Rock Island County, IL · Rock Island County

No notary required

Senior Citizen Freeze Exemption Form

Rock Island County homeowners age 65 or older may file this application for the Low-Income Senior Citizens Assessment Freeze Homestead Exemption.

At a glance

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

What this form is

This application asks eligible senior homeowners to report household members, household income for 2025, property details, and information confirming eligibility for the 2026 exemption. The county says to apply by July 1, 2026, and to file every year to continue receiving the exemption. Applicants should provide proof of income; the county may request additional documentation.

Who needs it

A homeowner who will be at least 65 in 2026 and meets the household income and property requirements may file this application.

How to submit it

Mail or bring the completed form to the Rock Island County Chief County Assessment Officer, 1504 3rd Avenue, Rock Island, IL 61201. If mailing, include a copy of your income.

About notarization

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

How to submit this form

  1. 1

    Download the Form

    Download the Rock Island County Senior Citizen Freeze Exemption Form.

  2. 2

    Complete the Application

    Enter applicant and property details, list household members, report 2025 household income, and answer the affidavit questions.

  3. 3

    Gather Income Proof

    Provide proof of income. If you mail the form, include a copy of your income.

  4. 4

    Submit to the County

    Mail or bring the completed application to the Rock Island County Chief County Assessment Officer at 1504 3rd Avenue, Rock Island, IL 61201.

Frequently asked questions

Who can apply for the Senior Citizen Freeze Exemption?
The form is for eligible homeowners who will be 65 or older in 2026, meet the household income limit, and satisfy the residence and property requirements.
How do I submit the Senior Citizen Freeze Exemption Form?
Mail or bring the completed form to the Rock Island County Chief County Assessment Officer at 1504 3rd Avenue, Rock Island, IL 61201. Include a copy of your income if mailing.
Do I need a notary for the Senior Citizen Freeze Exemption Form?
No. The applicant signs and dates the affidavit under penalties of perjury; the form does not require notarization.
What supporting documents should I provide?
The county asks applicants to provide proof of income. If mailing the application, include a copy of your income; the county may also require additional documents to verify eligibility.

Need something notarized?

This Senior Citizen Freeze Exemption Form doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.