Cook County Board of Review Board of Review Log Residential Commercial Industrial Vacant Apartments/7 units or more 2011 Complaint No.: Mixed Use Township: Name of Appellant: Address of Property: City: State: Instructions: A. Check the box next to each document filed. B. Draw a line through each listed document that is not filed. Telephone: Was an appeal made to the Assessor for 2011? YES Summary Sheet Brief Original Photos Vacancy Occupancy Affidavit (BOR form) Tax returns (years 2008,2009,2010) Authenticity Affidavit-Short form (BOR form) Authenticity Affidavit-Long form (BOR form) General Affidavit (BOR form) Affidavit (other) Appraisal Appraisal Index (BOR form) Sales Contract Closing Statement Deed Transfer Declaration Income and Expense Statement(s) Rent Roll(s) Lease(s) Comparable Properties and Photos Additional Documents: NO Have all documents filed with the Assessor been filed before the Board? Documents Submitted: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Zip: YES NO If documents are being filed with this Board that were not filed with the Assessor, list them below. Has the Board granted a reduction on this parcel in the past 3 years? YES NO % OF THE PROPERTY IS OWNER OCCUPIED. IS ANY PORTION OF SUBJECT PROPERTY UNDER A NON-ARM’S LENGTH LEASE? YES NO If so, what percent? % Basis of Complaint: Attorney Signature Print Attorney’s Name BOR Code Number Above Documents Received by Board: Date By: 1. 2. 3. 4. 5. 6. 7. 8. 9. Restoration Recent Purchase Lack of Uniformity Vacancy Demolition/Damage Income Approach Market Approach Classification Other American LegalNet, Inc. www.FormsWorkFlow.com