City of Chicago
Alderman Edward M. Burke Cliairman
Committee on Finance Cily Hall • Room 302 • 60602 www.cummilleeonfinanee.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
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Status:_ Reason:.
017*003*********3-DIGIT606 ADDAMS, CLAIRE 669 E 83RD ST CHICAGO, IL 60619-5014
Claim Number: 1022163
Index Number: 2034413024 0000
Water Account Number: 693893600429
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: FREDDRENNA LYLE of Ward 06.
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 properly 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.
A M J5_the undersigned, on oalh,
depose and state lhat 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 ihe Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal 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 FREDDRENNA LYLE Attn: MRS. V. SUMMERS 406 E.75TH STREET Chicago, IL 60619
Please do not send it to the Committee on Finance; your alderman will introduce it on your beha...
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