOME AND EXPENSE STATEMENTS FROM PRIOR 3 YEARS IN DUPLICATE. OATH: I do solemnly confirm that the statement made and facts set forth in the foregoing complaint are true and correct. IF REPRESENTED BY AN AGENT/ATTORNEY, OWNER’S SIGNATURE OR SEPARATE LETTER OF AUTHORIZATION IS REQUIRED TO FILE THIS APPEAL. AUTHORIZATION MUST BE SUBMITTED WITH THIS FILING OR A HEARING WILL NOT BE SCHEDULED. AUTHORIZATION ATTACHED (PLEASE CHECK) OWNER SIGN HERE PRESENT ASSESSMENT ____________________________________ LAND_______________________________ BLDG_______________________________ ____________________________________ AGENT/ATTY NAME (Please Print) ____________________________________ AGENT/ATTY SIGNATURE ____________________________________ FIRM/COMPANY ____________________________________ AGENT/ATTY ADDRESS ____________________________________ CITY, STATE, ZIP TOTAL______________________________ PRORATE___________________________ EVIDENCE ATTACHED (PLEASE CHECK) ACTION OF BOARD OF REVIEW LAND___________________________________ BLDG___________________________________ TOTAL_________________________________ PRORATE______________________________ NEW CONSTR____________________________ NEW CONSTR___________________________ DESTRUCTION______________________ DESTRUCTION__________________________ I WILL ATTEND HEARING BY:_____________________________________ MEMBER ____________________________________ AGENT/ATTY PHONE I WILL NOT ATTEND BUT PRESERVE RIGHT TO APPEAL TO PTAB ____________________________________ AGENT/ATTY FAX/E -MAIL ADDRESS Rev2009 form 82-11-3 ______________________________________ MEMBER ______________________________________ MEMBER American LegalNet, Inc. www.FormsWorkFlow.com