IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. Kane County Treasurer/Collector Plaintiff/Petitioner Defendant/Respondant File Stamp TAX OBJECTION COMPLAINT Owner Name of Objector Permanent Parcel Number Address Common Address of Protested Property City State Equalized Value Phone Assessed Value Reasons for Complaint are shown on back of this complaint form Amount of taxes Attorney / Pro Se Tax Code Address You must indicate the name and address of each taxing body which is affected by this objection. Please list below. City, State, Zip Zip (Listed on your real estate tax bill) Phone Atty Registration No. American LegalNet, Inc. www.FormsWorkflow.com 1. I protest the valuation placed upon said premises for the said year before the Kane County Board of Review. PLEASE NOTE: Failure to protest before the Board of Review can result in this objection being dismissed by the court. 2. Amount of Assessed Value Sought: $ Factual reasons for seeking such amount: WHEREFORE, the Plainfiff(s) pray(s) that this Court enter an order granting the relief requested and any other relief the Court deems necessary. Subscribed and Sworn before me on Date Notary Public / Circuit Court Clerk Signature of Plaintiff or Attorney American LegalNet, Inc. www.FormsWorkflow.com