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. <br /> ASSESSMENT INFORMATION ON SOLD PROPERTIES . - <br /> This page is to be completed by the County Assessor or Supervisor of Assessments. The form is to be mailed to <br /> Illinois Department of Revenue, 101 West Jefferson, P.O. Box 4058, Springfield, IL 62708 <br /> 1. ENTER BRIEF LEGAL DESCRIPTION OF PROPERTY AS IT APPEARS ON ASSESSMENT BOOKS. <br /> 2. INSTRUCTIONS FOR COMPLETING PROPERTY DESCRIPTION CODES: <br /> (a) Enter Permanent Real Estate Index Number. Enter the property use code in the Unit No. boxes if using the IL Real Property Appraisal Manual,or circle the appro- <br /> priate letter if using the codes in the IL Property Tax Manuai. Enter the assessment Quadrant if applicable. <br /> (b) County&Township: Use codes from Department Code Sheets. (d) Date of Deed: Enter month and year from Page 1 of declaration. <br /> (c) Class of Property: For Cook County,see Property Type Code Sheet. (e) Acreage: For Class 51 and 61 Property,enter number of acres; <br /> for Class 71 and 81 Property, leave blank. <br /> For pownstate Counties: enter <br /> 51 (if 5 acres or more with no building) 71 (if under 5 acres with no building) <br /> 61 (if 5 acres or more with a building) 81 (if under 5 acres with a building) <br /> PERMANENT REAL ESTATE INDEX N0. <br /> �a� � � � � �BL❑ � �PA❑L� � �N'� � / F' C�cle One I R ASS❑M'T. <br /> QUAD. <br /> ❑ ❑ ❑ Comments by Supervisor of Assessments or County Assessor: <br /> (b) County <br /> Township � � � <br /> (c) Class � � <br /> Month Year <br /> (d) Date of Deed � � � � <br /> (e) Acreage(Round to ❑ ❑ ❑ ❑ <br /> nearest full acre) <br /> 3. ASSESSED VALUE DATA <br /> Enter assessed value as finally adjusted by the Board of Review or Appeals for the year prior to the date of sale. �hereby certify that the information shown relates <br /> Where assessment is partial or split;designate with a large"P"or"S"on the assessment boxes. <br /> YEAR PRIOR TO SALE 19 to the property described in the declaration and <br /> The following questions must be answered: <br /> Book No. Page Line Yes No that the assessed valuations are for the proaerty <br /> 1. ❑ ❑ Is this a 20e assessment?("Farm Bill") included in the transfer. <br /> 2. ❑ ❑ Is this a partial assessment?(i.e.,improvement not com- <br /> pleted on assessment date) <br /> 3. ❑ ❑ Will a split(division)be required to retlect the legal Dated this day of <br /> description o�this deed(or Trust Daument)? <br /> 4. ❑ C Has an improvement been added or removed since 19 <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ January 1 of the year prior to the sale,but before the — ' <br /> Land sale date? <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ 5. ❑ ❑ Does assessment shown reflect all Board of Review or <br /> Bldgs. Appeals action for the year indicated(including Board <br /> ❑ ❑ � ❑ ❑ ❑ ❑ ❑ of Review equalization factors)? Supervisor of Assessments or County Assessor <br /> Total 6. ❑ ❑ Is this a 20g-4 assessment?(Pubiic Act 83-837) <br /> FOR DEPARTMENT USE ONLY r� <br /> ❑ LJ Multiple Parcel Indicator <br /> Full Consideration <br /> ❑ ❑ ' ❑ ❑ ❑ ' ❑ ❑ ❑ File Maintenance <br /> Adjusted Consideration <br /> ❑ ❑ � ❑ ❑ ❑ � ❑ ❑ ❑ Tab Number: <br /> Page 4 PTAB-203(R-12/85) <br />