Docket No. INDUSTRIAL APPEAL State of Illinois 226 Property Tax Appeal Board (PTAB) Assessment Year 20 (Complete) See page 4 for instructions; also, information on how to complete this form can be found at www.ptab.illinois.gov Assessment Year appeals BEFORE 2016: submit 3 copies of completed form; 2 copies of board of review final decision OR 2 copies of a favorable prior PTAB decision; and 2 copies of all evidence. For assessment changes of $100,000 or more, submit all evidence in triplicate. Assessment Year appeals for 2016 and AFTER: submit 1 copy EACH of completed form; board of review final decision OR a favorable prior PTAB decision; and all evidence. If the total documentation is 500 pages or more, you must submit three collated sets of the documents. Section I HEARING OPTIONS -- If neither box is checked, your appeal may be decided based on the evidence submitted. PLEASE CHECK ONE: I would like the PTAB to determine the correct assessment based on the evidence submitted. (This may expedite resolution of the appeal.) I would like to present my case in person at a hearing. (Note: Location, date, and time will be determined by the PTAB.) Section II Appellant (Taxpayer or Owner) Information Information on Attorney for Appellant Last Name Last Name First Name First Name Firm Name Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State ZIP State ZIP Telephone Telephone Email Address Email Address 1a Petition is hereby made to appeal for property located in County from: a)The final, written decision of the County Board of Review dated or transmittal date of (Cook County only). OR b)The favorable decision of the Property Tax Appeal Board (PTAB) dated . 2a Parcel Number Township Address of property 2b If appellant is other than an owner, give name and address of owner. Name Address Line 1 Address Line 2 City State ZIP 2c Assessment(s) of the property for the assessment year by parcel number: (Use the "Addendum to Petition" form for multiple parcels found at www.ptab.illinois.gov along with special instructions if 50 parcels or more.) 1. Board of Review Assessment: Land Impr./Building Total 2. Appellant Assessment Request: Land Impr./Building Total ALWAYS complete lines 1 and 2 above for the assessment year being appealed. Line #1 information is available from the Supervisor of Assessments/County Assessor or the Board of Review offices, or may be on the Notice itself. 2d This appeal is based on the following evidence (you must check all applicable boxes): Recent sale 226 complete Section IV Assessment equity 226 complete Section V Comparable sales 226 complete Section V Recent construction 226 complete Section VI Contention of law 226 submit legal brief Recent appraisal (enclose complete copy(s) of the appraisal) Evidence: I certify this completed form along with enclosed evidence completes my appeal filing. 2e Date Signature PTAB11A (rev. 03/19) Attorney or Appellant only PAGE 1 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com NOTE: IF AN APPRAISAL IS SUBMITTED SECTIONS III THROUGH VII DO NOT NEED TO BE COMPLETED. Section III 226 Description of Property Land Size (indicate square feet or acres): Number of Buildings: Building Size (square feet): Number of Floors: Square Footage per Floor: Construction: Frame Brick Steel Other: Basement: Yes No Basement Use: Other Improvements: List the use of the building and the square footage attributable to that use: Office Space: Yes No Square Footage: Warehouse: Yes No Square Footage: Manufacturing: Yes No Square Footage: Other: Square Footage: If there is more than one building on this parcel, provide the following information: Building #1 Age Size Use Building #2 Age Size Use Building #3 Age Size Use Section IV 226 Recent Sale Data Generally, the price of a recently sold property is considered the best evidence of value. The more proximate in time the sale occurs to the assessment date of your appeal, the more relevant the evidence becomes in establishing the market value of the property. SUBMIT DOCUMENTATION of the actual sales price (submit copies of all that are available) including a sales contract, Real Estate Transfer Declaration, listing data sheet, listing history, and Settlement Statement. Answer all questions. Full consideration (sale price): $ Date of sale: From whom purchased: Is the sale of this property a transfer between family members or related corporations? Yes No Sold by: Owner Realtor Auction Other: Name of realty firm: Agent: Was the property advertised for sale? Yes No How long a period? If so, in what manner? local paper multiple listing other: Was this property sold due to a foreclosure action? Yes No Was this property sold using a contract for deed? Yes No If yes, specify the date the contract was entered: If renovated, amount spent before occupying $ Date occupied: PTAB11A (rev. 03/19) PAGE 2 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com Section V 226 Comparable Sales/Assessment Grid Analysis As an alternative, an appraisal establishing the fair market value of the subject property under appeal as of the assessment date may be submitted. (Note: If a hearing is held in the case, the PTAB will be better able to judge the weight and credibility of the appraisal if your appraiser testifies in person.) Comparable Sales: Provide at least three recent sales of property comparable to the subject property. Complete the entire grid analysis (except assessment data). Include dates of sale and prices paid. Submit a property record card and/or listing sheet of each sale. (Note: Comparable sales should be similar to the subject property in location, size, design, age, and amenities.) Assessment Equity: Provide at least three properties similar to the subject property and include the assessment of each property for the assessment year on appeal. Complete the entire grid analysis (except sale data). Submit a property record card for each property. (Note: Assessment comparables should be similar to the subject property in location, size, design, age, and amenities.) In addition to the above instructions, print additional blank copies of this page and renumber columns if submitting more than three comparable properties. All comparables should be similar to the subject in location, size, design, age, and amenities. Photographs should be submitted if they aid in explaining the appeal. Subject Comp #1 Comp #2 Comp #3 Property Index Number (P.I.N.) Address Proximity to Subject (Cook County) Volume/ Assessment Class Total Land Sq. Ft. Total Building Sq. Ft. Age of Building(s) Land-to-Building Ratio Number of Buildings Number of Stories Exterior Construction Office Space Sq. Ft. Warehouse Sq. Ft. Manufacturing Sq. Ft. Ceiling Height Loading Dock(s) Sprinkler System Site Improvements Date of Sale Sales Price Sales price / Sq. Ft. (Sales price / bldg. Sq. Ft.) Land Assessment Improvement Assessment Total Assessment Impr. Assessment per Sq. Ft. (Impr. Assessment / bldg. Sq. Ft. PTAB11A (rev. 03/19) PAGE 3 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com Section VI 226 Recent Construction Information Submit evidence of recent construction of the subject property including the price paid for the land, construction costs of the building(s), and include all labor costs. Include the complete and final statement from the general contractor. NOTE: If the appellant provided any labor or acted as the general contractor, evidence of the value of this service must be included with the evidence of the other construction costs. The building was constructed, or remodeled, an addition added, or other building erected on . Date Land Purchased: Total Cost: Land $ Improvement(s)$ Does this amount include all costs incurred for the construction, such as contractor's fees, architectural or engineering fees, landscaping and/or building permits? Yes No Date the occupancy permit was issued. (Submit copy(s) as directed.): Date the building was inhabitable and fit for occupancy or intended use: Date the remodeling was completed: Date the addition or other building(s) was completed: Did owner, or a member of the owner's family, act as the general contractor? Yes No If yes, what was the estimated