COMPLAINT NO. REAL ESTATE UNDER ASSESSED VALUATION COMPLAINT 200___ THE BOARD OF REVIEW OF COOK COUNTY, ILLINOIS TYPE OR PRINT ALL INFORMATION. PLEASE COMPLY WITH THE OFFICIAL RULES FOR UNDERVALUATION (UNDERASSESSMENT) COMPLAINTS. THREE COPIES MUST BE FILED. Name of Taxpayer-Complainant/Taxing Body Address of Taxpayer-Complainant/Taxing Body City Tel. No. Address Fax No. Received & Checked by LOCATION AND IDENTIFICATION OF REAL ESTATE IN COOK COUNTY FOR WHICH THE INDIVIDUAL TAXPAYER-COMPLAINANT PAYS REAL ESTATE TAXES FOR 200__: City VOLUME NUMBER TOWNSHIP PERMANENT INDEX NUMBER(S) OWNERSHIP, LOCATION & IDENTIFICATION OF REAL ESTATE WHICH TAXPAYER-COMPLAINANT/TAXING BODY ALLEGES IS UNDER ASSESSED FOR THE YEAR 200___ Name of Owner of Record as shown in Records of Cook County Recorder of Deeds Address of Owner of Record City State Recorder’s Document Number Showing Said Ownership Name of Tax Assessee of Record for 200___ : Address of Tax Assessee of Record for 200___ : Name of Titleholder of Record for 200___ : Address of Titleholder of Record for 200___ : City VOLUME NUMBER State TOWNSHIP PERMANENT INDEX NUMBER(S) The undersigned Taxpayer-Complainant/Taxing Body complains that the above described real estate is UNDER ASSESSED by the Assessor of Cook County for the year 200___ for the following reason(s): Assessor’s 200___ Assessment: Land Improvement(s) Total Taxpayer-Complainant’s/Taxing Body’s Estimate of Fair Cash Value of Land and Improvement(s) Combined as of January 1, 200__ Taxpayer-Complainant’s/Taxing Body’s Estimate of Correct Assessed Valuation of Land and Improvement(s) Combined as of January 1, 200___ The undersigned states that he/she has read the above complaint, has personal knowledge of the contents thereof and the same is true in substance and in fact ATTORNEY’S APPEARANCE I (We) hereby enter the appearance of the Taxpayer-Complainant/Taxing Body attorney(s). And my (our) appearance as Attorney(s) for Taxpayer-Complainant/Taxing Body Telephone Dated: Address Type or Print Name of Taxpayer-Complainant Signature of Taxpayer-Complainant American LegalNet, Inc. www.FormsWorkFlow.com