Long Form Authenticity Affidavit Cook County Board of Review Residential Commercial Apartments/7 units or more Industrial Vacant 2011 Complaint No.: Mixed Use STATE OF ILLINOIS COUNTY OF COOK SS , being first duly sworn, state that I am an owner, partner I, and/or joint venturer, of the entity that is liable for the real estate taxes for the year 2011 relating to the real estate which is the subject of the above numbered Board of Review Complaint (strike inapplicable designation) and have personal knowledge of the 1. That a Federal Income Tax return has not been filed for the year 2011, but there has been, or will be, submitted to the taxpayer’s preparer an income and expense statement for the year 2011 with reference to this real property which will be incorporated in this taxpayer’s 2011 Federal Income Tax return a true and correct copy of which statement is attached hereto and which bears my signature. OR 2. That the taxpayer is the owner of, or liable for, the 2011 real estate taxes on more than one parcel of real estate and that income and expenses for these properties for prior years have been and for 2011, will be, consolidated on taxpayer’s federal income tax return; that for years prior to 2011 there have been submitted to the above real estate taxpayer’s preparer the income and expense statements relating to this property for incorporation in the taxpayer’s federal income tax returns, true and correct copies of which are attached hereto and bear my signature; that there has been or will be submitted to this taxpayer’s preparer an income and expense statement relating to this property to be incorporated in the taxpayer’s 2011 federal income tax return a true and correct copy of which statement is attached hereto and bears my signature. (check the appropriate box) Subscribed and sworn to before me, This day of Notary Public or Board Deputy Further affiant sayeth not. , 20 . Affiant American LegalNet, Inc. www.FormsWorkFlow.com