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Petition For Division And Or Consolidation (For Tax Year 2012) Form. This is a Illinois form and can be use in Cook Local County.
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Tags: Petition For Division And Or Consolidation (For Tax Year 2012), Illinois Local County, Cook
COOK COUNTY ASSESSOR’S OFFICE
118 NORTH CLARK STREET, CHICAGO, IL 60602
PHONE: 312.443.7550 FAX: 312.603.3352
WWW .COOKCOUNTYASSESSOR.COM
COOK COUNTY ASSESSOR
JOSEPH BERRIOS
PETITIONS FOR DIVISIONS/CONSOLIDATIONS
MUST BE RECEIVED OR POSTMARKED
NO LATER THAN OCTOBER 31, 2011
PETITION FOR DIVISION AND/OR CONSOLIDATION
OF PROPERTY FOR THE TAX YEAR 2012
To the Assessor of Cook County:
By signing below, I affirm that I have an interest in the property described in this petition. I request and authorize the
Assessor to reconfigure (____) existing tracts as (____) separate tracts on the Assessment Roll for the 2012 tax year.
This division or consolidation involves a total of (____) tracts. The required fee, as authorized under Section 32-1 of
the Code of Ordinances of Cook County, Illinois, must be paid at the time of filing this division/consolidation.
Attached to and made a part of this petition is an exact, concise, legal description of the property to be divided or
consolidated and of each new tract to be listed. I also acknowledge that I have read and complied with the
instructions on the third page of this form.
ALL PARTIES TO THE DIVISION AND/OR CONSOLIDATION MUST SIGN
All original signatures must be notarized including the submitter’s
NOTE: Tract owner(s) name and address listed below will be forwarded to the county collector for billing purposes.
Subscribed and sworn to before
Signature
me this
day
Print Name
A.D.
Address
of
20
City
State
Zip
State
Zip
Notary Public
Tel. No.
(Submitter/Representative)
Subscribed and sworn to before
Signature
me this
day
Print Name
A.D
Address
of
20
City
Notary Public
Tel. No.
(Owner of Tract Number 1)
(Use page 2 for additional notarized signatures)
FOR OFFICE USE ONLY
Township
Volume
Date Received
By
Petition No.
Division Made
By
Land Division No.
1 of 3
12/22/2010
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Subscribed and sworn to before
Signature
me this
Print Name
of
day
20
A.D.
Address
City
State
Zip
State
Zip
State
Zip
State
Zip
Notary Public
Tel. No.
(Owner of Tract Number 2)
Subscribed and sworn to before
Signature
me this
Print Name
of
day
20
A.D.
Address
City
Notary Public
Tel. No.
(Owner of Tract Number 3)
Subscribed and sworn to before
Signature
me this
Print Name
of
day
20
A.D.
Address
City
Notary Public
Tel. No.
(Owner of Tract Number 4)
Subscribed and sworn to before
Signature
me this
Print Name
of
day
20
A.D.
Address
City
Notary Public
Tel. No.
(Owner of Tract Number 5)
2 of 3
12/22/2010
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PETITIONS FOR DIVISIONS/CONSOLIDATIONS
MUST BE RECEIVED OR POSTMARKED
NO LATER THAN OCTOBER 31, 2011
SCHEDULE TO BE ATTACHED AS A PART OF
LAND DIVISION/CONSOLIDATION PETITION
Volume
Tax Code(s)
Permanent Real Estate Index No.(s)
Please read the detailed rules for Filing Petitions and
Consolidations, available on our web site and at all locations.
For information: Phone: 312-603-5323 Fax: 312-603-5247, Website: www.cookcountyassessor.com
List original legal description(s) as now described on the County Clerk’s records and then list separately the new description
of each divided or consolidated tract. Number each tract to correspond with the signatures on pages 1 and 2. If the new legal
description is by metes and bounds, a plat of survey showing acreage MUST be attached to this petition. The Division
Department may request and require, as necessary, the following additional documentation: deeds, plat act, and/or affidavits.
THIS SECTION IS FOR EXEMPT PROPERTIES ONLY
Check here if an exempt parcel is being divided or consolidated and the exemption is to be continued for all
or some of the newly created parcels. An Exempt “Continued Ownership and Use Affidavit” MUST be filed as
part of this petition. Continued Ownership and Use Affidavit forms are available in the Assessor’s Exempt
Department or on the Assessor’s Website at www.cookcountyassessor.com.
Check here if an exempt parcel is being divided or consolidated and it is not the intent of the exempt agency
to continue the exemption to any of the newly created parcels.
Check here if application for exemption has been filed with the Cook County Board of Review.
.
Date of application
Signature
Date
3 of 3
12/22/2010
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