Illinois Department of Revenue PTAX-300-HA Affidavit for - co stephenson il 2026

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  1. Click ‘Get Form’ to open the PTAX-300-HA Affidavit in the editor.
  2. Begin by identifying the property. Fill in the name and address of the hospital or affiliate, including the property index numbers (PIN) on Line 8.
  3. Provide details about the services and activities related to charity care and unreimbursed costs for low-income individuals in Lines 11 through 17.
  4. Complete Lines 19 through 21 regarding property taxes and any changes from the prior year, ensuring all relevant information is accurately captured.
  5. Finally, sign and date the affidavit under penalties of perjury. Ensure it is notarized before submission to the Chief County Assessment Officer.

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