PTAX-32-324 
Application 
for 
Senior Citizens 
Homestead 
Exemption 


STEP 
1: 
Complete the 
Following 
Information 
(Property Owner’s Name) 


Property Owner’s Name 
(Street Address of Homestead Property) 


Street 
Address of 
Homestead 
Property 
(text) 
(text) 


IL 


City 
State 
ZIP 
(text) 


( 
)


Daytime Phone (Include 
Area 
Code) 


Send 
notice to 
(if 
different 
than 
above) 
(Name) 
2 

Name 
(Mailing Address) 


Mailing Address 
(ZIP) 
(State) 
(City) 


City 
State 
ZIP 
(text) 


( 
)


Daytime Phone (Include 
Area 
Code) 


3 Provide 
your date 
of 
birth 
(mm/dd/yyyy): 
// 
(text) 


4 
Write 
the 
assessment 
year for which 
you are 
(undefined) 
requesting the 
Senior 
Citizens 
Homestead Exemption. 


5 Write 
the 
property 
index 
number (PIN) of 
the 
property for which 
you 
are 
filing this 
form. 
Your PIN is 
listed 
on 
your property tax 
bill or 
you 
may 
obtain 
it 
from 
the 
Chief 
County 
Assessment 
Officer 
(CCAO). 
If 
you 
are 
unable 
to obtain 
your PIN, 
write the 
legal 
description 
on 
Line 
b. 


NOTE: 
The 
PIN is 
the 
Parcel No., 
which 
can 
be 
found 
on 
your tax 


bill at 
the 
top right-hand corner. 


a PIN: 
(Write the legal description only if you are unable to obtain) 


Write 
the 
legal 
description only 
if 
you 
are 
unable 
to obtain 
your PIN. 
(Attach 
separate 
sheet 
if 
needed). 
(Have you previously received a Senior Citizens) 


b 


6 
Have 
you 
previously received 
a 
Senior Citizens 
(undefined: Yes) Unchecked
(undefined: No) Unchecked
Homestead 
Exemption 
on 
this 
property? 



Yes 



No 


STEP 
2: 
Complete Eligibility 
Information 
7 Check 
your type 
of 
residence. 
Single-family 
dwelling 
Duplex 
10 
On 
January 
1, 
were 
you a resident 
of 
a 
facility 
licensed 
under the 
Assisted 
Living 
& 
Shared 
Housing Act, 
Nursing 
Home 
Care Act, 
ID/DD 
Townhouse 
Condominium 
Community Care 
Act, 
or Specialized 
Mental 
Apartment 
Health 
Rehabilitation Act? Yes 
No 
Other 
(Specify) 
(Is the residence operated as a) 
If 
“Yes,” complete 
Lines 
a 
through c. 
a Is the 
residence 
operated as 
a 
cooperative? 
Yes 
No 
a Write 
the 
name 
and 
address of 
the 
facility. 
b 
Is the 
residence 
a 
life care 
facility under the 
(Write the name and address of the facility [1]) 
Life Care 
Facilities 
Act? 
Yes 
No 
(Write the name and address of the facility [2]) 
8 
On 
January 
1, 
were 
you the 
owner 
of 
record 
or 
b 
Was 
this property occupied 
by 
your 
did 
you have 
a legal or 
equitable 
interest 
in 
this 
spouse, 
who is 
65 
years 
of 
age 
or 
older? 
Yes 
No 
property or 
did 
you 
have 
a life 
care contract 
with 
a 
facility 
under the Life Care 
Facilities 
Act? 
Yes 
No 
If 
“Yes”, 
provide 
spouse’s 
date of 
birth 
/ 
(text) 
/ 
a If 
“No,” 
write 
when 
you acquired 
interest 
in 
this 
property. 
/ 
/ 
(undefined) 
c 
Did 
this 
property 
remain 
unoccupied? 
Yes 
No 
9 
On 
January 
1, 
did 
you 
occupy 
this 
property 
as 
11 
On 
January 
1, 
were 
you liable 
for the 
payment 
of 
your principal 
residence? 
Yes 
No 
real 
estate taxes 
on 
this 
property? 
Yes 
No 
a If 
“No,” 
write 
the 
date you 
first 
occupied this 
property (if 
applicable). 
/ 
/ 
(text) 
STEP 
3: 
Attach 
Proof 
of 
Ownership 
12 
Check 
the 
documentation 
you are 
attaching 
as 
proof 
you 
are 
the 
owner of 
record 
or have 
legal 
or equitable 
interest 
in 
the 
property. 
13 
Write 
the 
date 
the written 
instrument 
was 
executed 
(mm/dd/yyyy). 
/ 
(If known, write the date the instrument was recorded and the) 
/ 
Deed 
Contract 
for Deed 
14 
If 
known, 
write the date 
the 
instrument 
was 
recorded and the 
Trust 
Agreement 
Life Care 
Contract 
document 
number from 
the 
County 
records. 
Lease 
/ 
/ 
(STEP 4) 
Other 
(Specify) 
(undefined) 
Date (mm/dd/yyyy) 
Document 
Number 



(Duplex) Unchecked
(Condominium) Unchecked
(Single-family dwelling) Unchecked
(Townhouse) Unchecked
(Apartment) Unchecked
(Other (Specify) Unchecked
(undefined: Yes_2) Unchecked
(undefined: No_2) Unchecked
(Is the residence a life care facility under the: Yes_4) Unchecked
(Is the residence a life care facility under the: Yes_5) Unchecked
(undefined: No_4) Unchecked
(undefined: No_5) Unchecked
(spouse, who is 65 years of age or older: Yes_3) Unchecked
(spouse, who is 65 years of age or older: No_3) Unchecked
(Is the residence a life care facility under the: Yes_6) Unchecked
(undefined: No_6) Unchecked
(11: Yes_8) Unchecked
(11: No_8) Unchecked
(Did this property remain unoccupied: Yes_7) Unchecked
(11: Yes_9) Unchecked
(Did this property remain unoccupied: No_7) Unchecked
(11: No_9) Unchecked
(Contract for Deed) Unchecked
(Life Care Contract) Unchecked
(Deed) Unchecked
(Trust Agreement) Unchecked
(Lease) Unchecked
(Other (Specify) Unchecked
STEP 
4: 
Sign 
Below 


I 
state 
that 
to 
the best 
of 
my 
knowledge, 
the 
information 
on 
this 
application 
is 
true, 
correct 
and 
complete. 
(Date) 


Property 
Owner’s or Authorized 
Representative’s 
Signature 
Date 


PTAX-324 
(R-11/11) 
IL-492-3074 
Page 
1 
of 
2 



Form PTAX-324 Genera-324 General 
Information 


What 
is 
the 
Senior Citizens 
Homestead 
Exemption? 
When 
and 
Where Must 
I 
File 
Form PTAX-324? 


The 
Senior 
Citizens 
Homestead 
Exemption 
(35 
ILCS 
200/15-170) 
(text) $5,000
provides 
an 
annual $4,000 
reduction 
in 
the 
equalized 
assessment 
value 
(EAV) 
of 
the 
property that 
you 
own and 
occupy as 
your 
principal 
residence 
during 
the assessment 
year 
and 
for 
which 
you 
are 
liable 
for 
the 
payment 
of 
property taxes. 


Who 
is 
Eligible? 


To 
qualify for 
the 
Senior 
Citizens 
Homestead 
Exemption, 
you 
must: 


. 
Be 
65 
years of 
age 
or 
older 
during 
the 
assessment 
year, 
. 
own 
or 
have 
a 
legal 
or 
equitable 
interest 
in 
the 
property 
on 
which 
a 
single-family 
residence 
is 
occupied 
as 
your 
principal 
residence 
during 
the 
assessment 
year, 
and 

. 
be 
liable 
for 
the 
payment 
of 
the 
property 
taxes. 
If 
you 
previously 
received 
a 
Senior 
Citizens 
Homestead 
Exemption 
and 
now reside 
in 
a facility licensed 
under 
the 
Assisted 
Living 
and 
Shared 
Housing 
Act, 
Nursing 
Home 
Care 
Act, 
or ID/DD (Intellectually 
Disabled/Developmentally 
Disabled) 
Community Care 
Act, 
or 
Specialized 
Mental 
Health Rehabilitation 
Act, 
you 
are 
still eligible 
to 
receive 
this exemption 
provided: 


. 
your property is 
occupied 
by your 
spouse, 
who 
is 65 
years 
of 
age 
or 
older; 
or 
. 
your property remains 
unoccupied 
during 
the 
assessment 
year. 
A 
resident 
of 
a 
cooperative 
apartment 
building 
qualifies 
for 
this 
exemption 
if 
the 
resident 
is 
the 
owner 
of 
record 
of 
a 
legal or equitable 
interest 
in 
the 
property, 
occupies 
it 
as 
a 
principal 
residence, 
and 
is 
liable 
by 
contract 
for 
the 
payment 
of 
property 
taxes. 


Note: 
A 
resident 
of 
a 
cooperative 
apartment 
building 
who has 
a 
leasehold 
interest 
does 
not 
qualify for 
this 
exemption. 


A 
resident 
of 
a 
life 
care 
facility 
qualifies 
for 
this 
exemption 
if 
the 
resident 
has 
a 
life 
care 
contract 
with 
the 
owner 
of 
the facility and 
is 
liable 
for 
the 
payment 
of 
property taxes 
as 
required 
under 
the 
Life 
Care 
Facilities 
Act 
(210 
ILCS 
40/1 
et. 
seq.). 


Contact 
your 
Chief 
County Assessment 
Officer (CCAO) 
at 
the address 
(text) Contact the Board of Review office at the address/telephone number shown below to verify your County’s due date. 
File this form with the Board of Review at the address shown below. 
or 
telephone number 
shown 
below to verify 
your 
County’s 
due 
date. 


File 
this form with 
the 
CCAO 
at 
the 
address shown 
below. 
Once 
approved 
to 
receive 
this 
exemption, 
you 
may be 
required 
to 
file 
Form 
PTAX-329, 
Certificate of 
Status-Senior Citizens Homestead 
Exemption, 
annually 
if 
your 
CCAO 
requires 
such 
verification. 
(text) Board of Review


Jennifer 
Gomric 
Minton, 
CCAO 


Assessor’s 
Department 


St. 
Clair 
County 


10 Public Square 


Belleville, 
IL 
62220 



Note: 
You 
may 
be required 
to provide 
additional 
information. 
(text) You are required to attached a copy of your Driver’s License or State ID and the deed to the property. 
(text) 618-825-2489


If 
you 
have 
any 
questions, 
please 
call: 
(618) 
825-2704. 


What 
if 
I 
Need 
Additional 
Assistance? 
(text) Please contact the Board of Review. 
(text) Note: Contact the Mapping and Platting Department for information on how to designate another person to receive a duplicate of a property tax delinquency notice for your property.


If 
you 
need 
additional 
assistance 
with this 
form, 
please 
contact 
your 
CCAO. 


Note: 
Contact 
your 
CCAO 
for 
information 
on 
how you 
designate 
another 
person 
to 
receive 
a 
duplicate 
of 
a 
property 
tax 
delinquency 
notice 
for 
your property. 



(For Official Use Only. Do Not Write In This Space) 
For 
Official 
Use Only. 
Do 
Not 
Write In 
This Space. 


DateReceived(mm/dd/yyyy):Boardof ReviewActionDate:
Approved– FullYearReasonfor Denial: 
Approved– Pro-RataDeniedPro-RataExemptionDate(mm/dd/yyyy):
(Date Received (mm/dd/yyyy):) 
(Board of Review Action Date:) 
(Approved – Full Year) Unchecked
(Approved – Pro-Rata) Unchecked
(Denied) Unchecked
(Pro-Rata Exemption Date (mm/dd/yyyy) 
(Reason for Denial) 
PTAX-324 
(R-11/11) 
IL-492-3074 
Page 
2 
of 
2