Did you know that the State of Illinois offers a property tax relief program for seniors citizens? The Department of Revenue has created Form Dcr4021, which is the application for the Senior Citizen Assessment Freeze Homestead Exemption. In this blog post, we will provide an overview of the program and how to apply. We hope that this information is helpful as you consider your options for property tax relief.
| Question | Answer |
|---|---|
| Form Name | Form Dcr4021 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | subscribed, SUBMIttAL, revokes, Colorado |
OFFICE OF THE CLERK AND RECORDER
CITY AND COUNTY OF DENVER
REVOCATION OF
DESIGNATED BENEFICIARY AGREEMENT
STEPHANIE Y. O’MALLEY
CLERK & RECORDER
PUBLIC TRUSTEE
his revocation form must be recorded in the same county as the Designated Beneiciary Agreement form it revokes.
I, ________________________________________, residing at _________________________________________________________________ ,
(Full Name)(Street Address, City, State, Zip)
entered into a Designated Beneiciary Agreement on ___________________________________________________________ ,with the following person:
(Date)
____________________________________________________________________________, whose last known address is:
(Full Name)
_______________________________________________________________________________________________________________
(Street Address, City, State, Zip)
in which I designated such person as a Designated Beneiciary. his Designated Beneiciary Agreement was
recorded on ____________________________________________ in the County of _________________________________________________.
(Date)
he indexing ile number of the Designated Beneiciary Agreement is _________________________________________________________.
I hereby revoke that Designated Beneiciary Agreement, efective on the date and time that this revocation is received for recording by the Clerk and Recorder of___________________________________________ County.
_________________________________________________ |
_________________________ |
(Signature) |
(Date) |
State of Colorado |
|
County of ____________________________________ |
|
his document was subscribed, sworn to, and acknowledged |
|
before me on _______________________________________. |
[SEAL] |
My commission expires: ______________________________. |
|
_____________________________________________ |
|
Signature of Notary Public |
|
APPLICANT: COMPLETE THIS BOX AT TIME OF ACTUAL SUBMITTAL TO COUNTY CLERK. (Leave box blank if submitting form by mail.) his revocation form is efective on the date it is received for recording by the County Clerk and Recorder. his form was received by the County Clerk and Recorder on
____________________________________________________, at _______________________________ o’clock.
FOR OFFICIAL USE ONLY
his Revocation of Beneiciary Agreement was recorded in my oice on _______________________________, at __________ o’clock, and, pursuant to section
Colorado Revised Statutes, I mailed a copy of this Revocation of Beneiciary Agreement to ____________________________________________________________ ,
at the address contained in this Revocation of Beneiciary Agreement.
Clerk and Recorder of_____________________________________________ County. By: __________________________________________________________
DCR4021 REV.6/17/09