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City of Chicago
Alderman Edward M. Burke Cliairman
Committee on Finance City Hall • Room 302 • 60602 www.coiiirnilteeorifinance.org
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
002*001*******5-DIGIT 60610 GOODMAN, SEYMOUR 1550 N LAKE SHORE DR APT 12G CHICAGO, IL 60610-1658
Status:_ Reason:.
Claim Number: 1017057
Index Number: 1703101029 1075
Water Account Number: 300120507617
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: VIDALEYol"Ward43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee 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 YMour^ /^o«e\l»^n the undersigned, on oalh,
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 ofthe 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 a«i subjecj. 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 VI DALEY Attn: KAREN
735 WWRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RE...
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