How to fill out the Payoff Request Letter Templates? 1. Enter your personal information and amount owed. 2.You are required to make to the Court, under oath, a FULL DISCLOSURE of your income, net worth and financial condition on this form. Exemption applications must be filed with your local assessor's office. See our Municipal Profiles for your local assessor's mailing address. If you are self-employed, an independent contractor, or a sole proprietorship, here's how to fill out the forgiveness amount request without payroll. Example 7 – Self Maintaining Grantee charges children room and board. Ms. Smith moves out of her current county of residence, leaving her three children in. This form is authorized in accordance with the Illinois Property Tax Code. Disclosure of this information is required.