Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.cnmmitteeonfi
riarice.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
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Status:_ Reason:.
018*001 *********3-DIGlT 606 ALLEN, ELSIE B. 949 E 101 ST ST #633 CHICAGO, IL 60628-7606
Claim Number: 1018923
Index Number: 2511300036 0000
Water Account Number: 300319002237
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: MICHELLE HARRIS of Ward 08.
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 stale 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, properly 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHELLE HARRIS Attn: MONSON 8539 S. COTTAGE GRV Chicago, IL 60619
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY...
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