Property Owner Name

Phone Number Email Address

Street Address

City State Zip Code

Property Index No. Township
(if known)

Mailing Address (if different from subject property address)

Did you purchase, or have you refinanced the property after January 1, 2007?
Yes
No

Have you filed an appeal on your own, with an agency or another attorney for the current tax year?
Yes
No

Are there any cases pending for this property with the Illinois Property Tax Appeal Board?
Yes
No