Cook County Board of Review General Affidavit 2011 Complaint No.: STATE OF ILLINOIS COUNTY OF COOK I, PIN: (Name) of Volume: SS (Address) State: City: Zip: being first duly sworn on oath depose and say that I have personally inspected the buildings and all assessable improvements on the real estate located at: Address: State: City: Zip: described in 2011 Board of Review complaint number: and that following representations of fact are made to induce the Board of Review of Cook County to order a correction and revision of the assessment placed upon the said real estate by the Assessor of Cook County. Further affiant sayeth not. Subscribed and sworn to before me, This day of Notary Public or Board Deputy , 20 . Affiant American LegalNet, Inc. www.FormsWorkFlow.com