City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall • Room 302 • 00602 www.comniitleeonfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
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Status:_ Reason:.
016*001*******5-DIGIT 60660 OROZCO, NANCY E. 6301 N SHERIDAN RD APT 8K CHICAGO, IL 60660-1719
Claim Number: 1017172
Index Number: 1405203011 5462
Water Account Number: 300730550277
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: JOE MOORE of Ward 49.
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 ofJanuary, 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.
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 JOE MOORE Attn: WAYNE FRAZER 7356 N. GREENVIEW AVE Chicago, IL 60626
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETA...
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