Attorney Authorization Form - Cook County Board Of Review

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COOK COUNTY BOARD OF REVIEW
ATTORNEY AUTHORIZATION FORM
20___ Complaint No. _______________
Township: _______________________
PIN(s): _______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Address:______________________________________________________________________________
City:___________________________________ State: ___________ ZIP Code:_____________________
ATTORNEY AUTHORIZATION
1. I am a/an (check applicable)
owner,
executor,
trust beneficiary of this property; or
a lessee (tenant) liable for the real estate taxes of the property for this tax year; or
a former owner liable for the real estate taxes of the property for this tax year; or
a duly authorized officer of the ________________________________________
.
Corporation, Partnership, LLC, or other entity which owns the property described above
2. I have personal knowledge that the property described above
has not been purchased since January 1, 2013; or
has been purchased on or after January 1, 2013 (complete below)
: $___________________
: _______________________
Purchase Price
Date of Purchase
3. For assessment year 20___, I explicitly authorize the following attorney/law firm:
______________________________________________________________________________
______________________________________________________________________________
to represent me before the Cook County Board of Review in connection with the assessment of the above mentioned
property. Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned
certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on
information and belief and as to such matters the undersigned certifies as aforesaid that he/she verily believes the same to
be true.
_______________________________
_______________________________
_________________
Print Name of Affiant /Owner/Appellant
Signature of Affiant /Owner/Appellant
Date:
I certify that I have entered into the attorney/client relationship with the affiant and that I have read the accompanying
assessed valuation complaint and supporting documents. Under penalties as provided by law pursuant to Section 1-109
of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true
and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned
certifies as aforesaid that he/she verily believes the same to be true.
______________________________
____________________
____________
Signature of Attorney
Date:
BOR Atty. Code
Rev. 06/15
BOR #A-1

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