Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.commilleeonfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:.;_
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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 ...
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