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The Cook County Land Bank Authority (CCLBA) is accepting applications from individuals and organizations who are interested in conveying property to the CCLBA.

All acquisitions are governed by the CCLBA’s Policies and Procedures, and are intended to achieve general and specific priorities.  Consideration will generally be given to property whose potential use, condition, and cost to convey align most closely with CCLBA goals, and which provide the CCLBA the greatest level of confidence that the property conveyed/donated to the CCLBA can be put to productive use.

Please complete this form in its entirety.  Incomplete applications are unable to be submitted and will not be on file with the CCLBA.

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Background Information
Address (Organization)
The applicant is (check one)
Applicant's Status in Relationship to Property
Property Description
Property Address
Description of Property
Required Disclosures
The property status will not disqualify a donation, but will assist CCLBA in understanding the nature of the property being donated. All information provided will remain confidential and will not be shared with any third parties without the consent of the donor.
Is the Property currently involved in any municipal court case or have any fines or liens that have been placed against this property?
Are there any known environmental hazards at this property?
Is this property currently involved in housing court?
To your knowledge, is anyone currently residing in a dwelling unit on this property?
Acknowledgement
In submitting this form, I acknowledge the following:
Please acknowledge that you have read, and will abide by the terms described in the application by printing your name below