Randolph County, IL · Randolph County

No notary required

Low-Income Senior Citizens Assessment Freeze Homestead Exemption Application and Affidavit

This application is for eligible senior residents seeking the 2023 Low-Income Senior Citizens Assessment Freeze Homestead Exemption for their home in Randolph County.

At a glance

Issued by
City of Randolph County · Randolph County, Randolph County, Illinois
Notarization
Not required: file this form without a notary.
Official source
randolphcountyil.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The application asks for applicant and property details, 2022 household income, and statements about residency, ownership, tax liability, and age. The form says to apply by the date printed on page 2 and to file every year to continue receiving the exemption. Applicants must report household income of $65,000 or less and sign the affidavit under penalties of perjury.

Who needs it

A qualifying senior or eligible surviving spouse who seeks the 2023 assessment freeze exemption for a property in Randolph County must file this application.

How to submit it

Return the completed form to the Chief County Assessment Officer’s office or mail it to the address printed at the bottom of page 2.

About notarization

This document is signed without a notary; the applicant signs and dates the affidavit, which is made under penalties of perjury.

How to submit this form

  1. 1

    Download The Application

    Download the PTAX-340 application for the 2023 senior assessment freeze exemption.

  2. 2

    Complete The Form

    Provide applicant and property information, report 2022 household income, and complete the affidavit statements.

  3. 3

    Gather Any Attachments

    Attach a legal description if you cannot obtain the property PIN; use an additional sheet for household members if needed.

  4. 4

    Submit To The County

    Return the signed form to the Chief County Assessment Officer’s office or mail it to the address printed on page 2.

Frequently asked questions

Do I need a notary for the senior assessment freeze application?
No. The applicant signs and dates the affidavit under penalties of perjury; the form does not require a notary.
How do I submit the application?
Return the completed form to the Chief County Assessment Officer’s office or mail it to the address printed at the bottom of page 2.
Who may qualify for the 2023 exemption?
The form lists requirements including being 65 or older during 2023, household income of $65,000 or less in 2022, and meeting the stated property and tax-liability conditions.
What information does the application ask for?
It asks for applicant and property details, household income for 2022, and affidavit statements about residency, ownership or interest in the property, tax liability, and age.

Need something notarized?

This Low-Income Senior Citizens Assessment Freeze Homestead Exemption Application and Affidavit doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.