Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:.;_
1111111' I < 11111 -11 -111'' 1'11111111111'1 < 11 >1 - - -1111111111'111' I <
Status:, Reason:
014*001 *******5-DIGIT 60657 WILSON, WILLIAM Y 2835 N LAKEWOOD AVE APT 5A CHICAGO, IL 60657-1168
Claim Number: 1022602
Index Number: 1429131061 1010
Water Account Number: 713181604482
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to ''your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underfijknif I.am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
Very Truly Yours.
«<*g5^>228
Chicago City Council - Committee on Finance - Application for Senior Citizens Sewer C... Page 1 of 1
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE._
STATUS_
R_
Note: *AII Fields Must Be Filled In
Claimant Name
William Y Wilson
Claimant Address
2835 N. Lakewood Ave.
Claimant
City, State & Zip Code
Chicago, IL 60657
Claimant Telephone
Office
Home
773-296-9676
Cellular
Claimant Birthdate:
03/08/1927
Property Tax Number:
PIN 14 - 29 - 131 - 061
1010
Water Account Number:
713-181-60-4482
Building Type:
Condo
Com Units 0
Res Units 12
11
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury or falsification herein.
OWNER SIGNATURE:_
DATE:
Edit Form
Print this claim form
Please print this and return application to your aldermanic office before July 1
© 2007 Chicago City Council - Committee on Finanace. All Rights Reserved
2/7/2011
City of Chicago
Department of Revenue-Water Division
P.O. BOX 6330
Chicago, Illinois 60680-6330
METERED
ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
713181-604482
Attn: 2835 N LAKEWOOD COND ASSOC
Service Address: 2835 N LAKEWOOD AVE CHICAGO IL 60657-4105
Summary of Charges for Oct-07-2010 thru Dec-07-2010
Total Current Water..................................................................................... $
Total Current Sewer.................................................................................. $
Penalty....................................................................................................... $
Total Current Charges............................................................................ $
Previous Balance....................................................................................... $
Adjustments............................................................................................... $
Payments................................................................................................... $
Total Due................................................................................................ $
Penalties accrue at a rate of 1.25% per month on late balances.
Dec-14-2010
Jan-04-2011
156.41 134.51
0.00 290.92 500.67
0.00 500.67 290.92
The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills including a special circumstances/hardship plan for those who qualify. Avoid Water shut-off or have your, service restbi^ by entering a plan.
Meter Reading Details 1 °°o Cubic Feet = 7430 cations
|
v -'iv.-'"' f^MW?© ■'. -r'-'-J |
|
|
Gallons 1074 1152 10.4 = 78 A
□ ID 142Dll □ □□7131fllQt>a44fl2 b ODDDDE'imS □□□□□EC1DC12 4
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT BY MAIL
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago, Illinois 60680-6330 Service Address: 2835 N LAKEWOOD AVE CHICAGO IL 60657-4105
713181-604482
Jan-04-2011
$290.92
16.1.4760 00373D11 pOl
ll"|M.h|l"illil,'l'lll|H.i.|l....l''-illl'il-1ilh,l'li'1 Amount Paid: $
Ann: 2835 N LAKEWOOD COND ASSOC. 2835 N LAKEWOOn AVE CHICAGO IL 60657-1167
304246
01042011 0007131fll0t,044fl2 t, 0fJDD02ti0cJ2 □00002cJm2 4
PAY ONLY THIS AMOUNT
3,598.18
BY 12/13/10 (on time)
2009 Second Installment Property Tax Bill
Property Indei Number (PIN) Volume Code Tai Year (Payable In) Township
14-29-131-061-1010 487 73001 2009 (2010) LAKE VIEW
IF PAID LATE 12/14/10 - 01/13/11
$ 3,652.15
IF PAID LATE 01/14/11 - 02/13/11
$ 3,706.12
IF PAID LATE 02/14/11 - 03/13/11
$ 3,760.09
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF:
$ 4,848.92 ON 03-02-10
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
2835 N LAKEWOOD AVE
Taxing District
Property location and classification for this PIN -CHICAGO IL 60657 1168
2009 Tax 2009 Rate 2009 %
Pension
Property Classification 2-99
2008 Tax 2008 Rate
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
476.48 25.56 538. 55 1, 040. 59
0.261 0.014 0. 295 0.570
5. 64% 0.30% 6.38% 12.32%
27.38 21'. 90
461.31 27.46 563.83 1.052.60
SCHOOL TAXES
Board of Education Chicago^Communjty-Ccllege Dist 508 School Taxes Total
4,319.39
--2737-84-
4, 593. 23
2.366
0-.-.-1-5O-2. 516
51.13% 3r24%-54.37%
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 204.47 0.112 2.42%
Chicago Library Fund 180.74 0.099 2.14%
City of Chicago 1,619.32 0.887 19.17%
Municipality/Township Taxes Total . 2,004.53 1 098 23 73%
744.84
COOK COUNTY TAXES
Cook County Forest Preserve District 89.45 0.049 1.06%
County of Cook 357.83 0.196 4.24%
Cook County Public Safety 208 12 0 114 2 46%
Cook County Health Facilities 153.35 0.084 1 82%
Cook County Taxes Total 808.75 0 443 9 58%
1.82 129. 61
(Do not pay these totals)
8,447. 10
4.627 100.00%
4.525.27 -285. 58. 4,810.85
214.18 186. 72 1,698.81 2.099. 71
93.36 410.06 192r21 157.43 853.06
8,816.22
0.252 0.015 0.308 0.575
2.472 -6.156-2.628
0. 117 0.102
0. 928
1. 147
051 224 105 086 466
4. 816
TAX CflLCULRTOR
2008 Assessed Value
64,648
-2009 Property Value : 2009 Assessment Level:
7,15 , 650
X 10%
2009 Assessed Value
71,565
2009 State Equalization .Factor --'W
X 3.3701 2009 Equalized Assessed Value (EAV) ■
■■■;.\yr'=. ■-.'■ ' 241. 181
20U9 Local Tax Rate
X .'.'■■':'/.■.■■ -. 4. 627%. ; 2009 Total Tax Before Exemptions ■;.
W'-.= '' ■ 11 . 159. 44 :
Homeowner's Exemption:
277. 62
. Senior Citizen Exemption
.'W ■-^v ~.y: 185.08.
Senior Assessment Freeze Exemption . ';, ,' - 2,249.65
WM Y & SUSAN K WILSON 2835 N LAKEWOOD it5A CHICAGO IL 60657-1168
2009 Total Tax.AtterExemptions . = ' ? 8,447. 10 ' First-Installment-.
4.848.92
Second Installment
+ 3,598. 18
Total 2009. Tax (Payable In 2010)
■'.V'...; = ; 8,447. 10
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
NUMBER ISSUED EXPIRES
4259-3927-070W09-2&04 |gg>@gjgg))
william y wilson' 2835 n lakewood ave:-,
CHICAGO 1160657^'^' i
Jesse White - Secretary of State
Birthdate 03-08-27- '"■ Male 511" 200>s(-. ,HZL Eyes Type ,r Class
Lifetime
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,||||lll|||||||||ll||||l|l|l|l|l,|l||||||,|l|l|,|l|||.,|l|l,|
Status:_ Reason:.
008*001*******5-DIGtT 60614 DOBKIN, JUDITH F 2100 N RACINE AVE APT 3C CHICAGO, IL 60614-4007
Claim Number: 1023357
Index Number: 1432127040 1015
Water Account Number: 481799481799" - -
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, a^nd all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject toWnaltiis7for perjury of falsification herein, k
OWNER SIGNATURE_ DATE
Very Truly Yours, ^\
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
'_0 wft|TH
.the undersigned, on oath.
Please Print Name
r
JAN 0 1 2011
City of Chicago
Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330
1
Little bills.
Check leaks.
METERED ACCOUNT
leaks cause big for and repair
You must pay metered water.
for all
PAY ONLINE: Pay your bill online from the convenience of your home or office: http^A*rww.cityofchicagp.qrr^reveriue
PEAK PROPERTIES
481799-481799
Service Address: 2100 N RACINE AVE CHICAGO IL 60614
Summary of Charges for Oct-21 -2010 thru Dec-23-2010
Total Current Water..................................................................................... $
Total Current Sewer.................................................................................. $
Penalty....................................................................................................... $
Total Current Charges............................................................................ $
Previous Balance....................................................................................... $
Adjustments............................................................................................... $
Payments................................................................................................... $
Total Due................................................................................................ $
Penalties accrue at a rate of 1.25% per month on (ate balances.
1018.221
Th© Deportment el Revenue's Water Division offers s variety af flexible payment plans tar water bills Including a special ctrcumstanceslhamshlp plan for those who qualify. Avoid Water shut off or have your service restored by entering e plan. Visit us online or calf us for more Information.
Meter Reading Details
Rf'MET'ERED GlNITS i IN THOUSANDS
T' readings'
PREVIOUS I CURRENT
1000 Cubic Feet = 7480 Gallons
5 USAGE IN THOUSANDS 3ENT j Cubic Feet = Gallons
Gallons
2980
3253
36.5
273
DllflEDll D004fll?cn04fll7c1c1 fl 00D0101fl22 0000101622 A
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
001706
1 -111'11111M11 ^ -11' I -11 -111 -11111 > 11 -111 -11 -111111111 < 111 -11111
008*001 *******5-DIGIT 60614 KOCHEVAR, JAMES M 2418 N SURREY CT CHICAGO, IL 60614-2115
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023429
Index Number: 1429321021 0000
Water Account Number: 406766406766
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property tax/es, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understaftdj, am s^Wecrt tc/penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
Bate v^E^-gy^i^ ">2.
>o (I
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
111 ^1111111 -1 - M111111 -1111 - -111 -1M1111 -1 -111'11 1111111111111 >
017*003*********3-DIGIT 606 GARDNER, NANCY P 2215 W MELROSE ST CHICAGO, IL 60618-6315
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023244
Index Number: 1419329019 0000
Water Account Number: 429307429307
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
dm
ndersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
11 h 11 r 111 -11 > 11111 -11 n 11111 [ I - - < i - i -11111111111 - -11 - -11111 -1111
008*001 *******5-DIGIT 60614 COHN, LOUIS J 2702 N MAGNOLIA AVE CHICAGO, IL 60614-1204
Index Number: 1429305035 0000
Water Account Number: 479011479011
Telephone .312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023430
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i Uc/i*Qr.(U^
_the undersigned, on oath,
ase Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
it to penalties for perjury of falsification herein.
DATE
been paid and lhat I understar dj OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201 1
■■■"■lillh,hMill"M-ll"hMMiillh,IMIil,-li-iilllli--
008*001*******5-DIGIT 60614 MIZOCK, BERNARD J. 1436 W WRIGHTWOOD AVE CHICAGO. IL 60614-1122 ^
Index Number: 142930358 1006 ) l{, fl-&>l~fyft - ,WG
Water Account Number: 431679431679
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020476
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
, gflMNiE- Mi^o<sK e undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subjecj-to penalties for p/rjury of falsification herein.
OWNER SIGNATURE Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18,201
City of Chicago
111!11111' I -111 -1111 ^> IF1111111111111 -111'I''-1 -1'111' < I' I -' h 111
008*001*******5-DIGIT 60614 GRIST, ROBERT W 1414 W WRIGHTWOOD AVE APT M CHICAGO, IL 60614-1142
Index Number: 1429302188 0000
Water Account Number: 431679431679
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023355
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that alWater taxes, propeTty-iaxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and (that 1 understand Ijm--<ubject to penalises for perjury of falsification herein.
ATE 02
fz.2- f 2.Q I
OWNER SIGNAT Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only: Ward:_
Intro. Date:
.lii,,,!,!,!!,,,,!!,,!!!,,,,,!,!,!,!.!.)!!.!.!)!!!!,!)!!!,!!!,!
Status:_ Reason:.
019*001*********3-DIGIT 606 KORUS, EDWARD L 2039 N LEAVITT ST CHICAGO, IL 60647-4422
Claim Number: 1023428
Index Nu mber: 1431134005 0000
Water Account Number: "490883490883 '
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
lll|-|lhlllllll|-l|-|lllllllllT-||-Tlllllll|-HI|-|-llll
Status:_ Reason:.
014*001 *******5-DIGIT 60657
CERAVOLO, ANTHONY J 1907 W CORNELIA AVE CHICAGO, IL 60657-1021
Claim Number: 1023431
Index Number: 1419409051 0000
Water Account Number: 412061412061
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
._the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ni'I-H-ii'Iti'i-II'II'-'I'-'IHiiiii111'-'-'-!!!1
rn
Status:_ Reason:.
014*001*******5-DIGIT 60657 METZLER, DONNA K 1739 W BARRY AVE CHICAGO, IL 60657-3030
Claim Number: 1023245
Index Number: 1430211048 1001
' Water Account Number: 484956484956
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: SCOTT WAGUESPACK of Ward 32.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
'Z-LI^Yl^ the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman SCOTT WAGUESPACK Attn: PATRICK 2657N.CLYBOURN AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name