XJessc White*Secretory iii State ^
m, DRIVER'S LICENSE;
City of Chicago
Alderman Edward M. Burke Cliairman
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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman mvw.oonimitteeonfinance.ora 312-744-3380
February 18, 2011
h11 ■1111 -1 ■ M ■ 1111111 11 ■ 1111111 ■ 11'1 ■ 11"1111111 > 11" 111.111 ■ i ■
002*001*******5-DIGIT 60610 GOTTLIEB, EVELYN 1212 N LAKE SHORE DR CHICAGO. IL 60610-2371
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007091
Index Number: 1703114003 1011 Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
It ^he undersigned, on oath,
/ "pi
Please Print Name
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.
OWNER SIGNATURE C^-<^r^ Xg^ii'-M^-r DATE Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Ann: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
lOl'lllll'I'l-'-hlllll-l
008*001*******5-DIGIT 60614 GRANT, GORDON P. 2650 N LAKEVIEW AVE CHICAGO, IL 60614-1840
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000219
Index Number: 1428318077 1147
Water Account Number: 300330329409
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: VI DALEY of Ward 43.
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 musl sign and date this application and relurn it to your ward office before July 1, 2011.
i b Ore/on *P, &r4*nh _the undersigned, on oath. Please Print Name
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, 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.
OWNER SIGNATURE.
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
<*gj^228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
11111111 -111 -11 > i - -1 -1M1 -111111111 <111 -1111 -1111 h I -11 - -111111
008*001*******5-DIGIT 60614 GRAY, MELVIN 2440 N LAKEVIEW AVE CHICAGO, IL 60614-2872
Index Number: 1428322015 0000
Water Account Number: 300330328505
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1006556
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: VI DALEY of Ward 43.
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.
I IfogC U ( G-^&^j__the undersigned, on oath,
Please Print Name
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 waler 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.
OWNER SIGNATURE "V^ jAj-*-v\ ^Xfy<^ (y DATE ^-^1 I ( Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-111 h11 -11 -1111 j -111 - - > i -1 [ i111 - -11 -111 r1111-rif11111 -1111111 -1
Status:_ Reason:
002*001 *******5-DIGIT 60610 GREENSTEIN, feARRY J. F*3TAJZ /_
1 E SCHILLER ST APT 17D CHICAGO, IL 60610-4948
Claim Number: 1022299
Index Number: 170304020 1084
Water Account Number 585082585082
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: VI DALEY of Ward 43.
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.
I f^S/3U^J (5<*&Cri&f?~Jfl_the undersigned, on oath.
depose and state that I am the applicant in the application, lhat 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 lo 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018017
February 18, 2011
i-11i-■11■i-■ 11111 - - ■ - ■ 111 -1 ■ <■■1■i--1 -11 ■ -111 -1 - ■ i - - ■ 111-1111
008*001 *******5-DIGIT 60614 HACKETT, MERILYN M. 1850 N CLARK ST APT 1605 CHICAGO, IL 60614-4977
Index Number: 1433409024 1135 Water Account Number: 300330107241
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: VI DALEY of Ward 43.
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 properly as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
(^A\^^/V^ W^:-^^hirSndersigned. on oath, Please Print Name
depose and slate 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, lhat 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.
owner signatureVV\jla i >W>AWX^T^ate >7^ *» ^ "2° ^ V
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
'iii','IIiI,iI'm",',I',',im"I"iIiI',','iII"II,i'iiiIii'I'iI
Status:_ Reason:.
002*001*******5-DIGIT60610 HADLEY PRISCILLA 70 E SCOTT ST APT 307 CHICAGO, IL 60610-5233
Claim Number: 1000165
Index Number: 1703110011 1017
Water Account Number: 300120508405
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: VI DALEY of Ward 43.
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 lhat 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.
^ V*_the undersigned, on oath.
depose and stale lhat I am the applicant in ihe 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 lhat I have a legal or equitable interest therein, thai 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 VI DALEY Attn: KAREN
735 WWRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18,2011
■1'»i 111 ■ i ■ i111111 ■ i ■ ■ i111 ■ i«111 ■ i«1111111 ■ i ■ ■ i111
008*001 *******5-DIGIT 60614 HALPERN, EDITH 1660 N LA SALLE DR APT 1001 CHICAGO, IL 60614-6011
'ilil-Mi
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023169
Index Number: 1433423048 1097
Water Account Number: 486900483900 '
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: VI DALEY of Ward 43.
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 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 understagdj am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^-^^^^^ ^-^tyS-*---DATE 4~^b, 3 , / ^
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.
RETAIN I COPY FOR YOUR RECORDS
*§S^>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■'" I i 111111 - -11 -11 -1' 1111111 -11111 -11111 -1'111 -111' 11 - -1 -1111 -
002*001*******5-DIGIT60610 HANSEN, CHADWICK C 1325 N STATE PKWY APT 4B CHICAGO, IL 60610-2170
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022849
Index Number: 1703106027 1002
Water Account Number: 585093585093
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: VI DALEY of Ward 43.
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 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.
_the undersigned, on oath.
Please Print Name
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 properly 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 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.
OWNER SIGNATURE. DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Chicago City Council -
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE_
STATUS_
R_
Note: *AII Fields Must Be Filled In
Claimant Name
Claimant Address
Hi to uqmu&a)
Claimant
City, State & Zip Code
IL
Claimant Telephone
773 -V IJ'im
Home
Cellular
Claimant Birthdate:
Property Tax Number:
PIN
Water Account Number:
8
Building Type:
11
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, 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 ofthe 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 am subject to penalties for perjury or falsification herein.
OWNER SIGNATURE:
DATE: 36({
Please print this and return application to your aldermanic office before July 1
V
PAY ONLY THIS AMOL
$ 2,013.
BY 12/13/10 (on time)
^o^^&jJ^rlSecond Installment Property Tax Bill
Property Index Number (PIN) Volume Code
14-33-108-039-1003 494 74001
Tax \ear (Payable In) Tovinship
2009 (2010) NORTH CHICA^
IF PAID LATE 12/14/10 - 01/13/11
$ 2,043.53
IF PAID LATE 01/14/11 - 02/13/11
$ 2,073.73
IF PAID LATE 02/14/11 - 03/13/11
$ 2,103.93
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF.
714 W WEBSTER AVE
Taxing District
Property location and classification for this PIN
CHICAGO IL 60614 3720
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
Property Classification 2-99
2009 Tax 2009 Rate 2009 %
Pension
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
20971 11. 25 237.03 457 99
0. 261 0. 014 0. 295 0. 570
5. 647. 0. 30%
6. 387, 12. 32%
12. 05 9. 64
SCHOOL TAXES
Board of Education 1,901.03 2.366 51.13%
Chicago Community College Dist 508 120.52 0 150 3 24"/,
School Taxes Total 2,021.55 2.516 54.37%
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 89. 99 0.112 2.42%
Chicago Library Fund 79.54 0.099 2.14%
City of Chicago 712.69 0.887 19.17%
Municipality/Township Taxes Total 882.22 1.098 23.73%
327.81
COOK COUNTY TAXES
Cook County Forest Preserve District County of Cook Cook County Public Safety Cook County Health Facilities Cook County Taxes Total
39. 37 157. 48 91. 60 67. 49 355.94
0. 049 0. 196 0. 114 0. 084 0. 443
1. 06% 4. 24%
2. 46% 1. 827. 9. 58%
0. 80 57. 04
2008 Tax 2008 Rate
162. 15 9. 65 198. 18 369. 98
1,590.61 100. 38 1, 690. 99
75. 28 65. 63 597. 12 738.03
32. 82 144. 14 67. 56 55. 34 299. 86
0. 252 0. 015 0. 308 0. 575
2. 472 0. 156 2. 628
0. 117 0. 102 0. 928 1 . 147
0. 051 0. 224 0. 105 0. 086 0. 466
TAX CALCULATOR
2008 Assessed Value
29,660
2009 Property Value
309,630
2009 Assessment Level
X 10%
2009 Assessed Value
30,963
2009 State Equalization Factor
X 3.3701 2009 Equalized Assessed Value (EA1
= 104,348 2009 Local Tax Rate
X 4.6277. 2009 Total Tax Before Exemptions
= 4,828.18
Homeowner's Exemption
925.40
Senior Citizen Exnmption
185.08
Senior Assessment Freeze Excmptio;
. 00
(Do not pay these totals)
3,717. 70
4.627 100.00%
3,098.86
4. 816
2009 Total Tax After Exemptions
= 3,717.70 First Installment
1 , 704.37
Second Installment
+ 2,013.33
Total 2009 Tax (Payable In 2010)
= 3,717.70
GENE Ft HARRIS 714 H WEBSTER CHICAGO IL 60614-3720
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
4
City of Chicago
.^^jM^-v'^N Department of Revenue-Water Division METERfct
,.>; V, . P.O. Box 6330 ACCOUN1
,' . 'T Chicago, Illinois 60680-6330 Little leaks cause bi
: . :-yr: a bills.
; Customer Service: 312-744-4426
.; '.'./.v.::'"' A/ways include your name, account number, and a call back number, leaks.
7 33 You must pay for a
metered water.
HARRIS B / ^ 483481-483481 Jan-28-2011 Feb-18-2011
Service Address: 714 16 W WEBSTER AVE CHICAGO IL 60614-3720
Summary of Charges for Nov-22-2010 thru Jan-21 -2011
Total Current Water..................................................................................... $ 132.35
Total Current Sewer.................................................................................. $ 113.82
Penalty....................................................................................................... $ 0.00
Total Current Charges............................................................................ $ 246.17
Previous Balance....................................................................................... $ 205.12
Adjustments............................................................................................... $ 0.00
Payments................................................................................................... $ 205.12
Total Due................................................................................................ $ 246.17
Penalties accrue at a rate of 1.25% per month on late balances.
The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information.
Meter Reading Details
Gallons
772
838
8.8
66
021-32011 0004834810453461 0 0000024fc>17 0D00024bl7 t
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT I3Y MAIL.
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago, Illinois 60680-6330 Service Address: 714 16 W WEBSTER AVE CHICAGO IL 60614-3720
483481-483481
Feb-18-2011
$246.17
3.1.968 06505D11.p01
ll'iiii'l'inl'illiiilli....1 ■ 11111 ■' i»i - ■ 1 ■ -1" * I U (■ ■ I ■ 11'
HARRIS B
714 W WEBSTER AVE CHICAGO IL 60614-3720
Amount Paid: $
02132011 0004634310483481 0 0000024L17 0000024bl7 L-
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IiitIIiI-iI>iIiiiiIiI-IIi-Iii-Iii»Ii-iii-iNtii-II-i111
008*001*******5-DlGIT 60614 HENDERSON,LEON B 1636 N WELLS ST APT 3114 CHICAGO, IL 60614-6023
Status:_ Reason:
Claim Number: 1022910
Index Number: 1433422068 1376
Water Account Number: 860591483909
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: VI DALEY of Ward 43.
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.
I & , /-l(=*J D&ZSOAJ the undersigned, on oath,
depose and slate 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, lhat 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, lhal 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 VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chai rman
312-744-3380
Telephone
i11111" I" I" 11111 ■ 11"1"1111 ■ I ■"11111111111 i I" ■111 ■11111111" 111"1
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
003*001*******5-DIGIT 60610 HENDRTCKSEN, JOYCE A 1325 N STATE PKWY APT 16F CHICAGO, IL 60610-6124
Status:_ Reason:
Claim Number: 1022787
Index Number: 1703106027 1076
Water Account Number: 585092585092
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: VI DALEY of Ward 43.
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 I, 2011.
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, 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
.the undersigned, on oalh,
DATE
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
■ ■ 11 ■ ■ n ■ i ■ ■ ■ i11111 ■1 ■1 ■ ■ ■ ■ i. i ■ 11 ■ i1 ■11 ■ 111 ■ i. i111 ■ 1111111 11 ■ ■1
008*001*******5-DIG.T 60614 HIRSCH, JOHN B.
2305 N COMMONWEALTH AVE APT 3S CHICAGO, IL 60614-3427
Index Number: 1433201017 1009
Water Account Number: 300330201501
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018628
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
( Please Print Name
depose and state that 1 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 lo the City of Chicago have been paid and lhal I understand I am subj^t to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DATE
£/*7 ///
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
«.-»Jw3»228
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201 1
i11i i i11■ 111111 ■11 -1111111 -1111■-11 -111 -11111 ■ 11 -111 - ■i
008*001*******5-DIGIT 60614 HOEL, SHERRY K. 1960 N LINCOLN PARK W APT 787 CHICAGO, IL 60614-5440
Ml"1'
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022301
Index Number: 1433400042 1055
Water Account Number: 482825482825
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: VI DALEY of Ward 43.
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.
«MdfcJy "*f*lo^ \, ^_the undersigned, on oath,
I
Please1 Print Name
depose and state that I am the applicant in the application, lhat 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, lhat 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, propejly-taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand l^am^ubjecylo penalties for perjury of falsification herein.
OWNER SIGNAT
Very Truly Yours,
DATE
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman w ill introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,1,1,1,lll|T|,|,ILIIIII,,!,!!!,,,!!!!,.l,,,!!,,111,11,,!
Status:_ Reason:.
008*001*******5-DIGIT 60614 HOLLEB, DORIS B 2650 N LAKEVIEW AVE # 4209-10 CMCAIJO, IL 60614-1840
Claim Number: 1002993
Index Number: 1428318077 1398
Water Account Number: 477748477748
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: VI DALEY of Ward 43.
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.
Doris B. Holleb I___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 lo the City of Chicago have been paid and that I understand I am subject lo 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 WWRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE 2/23/11
Alderman Edward M. Burke Chairman
City of Chicago
Teleplione 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021661
February 18, 201 1
iIii-iiI-iIIIi-uIMmiiIiI-iIiiIiiiiii-Iiii-ii-iMIii-iI
008*001*******5-DIGIT 60614 HULTMAN, JAYNE A. 1822 N SEDGWICK ST CHICAGO, IL 60614-5306
Index Number: 1433312010 1014 Water Account Number: 431984431984
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: VI DALEY of Ward 43.
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.
' Please Print Name
Jhe 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, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid^ffiTthaTT^cJe^stand I arn/subjedt to penalties for perjury of falsification herein.
OWNERSIGNATURE^j^^L^- (^^^^^^L DATE-
Very Truly^ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18,2011
■1 i 1111111 -11 -11-1 -1111 -111 -1111 -111111 -1 - -111111 -1 -11 -1 - -1 -
008*001*******5-DIGIT 60614 ISHIZU, SHJGEKO 2626 N LAKEVIEW AVE APT 711 CHICAGO, IL 60614-1810
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018813
Index Number: 1428318064 1095
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat 1 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.
OWNER SIGNATURE XLluC O^Lp v Qjlu^^DATE e^^fP-D./ / I
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.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 .60602 Telephone
February 18, 2011
111 < 11 -11 11 -1' I -1' 111111 -1111111111' 1111 -11'11111 [1''111 i -1 -
008*001 *******5-DIGIT 60614 JACOBSON, MARSHALL M. 2600 N LAKEVIEW AVE APT 6F CHICAGO, IL 60614-1835
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023226
Index Number: 1428318078 1066
Waler Account Number: "477732477732
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: VI DALEY of Ward 43.
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 lhat 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.
undersigned, on oath,
Please Print Name
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 ofsaid real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 ofthe Municipal Code of the City of Chicago, that all waler te\e/, property taxed, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undejrsta^I a^^n^ect to penalties.for perjury of falsjfication herein.
OWNER SIGNATyl Very Truly You^C Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
<H3*°228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
MI'111 * 1111' I' 1111111111' I' I' I -1F11 < 11 * -11111111111111111 - -11' h
Status:_ Reason:.
003*001*******5-DIGIT 60610
JOHNSTON, KATHLEEN A. 1350 N ASTOR ST APT 6D CHICAGO, IL 60610-6135
Claim Number: 1018681
Index Number: 1103310017 0000
Water Account Number: 300120502407
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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.
I /V^{ l\J J\ ^Tft/j A ^-fftiA 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 I, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that J 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1'11111 -1111' 111 -11M11111'' 111111111' 111111 -11 -11 h I -1111111111
Status:_ Reason:.
002*001 *******5-DIGIT 60610 JOSEPH, GERDA 1335 N ASTOR ST CHICAGO. IL 60610-2152
Claim Number: 1011443
Index Number: 1703105013 0000
Water Account Number: 300120502100~
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: VI DALEY of Ward 43.
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 lo your ward office before July 1, 2011.
I (^Pt^/vP A vJp ^6"KJ-) 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 understand 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
111111 -111! -1 -11111 < 111J111 -111111 j - -11111 - -1111J111 - r11 - -111 -1 > i
002*001 *******5-DIGIT 60610 JALASS, LILLIAN 1212 N LAKE SHORE DR CHICAGO, IL 60610-2371
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004460
Index Number: 1703114003 1020
Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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.
Please Print Name
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 J 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 understancLKJuri subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^aLu^ DATE_^hA" 7 & \ J?^ > I
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
li'-ixii-'ii-il'lll-ll'lll-'il-ll-l-'lll'lioil-ixiii-'lll-1
Status:_ Reason:.
002*001*******5-DIGIT 60610 JAROLIM, CARL 1212 N LAKE SHORE DR CHICAGO, IL 60610-2371
Claim Number: 1015384
Index Number: 1703114003 1055
Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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 lo your ward office before July 1, 2011.
I ^4^*. J^fioC/*1__^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 understand I am subjeci 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 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE JV^///
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
ll.ll,,!!,!,!!,.!,!!,!!,!!!!!!,!.!!!,!,!!!,!!,,,!,,!!,!!!!.,!.!!,
Status:_ Reason:.
002*001 *******5-DIGIT 60610 JOHNSON, CAROL B. 1445 N STATE PKWY APT 1505 CHICAGO. IL 60610-1599
Claim Number: 1017823
Index Number: 1703102042 1094
Water Account Number: 300120509750
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: VI DALEY of Ward 43.
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.
I CU^ol^. 73 <fr;<w AJ^a V 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 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE
»-*g5»228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
UllfoS
> i111 ■ -111 ■1111111111111 111 m ■ M ■" ■ ■1 ■1" 11 ■ 1111 ■ 11 ■1 ■111111 ■ 11
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
008*001 *******5-DIGIT 60614 JUDELSON, PHYLLIS 2626 N LAKEVIEW AVE APT 1003 CHICAGO, IL 60614-1811
Status:_ Reason:.
Claim Number: 1001263
Index Number: 1428318064 1099
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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.
i^J_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 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
M1''1" ■111111' I"" 1111" J" 111 ■" 11J" I' 111 ■1 ■ ■" 11111111"' I'" 111' I" ■
008*001*******5-DIG1T 60614 KADLUB, EVELYN B. 2020 N LINCOLN PARK W APT 12D CHICAGO, IL 60614-4726
Index Number: 1433208028 1127
Water Account Number: 483680483680
Telephone 312-744-3380
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019708
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
I
Plea:
Hhe undersigned, on oalh.
Please Print Name
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 lhat 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, thai all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjectjo penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Chairman mMv.oommiUeeonfinance.org 312-744-3380
February 18, 2011
(iium:;
i.....■ilMlil-lf l-i-M-ll--ill-l
008*001*******5-DIGIT 60614 KAISER, PATRICIA A. 2650 N LAKEVIEW AVE APT 2908 CHICAGO, IL 60614-1825
Index Number: 1428318077 1267 Water Account Number: 477749477749
For Official Use Only: Ward:_'
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020752
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: VI DALEY of Ward 43.
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 dale this application and return il to your ward office before July 1, 2011.
/yS/S£/\ the undersigned, on oath. Please Print Name
depose and slate 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 inlerest 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 lo the City of Chicago have been paid and that I understand I am subject tojjenalues for perjury of falsification herein.
OWNER SIGNATURE^^^-<^w- Cit $L~d<~*£-&<' DATE 7^£> //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 2011
l"i:i"TMrlllMill1liiTilimili.....I'-'hi
002*001 *******5-DIGLT 60610 KALMAN, PHILIP M 1555 N ASTOR ST APT 3NE CHICAGO, IL 60610-1663
Index Number: 1703101028 1024 Water Account Number: 585068585068
City of Chicago
Telephone 3L2-744-3380
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002977
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: VI DALEY of Ward 43.
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 yous ward office before July 1, 2011. |
I
Please Print Norn
Jhe 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 properly or thai I have a legal or equitable interest therein, that I am 65
rwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of perty taxes^and all other fees, penalties or assessments owed to the City of Chicago have
years of age or older, and ot Chicago, that all water taxi been paid and lhat I under:
ject to penalties for perjury of falsification herein.
DATE
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111" 111" 111 11111111""'111 ■" 1111! I""111" 111""'111111" 1111111"" ■
Status:_ Reason:.
008*001 *******5-DIGIT 60614 KAPLAN, SIDNEY M. 2400 N LAKEVIEW AVE APT 1708 CHICAGO, IL 60614-2739
Claim Number: 1004917
Index Number: 1428322038 1183
Water Account Number: 300330328024
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: VI DALEY of Ward 43.
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 lhal 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____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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lhhrth-h"H-luhlllllliilllliTllll»-ilirllll»'lll
Status:_ Reason:.
008*001*******5-DIGIT 60614 KASS, MARGOT K. 2626 N LAKEVIEW AVE APT 2208 CHICAGO, IL 60614-1814
Claim Number: 1015233
Index Number: 1428318064 1296
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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.
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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
OWNER SIGNATURE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,!!!!,!!,,,!!!!),!,,!,!!!,,,,,),,,!,!!,.!,.!,,.!!!!!!!.,,!,!,,!
Status:_ Reason:.
002*001*******5-DIGIT 60610 KELZ, THEODORE 1440 N LAKE SHORE DR # 26-H CHICAGO, IL 60610-1626
Claim Number: 1019141
Index Number: 1703103028 1173
Water Account Number: 584959584959
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: VI DALEY of Ward 43.
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 lhat 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 j H-£OPO^ E K C LT- 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, 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 lo 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
-1 -111 - -111 - - -11111 -1111111 >111 m -' 11 -111H11111 - -1111 - - -111111
Status:_ Reason:
008*001*******5-DIGIT 60614 K1NDERS, DORIS M. 1920 N LINCOLN AVE APT 9R CHICAGO, IL 60614-5480
Claim Number: 1016365
Index Number: 1433401066 1009
Water Account Number: 300330122240
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I A^/A-^Tv^Tfi-She undersigned, on oath.
depose and state thai 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 Cily 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 lo 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE ^ ^ "-/ /
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11 -111111H11111 -(i -1 -11 -11 -(11 -1 -111 -1111111111 -111111 -1111 -111
Status:_ Reason:.
002*001 *******5-DIGIT 60610 KING, GERALDINE 1310 N RITCHIE CT APT 5A CHICAGO, IL 60610-4951
Claim Number: 1020640
Index Number: 1703107019 1003
Water Account Number: 584976584976
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: VI DALEY of Ward 43.
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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i'i'IIi'VIiII-Ii-'OiI-i'iiI'iiI'iI't'-INii'I-I"-!-!!1
Status:_ Reason:.
002*001*******5-DIGIT 60610 KIRK, GORDON W. 1310 N RiTCHIE CT APT 20C CHICAGO, IL 60610-2178
Claim Number: 1021519
Index Number: 1703107019 1071
Water Account Number: 584976584976
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1. 2011.
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 properly 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 VI DALEY Ann: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
Slril''ililriMil"rl»ulli»lMillll»llliil»-lll
003*001*******5-DIGIT 60610 KLEIN, CATHERINE E. 1550 N LAKE SHORE DR APT 29D CHICAGO, IL 60610-6610
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019047
Index Number: 1703101029 1179
Water Account Number: 584974584974"
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: VI DALEY of Ward 43.
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.
I G^-pkeri^ g- £: kle'/nthe undersigned, on oath, Please Print Name
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 lhat I understand I am subject Ijg^eaallies for perjury of falsification herein.
DATE Z - ^ 3-<Z Ol 1
Very Truly Yours,
OWNER SIGNATURE.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behMf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
»lllrlTlil-ln-l-llllliilii-llll-lilllii-liilllr11-1
Status:_ Reason:.
002*001*******5-DIGIT 60610 KLEIN, JEAN L.
1300 N LAKE SHORE DR APT 12C CHICAGO, IL 60610-2177
Claim Number: 1019045
Index Number: 1703108016 1039
Water Account Number: 584944584944"
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: VI DALEY of Ward 43.
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 .'j ^(\^f 1-- iC^-ft^i N 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, thai 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
■1-fKgS>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18,2011
5i»MiMlll-Hl»hil^lrliMlH-lrl»rii»hMiM
008*001 *******5-DIGfT 60614 KLEIN. SANFORD 2500 N LAKEVIEW AVE APT 3304 CHICAGO, IL 60614-1829
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020010
Index Number: 1428320030 1146
Water Account Number: 477743477743
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: VI DALEY of Ward 43.
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.
I C5"fl *} -{ofl-J jfCLe. IrJ lhe undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, lhat 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 interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 ofthe Municipal Code of the City of Chicago, that all water taxes, propjmy taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand^ram subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
DATE
talsincauon nerei
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
nomvi
|U||l|l|ll|-ll-l-hlll|l||ll|l|-|llllll-hlllnllinl-l|
002*001 *******5-DIGIT 60610 KOGL1N. BERNICE E 1555 N ASTOR ST APT 30W CHICAGO, IL 60610-5772
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022913
Index Number: 1703101028 1095
Water Account Number: 585068585068
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: VI DALEY of Ward 43.
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 lhat 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 f^BRMCC j^O^^Jfi the undersigned, on oath.
Please Print Name
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 anfsubject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Rnum 302 60602 Telephone
February 18, 2011
(HUY2<S(1
liiiH'l'r'l'iiil'li'-i'il'llil""l'liiilHI
002*001*******5-DIGIT 60610 KOLB, BETTY H. 1550 N LAKE SHORE DR APT 2A CHICAGO, IL 60610-1661
■'I'l'l"!!-
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016367
Index Number: 1703101029 1001
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 City Council by: VI DALEY of Ward 43.
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,
Please Print Name
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 Cily 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 untierr.tand lam. subject lo nenalties for perjury of falsification herein.
OWNER SIGNATURE S^^Cy ^^/^-A^q/- DATE f^£ ^~^>, / /
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 00602 Teleplione
February 18, 2011
i1 --111111 -11 -1 -111 -11111111 -11111 -1111 - -11111 -11111111111111M -
002*001*******5-DIGIT 60610 KOSTMAN, MILFORD & FRANCINE 1212 N LAKE SHORE DR CHICAGO, IL 60610-2371
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004594
Index Number: 1703114003 1067
Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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.
> TiM ^aJ the undersigned, on oath, Please Print Name
depose and slate that I am Ihe 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 interesi 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 lo penalties for perjury of falsification herein.
OWNER SIGNATUREYa^^7^^? ^^^T^T^P^^ ^/^" \
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Cliairman mvw.comnuiteeonfinance.org 312-744-3380
February 18, 2011
111 -1111111 - -11 -111 - -1 j1111 -1 -1 - j 11111111 i 11 > -1H11111 -11 - -
003*001*******5-DIGIT 60610 KOSTER, JEROME 1325 N STATE PKWY APT 16D CHICAGO, IL 60610-6124
nil
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022789
Index Number: 1703106027 1074
Water Account Number: 585092585092
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: VI DALEY of Ward 43.
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.
I ^O^^H^S*" 1*^0^ it^^-_ me undersigned, on oath,
Please Print Name
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 thatLuaderstand I am suhjectto penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I' I' -11 i' 11 -1'' 111111''1 -' 11' 1111 1111111 -1 -111111111111 -11111' -1
Status:_ Reason:.
008*001 *******5-DIGIT 60614 KOWALSKY, WALIJA 2626 N LAKEVIEW AVE APT 1402 CHICAGO, IL 60614-9144
Claim Number: 1001252
Index Number: 1428318064 1122
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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.
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 1 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 VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
Starus:_ Reason:.
KUL1S, JOHN C.
1212 N LAKE SHORE DR
CHICAGO. IL 60610-2371
Claim Number: 1004591
Index Number: 1703114003 1154
Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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 Ihe 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__& ^ d ■■■ y\ ^ ^ 1^4he undersigned, on oalh.
depose and slate lhal 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 waler 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance Cily Hall Room 302 60602 ww'w.commilteeunfinanije.org
February 18, 2011
-1 -111 h 1111111 - -111' -11 -' 11 - - -11 * 111 -1111 -' I' 11111 h 1111 -1 > 111
008*001 *******5-DIGIT 60614 KURTZMAN, BERNTCE 2500 N LAKEVIEW AVE CHICAGO, IL 60614-1846
Index Number: 1428320030 1099
Water Account Number: 300330329128
Telephone 1512-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001300
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: VI DALEY of Ward 43.
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 il lo your ward office before July 1, 2011.
your ward office Defore July 1, zui I. 0 Please Print Name
ie undersigned, on oath.
depose and slate 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 1 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
IP
DATE
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. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-IH11-"^.!-!-I-'I-I'i'f"--'-'!-!-!-'-!'111 Ilii'l-I-'I'IIII
Status:_ Reason:
008*001 *******5-DIGIT 60614
KUZMICKAS, VIRGINIA 1850 N CLARK ST APT 404 CHICAGO, IL 60614-5335
Claim Number: 1017450
Index Number: 1433409024 1024
Water Account Number: 300330107241
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: VI DALEY of Ward 43.
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.
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 \ 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
_the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001324
-1111 f 11 - r - -111 - f - 11 -111111 m i111111 -1111 -1 - -111111 -111111 - -1111
008*001*******5-DLGlT 60614 LABEAU, ELLA
2400 N LAKEVIEW AVE APT 901 CHICAGO, IL 60614-2736
Index Number: 1428322038 1097
Water Account Number: 300330328024
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: VI DALEY of Ward 43.
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
_lhe undersigned, on oath,
Please Print Name
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 lhat 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.
OWNER SIGNATURE
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i.11111,,11,11,1.11...J,11111.,I,.11,.,,. 11., I, I, |,. 11,.,.
002*001*******5_DIGIT 60610 LAMET, JEROME S. 1 E SCHILLER ST APT 16C CHICAGO. IL 60610-4948
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022272
Index Number: 1703104020 1050
Water Account Number: 585082585082
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: VI DALEY of Ward 43.
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 oalh,
Please Print Name
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 Cily 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 anvSubject to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'-'il.....l-i-11 l-r'i'i Mi'-I'iiIin'X'i-'Mi1-lln1'"lr "i
Status:_ Reason:
002*001*******5-DIGIT 60610 LANDY, NORA J. 1 E SCOTT ST APT 1807 CHICAGO. IL 60610-2352
Claim Number: 1022273
Index Number: 1703112033 1176
Water Account Number: 585078585078
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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.
I /t^d/^f S U/X/V0)/ 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 properly or lhat 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
».*g«5»«>226
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■^■MIl-l-llllMl11!!! ! -M -IIIM'll I1!-1-!-
Status:_ Reason:.
008*001*******5-DIGIT 60614 LENNEBERG. JOHANNA 2400 N LAKEVIEW AVE APT 3006 CHICAGO, IL 60614-4885
Claim Number: 1017980
Index Number: 1428322038 1262
Water Account Number: 300330328017
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: VI DALEY of Ward 43.
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.
depose and slate that I am the applicant in the application, thai 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Ihe undersigned, on oath.
a<3^^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i|i|l|iri.||l|i|'ihlllilllilihlillllilirlMiillilMllr'h
Status:_ Reason:.
008*001*******5-DIGIT 60614 LEONARD, MARIA 2650 N LAKEVIEW AVE CHICAGO, IL 60614-1840
Claim Number: 1017522
Index Number: 1428318077 1145
Water Account Number: 300330329416
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: VI DALEY of Ward 43.
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 oh 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.
jhe 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
ll||||.||ll|ll||r|||l,l|.|.|,|.|ll.|||||.||,|l.ll|l||||l|l|
008*001*******5-DlGIT 60614 LUNDBERG, EIVOR C. 2728 N HAMPDEN CT APT 806 CHICAGO, IL 60614-1625
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022450
Index Number: 1428308022 1067
Water Account Number: 477829477829
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July I, 2011.
_the undersigned, on oath.
Please Print Name
depose and slate 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE J3. JcO/J.
Very Truly Yours.
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
- I-'I ilh llih^l III ii--i->il o-ill'l-lr n111!-' I IIi'i'ii >>i->>i
Status:_ Reason:.
002*001*******5-DIGlT 60610 LEWIN, PHILIP M 1555 N ASTOR ST APT 18NE CHICAGO, IL 60610-5761
Claim Number: 1011126
Index Number: 1703101028 1038
Water Account Number: 585068585068
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: VI DALEY of Ward 43.
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.
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 understancl/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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
_the undersigned, on oath,
Please Print Name
228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
...Lll,!,,,,,!!,,,!,!!,,,,.,!!,,!,!,,,,!,!,.-!!!...!!,!,.!,!,!!
Status:_ Reason:.
008*001*******5-DIGIT 60614 LEVENSTE1N, ANGELA 2500 N LAKEVIEW AVE APT 702 CHICAGO, IL 60614-4869
Claim Number: 1022324
Index Number: 1428320030 1038
Water Account Number: 477744477744
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: VI DALEY of Ward 43.
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.
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 ofthe Municipal Code of the Cily 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
le undersigned, on oath.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
" 11"" I j 1111" 11""11111'""1"11 ■1" ■" 1111"JI"1" I'"" I"11111" 1111" 11111
Status:_ Reason:
002*001 *******5-DIGIT 60610 LERNER, ISADORE 1300 N LAKE SHORE DRAFT 13A CHICAGO, IL 60610-5155
Claim Number: 1002671
Index Number: 1703108016 1041
Water Account Number: 300120504847
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: VI DALEY of Ward 43.
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.
I Jsyj~b 6/T.& L&ft/Ar/r f>__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 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111 -11 - 411M1111 i1 -111 -1111 - - - -1 <11111 I -11111111111 -11 - -11 -11
Status:_ Reason:.
002*001*******5-DIGIT 60610 LEVINE, BARUCH 1212 N LAKE SHORE DR # 5C-S CHICAGO, IL 60610-2371
Claim Number: 1021097
Index Number: 1703114003 1006
Water Account Number: 584936584936
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: VI DALEY of Ward 43.
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 il 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 I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
DATE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman w-ww.comniillpeonfinance.org
312-744-3380
February 18, 2011
i'-'t-'Ii-'II'IiIi-'IO'iiNiiIIxIIt
003*001*******5-DIGIT 60610 LEVINTHAL, M. LESTER 1555 N ASTOR ST AFT 24SE CHICAGO, IL 60610-6718
1.111,111
i'l'l""!"
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011123
Index Number: 1703101028 1021
Water Account Number: 300120503288
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: VI DALEY of Ward 43.
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.
I JWw£ k- /g^<^t'^6 the undersigned, on oath, <x^*x^ ''<?)
£fease PrinTName
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.
OWNER SIGNATURE ^fy^ jfd^^dkfil DATE J-Jid/'l__
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hll"liiiii"l'li,llllli'l"llilll,ii,i,iliilli'ii,iiil,illill
Status:_ Reason:.
002*001 *******5-DIGIT 60610 LEVY ANN MAGAD 1240 N LAKE SHORE DR CHICAGO, IL 60610-5231
Claim Number: 1011383
Index Number: 1703111009 1040
Water Account Number: 300120504755
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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, lhat 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, V Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRJGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
? Committee on Finance
Aid erman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i. .ji11-1■-1fI-,|-111,1 -, 11-1111,-, -1 -1,, 111j, 1111,, 111 -111111111
008*001*******5-DIGIT 60614 LEVY, DEE ANN
2400 N LAKEVIEW AVE APT 2105 CHICAGO, IL 60614-2740
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022790
Index Number: 1428322038 1208
Water'Account Number: 477649477649
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: VI DALEY of Ward 43.
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
Please Print Name - >'
_the undersigned, on oath,
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 Secdon 3-12-050 of the Municipal Code of the Cily 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 understjind J am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE [^J>C^^''Cl-^/r^'^ --J-BATE ^ ol ~ 1/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHT WOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman .
Committee on Finance Cily Hall Room 302 60602 www.com m i I leeonfi nance.org
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1111 -1 - j111 - < 111111 -111111 1111 -1 -1 m i M11 (- -1M111J -1111111 - -1
Status:_ Reason:.
008*001*******5-DIGIT 60614 LIFTON, ROBERT B. 2314 N LINCOLN PARK W # 22 CHICAGO, IL 60614-6085
Claim Number: 1015895
Index Number: 1433201021 1030
Water Account Number: 111060237001"
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: VI DALEY of Ward 43.
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.
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 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Rofr&rvr Lit TON
.the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Commiltee on Finance Cily Hall Room 302 60602 www.ci imm i lleeonfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
MI -111 1' il1111111 -11111'''1' I' -1111111 * 11111111' 111111 <11
Status:_ Reason:
008*00l*******5-DIGIT 60614 LISLE, DONALD C 2064 N LINCOLN AVE CHICAGO, IL 60614-4525
Claim Number: 1022791
Index Number: 1433131053 1006
Waler Account Number: 483583483583
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: VI DALEY of Ward 43.
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.
I ^OV^-Cy Cj~> L-l *>t*(lhe undersigned, on oath.
depose and state that I am the applicant in the application, lhat 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
" h " 111"1"""1' IMI ■ ■ 11'1""""1'" 111"111" 11111""' 1111 f" 11'" 11"" I
Status:_ Reason:.
003*001*******5-DIGIT 60610 LUCICH, DRAGANA L. 1440 N LAKE SHORE DR APT 27F CHICAGO, IL 60610-5954
Claim Number: 1018678
Index Number: 1703103028 1179
Water Account Number: 300120506119
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: VI DALEY of Ward 43.
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.
I T)Pq,Ci<XfrOL- L l^UClC/^ the undersigned, on oath.
depose and slate 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'1111II111' I -1111 -' 111 -11 -11 - - -1' I -11111'1 - * 1111111'11M1111 -11
Status:_ Reason:
021*016******MIXED AADC 606 LU1KEN, JERRY A. 902 FROST ST
GRUNDY CENTER, IA 50638-1807
Claim Number: 1019996
Index Number: 1428320030 1151
Water Account Number: 477744477744
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: VI DALEY of Ward 43.
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.
I Jfv^^-y t-CLI tCiZvJ 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 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 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. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|,|,l,l|,|ll|l|l|.l|l||l,|ll,lll|||,||l||lll.|,|,||l|||l||.
Status:_ Reason:
008*001 *******5-DIGIT 60614 MACKAY, MARGARET 2440 N LAKEVIEW AVE APT. #10F CHICAGO, IL 60614-2872
Claim Number: 1021617
Index Number: 1428322015 0000
Water Account Number: 477653477653
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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 il to your ward office before July 1, 2011.
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 Cily 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
[gned, on oalh.
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'lilii'-irl'ni'-lii'l'-ilil'i-'-'l-'MT'll-M'iMi1
Status:_ Reason:.
002*001*******5-DIGIT 60610 MANDILOVITCH, MIKO 1325 N STATE PKWY APT 4F CHICAGO, IL 60610-2170
Claim Number: 1004886
Index Number: 1703102027 1006
Water Account Number: 585092585092
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: VI DALEY of Ward 43.
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 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.
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, 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 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. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
,|lr,l|||lT|11||ll,l,|l|1|l|,l||l||l|||1|||l|,l,|l|,|l1|
Status:_ Reason:
003*001*******5-DIGIT 60610 MANKOWSKI, GEORGIA M. 1445 N STATE PKWY APT 2004 CHICAGO, IL 60610-8510
Claim Number: 1021658
Index Number: 1703102042 1122
Water Account Number: 585096585096
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: VI DALEY of Ward 43.
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 lhat 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.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, thai 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 Cily 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?! 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 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. RETAIN 1 COPY FOR YOUR RECORDS
I£-E/5£G)A ft- fjqrMKDtoSM the undersigned, on oath.
'Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
I'HIt
For Official Use Only:
Ward:_
Intro. Date:_
l-lll-lll-lll-ll-'llll'lhl-ll'-llhl-l'l-llIl-'lll'hl
Status:_ Reason:
003*001*******5-DIGIT 60610 MANN, JOEL U 1555 N ASTOR ST APT 38E CHICAGO, IL 60610-5780
Claim Number: 1022912
Index Number: 1703101028 1058
Water Account Number: 585068585068
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: VI DALEY of Ward 43.
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 dale this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
ill'-i -r-'il'■III" liM'n11 i"-llfll-r-n
Status:_ Reason:.
008*001*******5-DIGIT 60614 MANNA, ESTHER S. 2400 N LAKEVIEW AVE APT 2405 CHICAGO, IL 60614-4879
Claim Number: 1011095
Index Number: 1428322038 1226
Water Account Number: 300330328017
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: VI DALEY of Ward 43.
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 dale this application and relurn il to your ward office before July 1, 2011.
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 VI DALEY Attn: KAREN
735 W.WRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
nd. . the undersigned, on oath,
Please Print Name
OWNER SIGNATUREtSgjg/Z^ C yV\r~
DATE
^Ss^»22B
Alderman Edward Mr Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
'ii-'t
003*001*******5-DIGIT 60610 MANOS, ANNA 1255 N STATE PKWY APT 8H CHICAGO, IL 60610-8207
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019230
Index Number: 1703109033 1055
Water Account Number: 585086585086
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: VI DALEY of Ward 43.
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,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 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 olher 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.
OWNER SIGNATURE
^Wz^^^gZ<?-t^><g-^ DATE <=>?- <^S"- //
Very Truly Yours. Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 -1' I -1111 -11111 -11 -' - J' 11 - - - M - - -111' *1111111111 -111 -1 -1111 -11
Status:_ Reason:.
002*001*******5-DIGIT 60610 MARKS JR., A.J. 1555 N ASTOR ST APT 12W CHICAGO, IL 60610-5756
Claim Number: 1003023
Index Number: 1703101028 1078
Water Account Number: 300120536936
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: VI DALEY of Ward 43.
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 ofthe 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 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
, February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|||l|||.ll||l.|.ll||,l,||||,|||,||,|l|||,|.,l.|,||,ll|l|,l,.|l|
Status:_ Reason:.
008*001 *******5-DIGIT 60614 MARKS, JOY F.
1960 N LINCOLN PARK W APT 408 CHICAGO, IL 60614-5438
Claim Number: 1022238
Index Number: 1433400042 1020
Water Account Number: 482825482825
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Jn,( F Mark* _the undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
<*gj?*>228
City of Chicago
Alderman Edward M. Burke Chairman
Commiltee on Finance City Hall Room 302 C0602 www.com m i tteenn fi nance.org
:$ 12-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i-IIi-i-iiI-iIIiI-iiiIiiiiiiII-iiN-iiIIiiiiii-i-ii-IIi-i-1
Status:_ Reason:.
002*001*******5-DIGIT 60610 MARKS, SALLY 1313 N RITCHIE CT APT 2001 CHICAGO, IL 60610-5102
Claim Number: 1020465
Index Number: 1703108017 1303
Water Account Number: 584978584978
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: VI DALEY of Ward 43.
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 lhat you occupied this property as your principal residence on the firsl 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 properly or that I have a legal or equitable interest therein, lhat 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
,111,!!,1,1,IHIIM,,!!!,!!!!!,!,!!!,!!,,!,,,!,,1,1,1,111,111,1,
002*001*******5-DIGIT 60610 MARSLAND, SUSAN L. 1310 N RITCHIE CT APT 9A CHICAGO, IL 60610-4955
Index Number: 1703107019 1007
Water Account Number: 584976584976
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021139
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: VI DALEY of Ward 43.
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 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.
undersigned, on oath,
Please Print Name
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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid<rrrd4hat I understand I am subject to penalties for perjury of falsification herein.
DATE
OWN
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
I-'-'-i'IIII'IIIiiH-'ii"-!!-!"-!'"!!!-'!"!""-'-
008*001 *******5-DIGrT 60614 MARTIN, ROSE M. 1960 N LINCOLN PARK W APT 1612 CHICAGO, IL 60614-6530
ll-l'llll
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020824
Index Number: 1433400042 1168
Water Account Number: 47/ /4947/749
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: VI DALEY of Ward 43.
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 property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I^^g^f0 M^L j^l-f^ ftf4tf~ktf lhe undersigned, on oath, Please Print Name
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 Cily of Chicago have been paid and that I undej]rUand4Nam subjecJ-to penalties for perjury of falsification herein.
OWNER SIGNATU Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send ii to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cilv Hall Room 302 60602 Telephone
Chairman wivw.c.'ommiUeeonfinance.orj; 312-744-3380
February 18, 201 1
■ 1 ■I" 111" 11111 I"11"1"11 ■"1111"'111' ■ I ■ ■111"1111 ■11111 ■ ■ 111111
008*001*******5-DIGIT 60614 MATHEWS, CECIL 2400 N LAKEVIEW AVE APT 1601 CHICAGO, IL 60614-2739
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019094
Index Number: 1428322038 1168
Water'Account Number: 300330328017
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: VI DALEY of Ward 43.
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 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.
(LLO -> the undersigned, on oath, Please Print Name
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 Municipa|^de of the City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed to^lR?ity of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. 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.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
ll()Mi(U
-11 -111 -111 - - -1111111 - -111 -1 -111-111M-< 1111 - -11 -1 -1 - -1 ^>111111
002*001*******5-DIGIT60610 MATSON. NORMAN R. 1335 N ASTOR ST CHICAGO. IL 60610-2152
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018627
Index Number: 1703105009 0000
Water Account Number: 300 i 20502100
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Q^Aft-y n M-A-T£r? iJ__the undersigned, on oath,
Please Print Name
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 interesi 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours,
1|X»X^__PATERA?//,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 WWRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,||I|I|I||||TI,,|I||||||II,II|I||,III||I||I|||I|,|||,
Status:_ Reason:.
008*001*******5-DIGIT 60614 MAYER, DAVID P. 2650 N LAKEVIEW AVE APT 3301 CHICAGO, IL 60614-1828
Claim Number: 1018726
Index Number: 1428318077 1300
Water'Account Number: 300330329416
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under ihe Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
_lhe undersigned, on oath.
Please Print Name
.Alderman Edward-M. Burke. ■. Chairman
February 1.8. 2011 ■
City of Chicago
Telephone 312.744-3380
For Official Use Only: Ward:.
Intrp. Date':. Status:' ' Reason:_'
Claim Number: 1020121
I |,. 11 m ■11111 ■1! 1111111 ■ ■ 11 ■ ■ i ■ 111 -1 ■ 1111 -' II I -1- ^111111 ■
002*001*******5-DIGIT 60610 MAYER. NAN W. 1335 N ASTOR ST CHICAGO, IL 60610-2152
Index Number: 1703105011 0000 ■Wa"ter_Ato3unT Number 584929584929' " ' " "
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council
by: VI DALEY of.Ward.43. . ■ . ; .-_■' ;'.■",.
To determine whetHer'yourcpndo/co:op/towrihouse qualifies for;a.$.50.00 rebate.iinde'r the.Senior Citizens Rebate ,■ -"Ordinance,.the'Committee on Finance must verify that you dccupied this pfoperty as your principal residence on the-'firsr day of January,'2011. If the property meets'these requirements,- you must sigh and date this application^and return it to ■ -your ward office, before July 1, 2011.' : .' "'. ' '-■■■■" - . -' ; . : . . - -._'_ ■ ;
t ffA(\l ■ W AA/iM G." the undersigned, on. oath,
amt
Please Print Name'
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 Lam subject lo penalties for perjury of falsification herein.
mm
OWNER SIGNATURE AiMfl/U 11 \ MIW V)fft If DATE_ Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201 1
i - i: ■ -111 -111111111111111 -111 -111 ■ i - -11 -111111 -11 ■1111 - -111111 ■ 11
008*001 *******5-DIGlT 60614 MC COURT, SANDRA J. 1960 N LINCOLN AVE APT.#811 CHICAGO, IL 60614-5404
Index Number: 1433400042 1071 Waler Account Number: 482825482825
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020825
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: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Iq) /9-/V P A ft CQ\}tC&z undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties forperjury of falsification herein.
DATE n^'$ 1/
OWNER SIGNAT Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephotie
February 18, 2011
!lli()Ml7
liiillllillinrhHI"lliilrHl'llTiiill"iillr
003*001*******5-DIGIT 60610 MCK1NLAY, ARCHIBALD 1440 N LAKE SHORE DR APT 31G CHICAGO, IL 60610-5957
nil
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011875
Index Number: 1703103028 1210
Water Account Number: 300120506126
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: VI DALEY of Ward 43.
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.
.the undersigned, on oath,
Please Print Name '
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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATUREi/^^W^N:W^^n^ DATE 3/mIz<C{/_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 6(1002 Telephone
February 18, 2011
i - -1 - -111 -11111111 -11111111 - -'111 I - -11111 -1111111 -11 -1 r -1111 m i1
002*00l*******5-DlGIT 60610 MC KINNEY, PETER 1242 N LAKE SHORE DR #21 CHICAGO, IL 60610-2332
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023396
Index Number: 1703111005 0000
Water Account Number: 584942584942
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.ihe undersigned, on oath,
depose and stale 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 the City of Chicago, that all water taxes^operty taxes, and aK other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand) V am supjject/'to penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE
((
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hh"liill"iliiiViH"iiihlliilullIMurlhllMilil
Status:_ Reason:.
003*001*******5-DIGIT 60610 MELNIK-FRANK, DIANE S 1325 N STATE PKWY APT 22E CHICAGO, IL 60610-6129
Claim Number: 1003807
Index Number: 1703106027 1111
Water Account Numben'585092585092
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: VI DALEY of Ward 43.
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 lo 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, lhat 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 Cily 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
...||.|||l|||.|||||.l|ll.l|||.|.|ll|||lll.|||||ll.||l.|l,||.|l
Status:_ Reason:.
003*001*******5-DIGIT 60610 MERKER, ELLIOTT 1310 N RITCHIE CT APT 21B CHICAGO, IL 60610-8405
Claim Number: 1021175
Index Number: 1703107019 1045
Water Account Number: 584976584976
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: VI DALEY of Ward 43.
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 lo ' your ward office before July 1. 2011.
_the undersigned, on oath.
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 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 1 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 VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
s-*g*S«>228
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1004947
February 18, 2011
lilr-M'-lilllii l-il->iillliil-i<liJlii--lilllll l-'-'-iii'lM--)
003*001*******5-DIGIT 60610 MEYER, MARY BETH T. 1550 N LAKE SHORE DR APT 24A CHICAGO, IL 60610-6606
Index Number: 1703101029 1151 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 City Council by: VI DALEY of Ward 43.
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 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. 201
I
/^flft1/ ftc^iK illft, the undersigned, on oalh, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am Ihe 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, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underbid I am subject to penalties for perjury of falsification herein.
/^Ay (LMTj^i^date ^-j^ 2l3 ~dO11
Very Truly Yours,
OWNER SIGNATURE
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. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
||||||,|,ll|,||,||,|,|||,||,l|l,||l,|l|ll|lll||||.ll|.|ll.|.|,
Status:, Reason
008*001 *******5-DIGIT 60614 MICALETT1, PATRICIA 2650 N LAKEVIEW AVE APT 1308 CHICAGO, IL 60614-2949
Claim Number: 1021096
Index Number: 1428318077 1107
Water Account Number: 477749477749
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for ihe Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Chicago City Council - Committee on Finance - Application for Senior
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE_
STATUS_
R_
Note: *AII Fields Must Be Filled In
Claimant Name
LLOYD 0 M'ggfc
Claimant Address
Off eA*T scoTT, Unit \<\q^
Claimant
City, State & Zip Code
IL cUiCbCrO , IL 60$ IQ
Claimant Telephone
Home
Cellular
Claimant Birthdate:
Property Tax Number:
PIN
Water Account Number:
5X5078- 58SQ78
Building Type:
11
Ltovp o. veined
_(print your name), the undersigned on
I,.
oath deposes and states that I am the applicant on this application, 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 ofthe 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 or falsification her^
OWNER SIGNATURE:
DATE: If
falsification herein.
Please print this and return application to your aldermanic office before July 1
City of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks. ■
You must pay for all metered water.
SCOTT CONDO ASSOCIATION
585078-585078
Nov-30-2010
Dec-21-2010
Service Address: 7 E SCOTT ST CH IC AGO IL 60610-5224 Summary of Charges for Oct-25-2010 thru Nov-23-2010
Total Current Water..................................................................................... $
Total Current Sewer..............................^1:..,.Tv..pr .7^....l,......... $
Penalty...................................................ip
Total Current Charges........................jjnS.
Previous Balance...................................\\J.
Adjustments...........................................
Penalties accrue at a rate of 1.25% per month on late balances.
1622.22':' 1395.11
0.00 3017.33 4516.68
0.00 4516.88 3017.13
The Department of Revenue'8'Water Division offers a variety of flexible payment plans for water bills Including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information. .;.
Meter Reading Details
1000 Cubic Feet = 7480 Gallons
MEwih E Dlu NJPS
USANDS
Gallons
18416
19225
108.1
809
12212010 □DDSflS07fiDSa5D7fl M □□00301713 GDDD3D1713 3
PAY ONLY THIS AMOUNT
$
108.83
BY 12/01/09 (on time)
2008 Second Installment Property Tax Bill
Property Index Number (PIN)
Volume
Code
Tax Year (Payable In)
Township
17-03-112-033-1185 496 74002 2008 (2009) NORTH CHICAGO
IF PAID LATE 12/02/09 - 01/01/10
$ 110.46
IF PAIO LATE 01/02/10 - 02/01/10
$ 112.09
IF PAID LATE 02/02/10 - 03/01/10
$ 113.72
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF.
Property location and classification for this PIN
1 E SCOTT ST CHICAGO IL 60610 2372
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
Taxing District
2008 Tax 2008 Rate 2008 %
Pension
Property Classification 2-99
2007 Tax 2007 Rate
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park Oistrict Miscellaneous Taxes Total
14. 54 O. 87 17. 77 33. 18
0. 252 0. 015 0. 308 0. 575
5. 23% 0. 31%
6. 39% 11. 93%
0. 86 0. 69
SCHOOL TAXES
Chicago School Finance Authority 0. 00 O. 000 0. 00%
board of education 142.63 2.472 51.337.
Chicago Community College Dist 508 9. 00 0. 156 3. 247.
School Taxes Total 151.63 2.628 54.57%
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund Chicago Library Fund City or Chicago Municipality/Township Taxes Total
6. 75 5. 89 53. 55 66. 19
0.117 2.437.
0.102 2.127.
0.928 19.277.
1.147 23.82%
24. 23
COOK COUNTY TAXES
Cook County Forest Preserve District County of Cook Cook County Public Safety Cook County Health Facilities Cook County Taxes Total
2. 94 12. 92
06 96
26. 88
0. 051 0. 224 0. 105 0. 086 0. 466
1. 067. 4. 667.
2. 187. 1. 78% 9. 68%
0. 05 3. 98
(Do not pay these totals)
277. 88
4.816 100.00%
17. 81 1. 22 22. 81 41. 84
6. 16 174.87 10. 76 191. 79
0. 00 2. 71 67. 97 70. 68
3. 59 12. 58 11. 31
6. 30 33. 78
338. 09
0. 263 0. 018 0. 337 0. 618
0. 091 2. 583 0. 159 2. 833
0. 000
0. 040
1. 004 1. 044
0. 053 0. 186 0. 167 0. 093 0. 499
4. 994
2007 Assessed Value
21,335
2008 Property Valiie
2008 Assessment Level
2008 Assessed Value .
133, 344'
X 1.6% .
■=■-.'. 21,335
' 7008 State tquali/ai on factor ; ... . ::
X ■ ?978(i \?008 tq.'aii?!!!.; Assessed Value (LAV)'. -'-■■■'H.r:': ':63.' 548 ' ;
i.'2(it)8 t o::?.' lax-Rata':\v a"' -3 ? !*:- ; ::y :::4.81'6X.V--2008 lota! lax Be'ore Pxe'niptions >' '.
'^Homeowner's Exemption^^-^-^'fj-^' :''!'V;. '■ -v I '. 264:'8B ;'.:
' Senior Citizen^Exemptiori^:H^ '^ '/'^^:
V"."'S'v' 192.64 V' '.
', Senior Assessment.-■FreezejB(emptiph,~;-:v ' . " ■■ '2.325.'o'7V-'
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;;Tptali2008' ^"(Payable W;200?j^r:|
LLOYD O MILLER
1 E SCOTT ST 1904
CHICAGO IL 60610-5255
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
312-744-3380
February 18, 2011
ilirllli'r-i'hHIi'ni11!'-11!".....'-II'-iIIiiItII-Ii
008*001*******5-DIGIT 60614 MILLER, IRVING F. 1746 N LARRABEE ST CHICAGO, IL 60614-5634
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019566
Index Number: 1433303132 1004
Waler Account Number: 431875431875
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: VI DALEY of Ward 43.
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 properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1. 2011.
undersigned, on oath,
Please Print Name
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 Cily 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 understand1! am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE yj^^^^y^^y^ DATE 3// J //_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
s.*JjSJ«>228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
rrll|ll.|l||,|.ll||||l|.||,|,.,|ll.|||.||,|l|||||||,|,||||||,
008*001*******5-DIGIT 60614 MILLER, DAVID B. 2650 N LAKEVIEW AVE APT 3810 CHICAGO, IL 60614-1831
Index Number: 1428318077 1359 Water Account Numberr477749477749~
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019709
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: VI DALEY of Ward 43.
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 dale this application and return it to your_ward office before July 1, 2011., f \ r\ /^ /V\ f ...
>f!e)undersigned, on oath,
q (3 fn
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 1 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.
OWNER SIGNATURE
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. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 Mww.commilteeonfinance.urc'
Telephone 312-744-3380
February 18, 2011
H'j]7f)S
llHiliil-llil'-llliillllrllil-lnlllilllllliilll-lililiilllli
008*001*******5-DIGIT 60614 MILLER, JUDITH A. 2333 N GENEVA TER APT 6D CHICAGO, IL 60614-3388
Index Number: 1433104076 1020
water Account Number: 4834i44834i4
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023227
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: VI DALEY of Ward 43.
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.
ndersigned, on oath,
Please Print Name
depose and state that J 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.
OWNER SIGNATURE^-^rgfc^glJL/. //UMZCe/. DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance Cily Hall Room 302 60602 www.comni iUeeonnnunee.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.l.|||.||.",|.ll|,|||lll|.ll|.|I.IM||"|l"|l|"||lT|.l.|
Status:, Reason:
002*001*******5-DIGIT 60610 MILLER, LLOYD 1 E SCOTT ST CHICAGO, IL 60610-2372
Claim Number: 1003706
Index Number: 1703112033 1185
Water Account Number: 300120508023
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: VI DALEY of Ward 43.
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.
depose and state that I am the applicant in the application, lhat 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 Cily 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 lo 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 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
LLOYD O. KMCLffR.
the undersigned, on oalh,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Commiltee on Finance Cily Hall Room 302 60602 wmv.cnmmitteennfinanee.orjr.
Telephone 312-744-3380
February 18, 2011
■Vi'imiiIi-iii-II-iiiIiI,-iiiiiii--i-IiiiiIiiii,iIIMii--
008*001*******5-DIGIT 60614 MINER, JUDITH 399 W FULLERTON PKWY CHICAGO, IL 60614-2876
Index Number: 1433106004 0000 Water Account Number: 300330215609
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005630
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: VI DALEY of Ward 43.
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.
Jhe undersigned, on oath,
Please Print Name
depose and slate 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 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.
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman VI DALEY
Attn: KAREN ' 735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
:Vi ii1 ■ ■ i111111111»■«i«i ■ i ■1 ■ ■ 1111111 ■ ■1111111111■ i ■ ■ ■ ■ i1 n ■11■i1
008*001*******5-DIGIT 60614 MINGH1, MICHAEL A. 2650 N LAKEVIEW AVE APT 504 CHICAGO, IL 60614-2941
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019843
Index Number: 1428318077 1023
Water Account Number: 477749477749
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: VI DALEY of Ward 43.
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.
jhe undersigned, on oath.
Please Print Name
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 Cily of Chicago have been paid and that I understand I am/siubject_to,penalties tor perjury of falsification herein.
OWNER SIGNATURE
-DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005783
February 18,2011
"11111111. n ■ i11111 ■ i ■ ■ ■ ■1 -1 ■ 111. ■ I ■1 ■1 r 11 ■ i. ■ 1111111M11
008*001*******5-DIGIT 60614 . MOSSER, JUDITH P. 1850 N CLARK ST APT 3007 CHICAGO, IL 60614-5324
Index Number: 1433409024 1277 Water Account Number: 482714482714
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: VI DALEY of Ward 43.
To determine whether your cohdo/co-op/tdwnhouse 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 befeye July j, 2011.
undersigned, on oath,
Please Print Name
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 lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qtialjfy^or-a-refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes^nepe^jnxes, aTnd-^LlJolher fees, penalties or assessments owed to the City of Chicago have been paid and that I undefsuadj am subjeclUjLeeftatlieg for perjury of falsification herein.
OWNER SIGNATURE.
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. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cilv Hall Room 302 60602 Telepliune
February 18, 2011
!i|N|,l.l||ll,,l||l|l|l|||l||lll||ll||||M
002*001*******5-DIGIT 60610 MUCHMAN, BEATRICE 1313 N RITCHIE CT APT 901 CHICAGO. IL 60610-5114
.r||.|l.lMl.l|.
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020698
Index Number: 1703108017 1320
Waler Account Number: 584978584978
, 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: VI DALEY of Ward 43.
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 lhat 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.
! ^<r/?r/f/^/%/^//^/ lhe undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interesi 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.
OWNER SIGNATURE. Very Truly Yours,
/Ija^T^^c^ DATE 7^ 'J^SI
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.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephu
hone
February 18, 2011
" ■ " lT^11111111 -1111 -11111 -11111111 - -1 ■ 1111-■1111111 -11 - -1 -11M -11
008*001 *******5-DIGrr 60614 MURRAY, LEOTA A. 2650 N LAKEVIEW AVE APT 4005 CHICAGO, IL 60614-1831
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019710
Index Number: 1428318077 1374
Water Account Number: 47774947/749
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: VI DALEY of Ward 43.
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.
Please Print Name
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 properly 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 am subject,t6~penallies for perjury of falsification herein.
OWNER SIGNATURE
I
ATE
2- -2^ - 11
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004569
February 18, 2011
'iif1m11■111111■i11hi111■i■i1 -11111111■i1111111111i111111
003*001*******5-DIGIT 60610 NATHAN, HARRIET B. 1212 N LAKE SHORE DR APT 19BN CHICAGO. IL 60610-6662
Index Number: 1703114003 1086
Waler Account Number: 300120504601 " '
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: VI DALEY of Ward 43.
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.
I Hftggfe.'f ^ , fOfff i\ f\ iL undersigned. Please Print Name
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, lhal 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 undeistand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:._
Intro. Date:_
|,l||,l.||||l|l||ll|l|l.|.|l.l|l|.ll||||.||.l||ll||l|||||l.|l
Status:_ Reason:.
008*001*******5-DIGIT 60614 NIEDELSON, MARTIN S. 2650 N LAKEVIEW AVE APT 810 CHICAGO, IL 60614-2944
Claim Number: 1020753
Index Number: 1428318077 1059
Water Account Number: '477749477749
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: VI DALEY of Ward 43.
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 lhat 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Comniittee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i11111111 -11111 -11 -1 - - -1 - M11111J11 > I -1111 [1111 -1111111111 -111111
008*001 *******5-DIGIT 60614 NORTHEN, JOHN W. 1960 N LINCOLN PARK W APT 3007 CHICAGO, IL 60614-5448
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021660
Index Number: 1433400042 1331
Water Account Number: 482825482825
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: VI DALEY of Ward 43.
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 lo your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
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 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/ham subject lo penalties for perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours,
"te*v_E>ATE_!r_
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^3^.228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Chai rman mnv.iMmimitteeonrinance.nr": 312-744-3380
February 18, 2011
■IIIh111111 - -1 -1111 '1' 111 ■ 111i 1111' I -' 1111111'111111111'1111111
002*001*******5-DIGIT 60610 NOVICK, MINNA S. 1335 N ASTOR ST CHICAGO, IL 60610-2152
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016004
Index Number: 1703105013 0000
Water Account Number: 300120502100
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: VI DALEY of Ward 43.
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 wardpffice before July 1, 201
e undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhal 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, lhal 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.
OWNER SIGNATURE^^^/?/£ ^^T^O^^.DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60002 Teleplione
February 18, 2011
iS'-ill.....I'll-iiNl-'-l'i-ilrN-'l-'I'-'I'li"-1!
008*001 *******5-DIGIT60614 NOYES, RICHARD J. 2626 N LAKEVIEW AVE APT 1102 CHICAGO, IL 60614-1811
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018356
Index Number: 1428318064 1105
Water Account Nurivber: 300330329256" ~ - ■
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: VI DALEY of Ward 43.
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 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.
, (\)cmp<s.^1i^ ,taundeigned,onoalh.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 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 lhat I under^rjmdjl am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly. Yours,
"'7 ■
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019522
Alderman Edward M. Burke Chairman
February 18, 2011
|||l|l|lll,l||||,|,l|,|||l||,||,|l|,|,|,|l|l||||,l|.|||,,|.||||ll
002*001 *******5-DIGIT 60610 O'CONNOR, VIRGINIA E. 1419 N STATE PKWY APT 503 CHICAGO, IL 60610-1529
Index Number: 1703102034 1019
Water Account Number: 585094585094
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: VI DALEY of Ward 43.
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.
I
~>/}/)0/ the undersigned, on oalh,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat 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 lhal I understandl-am subject to penalties for perjury of falsification herein.
L2.Qf(
OWNER SIGNATURE /, * to^j^Jh, 1/1 fa^ * DATE_ Very Truly Yours, Edward M. Burke
MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
"*SSS*>228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111'' 11111' 11111 -111MI * 111111 * >11' 1111111' I' 11 ' 11111 * *'111111 >
Status:_ Reason:.
008*001 *******5-DlGIT 60614 ODCHODN1CKY, JOAN L. 1660 N LA SALLE DR APT 3106 CHICAGO, IL 60614-6024
Claim Number: 1022274
Index Number: 1433423048 1353
"Water Account Number: 483900483900
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: VI DALEY of Ward 43.
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.
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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo 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 VT DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
■^"£■228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■lli-lli'll'iMi-l'i-iNi'M-ili'i-'NI'"-!'"!!!'!!!-11-1
Status:_ Reason:.
002*001*******5-DIGIT 60610 OLIFF ROBERTA R. 1350 N ASTOR ST AFT 12C CHICAGO, IL 60610-2197
Claim Number: 1020629
Index Nu mber: 1703104017 0000
Water Account Number: 585054585054
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: VI D\LEY of Ward 43.
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 il lo your ward office before July 1, 2011.
I RvA.[) r f -fcZ- Oj-)"^~fihe undersigned, on oath,
depose and stale that I am the applicant in the application, lhal 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 lhal I have a legal or equitable interest therein, that 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
5jfSjfe.228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
008*001*******5_DIGIT 60614 OSIMOW1CZ, GERALDINE H. 2626 N LAKEVIEW AVE APT 1504 CHICAGO, IL 60614-1812
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018357
Index Number: 1428318064 0000
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
IQ-EIQAl~bfAI£. t~t DSfPf\fi\kllC??i\\z undersigned, on oalh, Please Print Name
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.
OWNER SIGNATURE Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke .....Chairman-■
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-II11-1i-ill-MIlilII-ilil-ll-lllI-i>illlllliill-i-iiii-i1-!!11!
Status:_ Reason:.
003*001*******5-DIGIT 60610 OTOOLE, RICHARD J. 1440 N LAKE SHORE DR APT 10D CHICAGO, IL 60610-5908
Claim Number: 1016829
Index Number: 1703103028 1052
Water Account Number: 300120506126
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: VI DALEY of Ward 43.
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.
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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
& \<-c the undersigned, on oalh.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance Cily Hall Room 302 60602 mvw.cnmmitteeiinfinance.org
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
-11M111 -1 -1 - -1 -11 - -1111111 - -1111 -1111 -111 - -1 -1111111 -11 - - - 11 -1
Status:_ Reason:.
008*001*******5_D[GIT 60614 OTVOS, ROBERT P. 1960 N LINCOLN PARK W APT 3006 CHICAGO, IL 60614-5448
Claim Number: 1020867
Index Number: 1433400042 1330
Water Account Number: 482825482825
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
. T?flBEET T. OTV05 _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 I, 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 lo 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
in) 17r>7
i"il"rMTl-ih.......ii'-l'ill'i'rlrH"
008*001*******5-DIGIT 60614 PANAGAKIS, GEORGE P 2333 N GENEVA TER APT 6B CHICAGO, IL 60614-3388
.111.1
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023298
Index Number: 1433104076 1018
Water Account Number: 483414483414
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: VI DALEY of Ward 43.
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 lhal 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 il lo your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, thai 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 understanrLKkm subjecJJ^penalties for perjury of falsification herein.
OWNER SIGNATURE' DATE - 3L*-l ~ I}
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
<*^3j)a>.22B
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
"-N-IM-x-'i-l'-'iiXIIM-iil-l'ilhii'iil'i'lii1-1
Status:_ Reason:
002*001*******5-DIGIT 60610 PASSMAN, ANNE G. 1550 N LAKE SHORE DR APT 12D CHICAGO, IL 60610-1658
Claim Number: 1020094
Index Number: 1703101029 1072
Water Account Number: 584974584974 -
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: VI DALEY of Ward 43.
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 lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 201 1, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 ofthe 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 subjecl lo 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 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Mc £. f/)ssnf)rf
.the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201
|||||||.I||IT||.I.|||IIII|IT.I||.|II.||I||.|I||I|.|I|II|II|
003*00l*******5-DIGIT 60610 PAVALON, LOIS M 1540 N LAKE SHORE DR APT 5N CHICAGO, IL 60610-6684
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021743
Index Number: 1703101018 0000
Water Account Number: 584972584972
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and state lhal I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011 that I am the owner of record of said real estate property or lhat 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 lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
bM^HOtW^ DATE OA^-SUl
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
-1 * I -111' * I * l1 11 11 * 1111 * 11111111111' 111 *11' -'1' - -'' l -1' * I' 11 * I *
008*001 *******5-DIGIT 60614 PERKOVICH JR., MARK J. 1660 N LA SALLE DR APT 2002 CFflCAGO, IL 60614-6016
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000070
Index Number: 1433423048 1217
Water Account Number: 300149050191
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: VI DALEY of Ward 43.
To determine whether your condo/co-op/lownhouse 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.
I Hfr^ vJ * vxt&CPVtOr- the undersigned, on oath, Please Print Name
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 Uaffi-stt&ject to penalties for perjury of falsification herein.
OWNER SIGNATU R^^^^^l^^ DATE f }_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-iill'-l-'ii-lr'i-'I'-illi'iill-iill-hiilliiilil-'-ilin-l
Status:_ Reason:.
008*001 *******5-DIGIT 60614 PESCHON, MARY 2626 N LAKEVIEW AVE APT 204 CHICAGO, IL 60614-1809
Claim Number: 1001238
Index Number: 1428318064 1004
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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.
I /7?#/2.y PeSc^tfOA/ 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 1 am the owner of record of said real estate property or lhat 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman wwrw.commilteeonfinance.org 312-744-3380
February 18, 2011
008*001*******5-DIGIT60614 PETERSON, RICHARD B. 2500 N LAKEVIEW AVE APT 1101 CHICAGO, IL 60614-6483
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022239
Index Number: 1428320030 1009
Water Account Number: 477744477744
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: VI DALEY of Ward 43.
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,
Please Print Name
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 properly 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject tojjenalties for perjury of falsification herein.
.<@C|*K. DATE &
OWNER SIGNATURE
Very Truly Yours,
-
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY^-n Attn: KAREN \ 735 WWRIGHTWOOD AVE / Chicago, IL 60614 J
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
M'llllillllliililrhllilliilIM'illllilillhiilliiliiill'i
008*001 *******5-DIGIT 60614 PISER, MARVIN 2650 N LAKEVIEW AVE CHICAGO, IL 60614-1840
Index Number: 1428318077 1171 Water Account Number: 300330329416
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002608
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: VI DALEY of Ward 43.
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.
Please Print Name
Jhe 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 lhat I understand I am subjecJ--ttry>enalties for perjury of falsification herein.
OWNER SIGNATURE --£^^UUiA DATE _
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
*.-*g3«.228
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
■ ■1 i P11111111 ■ 11111111 -1 - -1111 -11111 - -1111 -1111111 -11 -11 - -111 -
008*001*******5-DIGIT 60614 PLOTKIN. MANUEL 2650 N LAKEVIEW AVE APT 3910 CHICAGO, IL 60614-1831
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003804
Index Number: 1428318077 1369
Water Account Number: 300330329416
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: VI DALEY of Ward 43.
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 understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^Jj^UM^J^A^^U^ DATE >2 J £3 j i\
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
:U2-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i1 -1111111 i11 -11 -1 -11!111 -1111 -1M1111111 - - f111111 -111 -1111 -1111
Starus:_ Reason:.
002*001*******5-DIGIT 60610 POWELL, BERT
1300 N LAKE SHORE DR APT 21B CHICAGO, IL 60610-5157
Claim Number: 1006021
Index Number: 1703108016 1073
Water Account Number: 300120504847
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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.
I B£ftT POvv/^t-l-_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 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 VI DALEY Attn: KAREN
735 W.WRJGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
Mh-lil-'ili'i-1'il-l-'il'h MIIX'-x-iIM-Ii1 iM'-i'-iiI1--!1
008*00l*******5-DIGIT 60614 PRIKOFA, JOHN Cp^ceciS£x£) 2626 N LAKEVIEW AVE APT 3403 CHICAGO, IL 60614-1827
Index Number: 1428318064 1410
Water Account Number: 300330329256
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1001309
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
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.
ndersigned, on oath,
Please Print Name
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 subj
for perjury of falsification herein
DATE
OWNER SIGNATUF Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Comniittee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
1Mllll^ll|---|lh1lll--lllllllM-hlMlT'llllllllll-l-lll
002*001 *******5-DIGIT 60610 PUTMAN, RICHARD H. 1440 N LAKE SHORE DR # 29A CHICAGO, IL 60610-1626
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009000
Index Number: 1703103028 1189
Water Account Number: 300120506119
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: VI DALEY of Ward 43.
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 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.
undersigned, on oath.
Please Print Name
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 iHTdwstand I am subjreM£_Renallies for perjury of falsification herein.
OWNER SIGNAT
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.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 201 1
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020876
1111 ■"" 11 ■1 ■ M111. ■11 1111" ■1 I" 111....1 ■ ■ 1111111 ■ i ■11111 ■ 11
008*001*******5-DIGlT 60614 QUINN, MARGARET M. 1960 N LINCOLN PARK W APT 1210 CHICAGO, IL 60614-6529
Index Number: 1433400042 1118
Water Account Number: 482825482825
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: VI DALEY of Ward 43.
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.
I ' IkwiCLreJ ft « fylirfhe undersigned, on oalh. please Print Name
depose and state that I am the applicant in the application, lhat 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 undjers/and I am si^ectoe-penalties for perjury of falsification herein.
DATE
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i111111 -111 -111' -1 -1 -1111 - -11111111 -1 -111.....i -111MI -111 - E i11
Status:_ Reason:.
008*001 *******5-DIGIT 60614 RAAB, EDITH E
2020 N LINCOLN PARK W APT 24F CHICAGO, IL 60614-4730
Claim Number: 1017181
Index Number: 1433208028 1273
Water Account Number: 483679483679
2011 SENTOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
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 dale this application and return it to your ward office before July 1, 2011.
_lhe 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 Cily 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 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Commiltee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i1M7i,,.ii,.|i.|i|i.|,|i1i.il|i|ll||iili||ii||l.l...iilil.
008*001*******5-DIGIT 60614 RABUN,KAREN M 1632 N HUDSON AVE APT 9 CHICAGO, IL 60614-5661
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023318
Index Number: 1433330019 1015
Water Account Number: 484486484486
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: VI DALEY of Ward 43.
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,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011 thai 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 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 that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE 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.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
■ i i: 111 -1111 -1 -1■ 11111■i -11 -1---11111111 -11111 --■11.....'iii111
008*001 *******5-DIGIT 60614 RADOVANOV. MIRJANA 2440 N LAKEVIEW AVE APT. #16E CHICAGO, IL 60614-2872
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021615
Index Number: 1428322015 0000
Water Account Number: 477653477653
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: VI DALEY of Ward 43.
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 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 I, 2011.
.the undersigned, on oath.
Please Print Name
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.
OWNER SIGNATURE,;.i^t^^ DATE 'P~cZ I ' 2^l) / /
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. RETAIN 1 COPY FOR YOUR RECORDS
Chicago City Council - Committee on Finance - Application for Senior Citizens Sewer C... Page 1 of 2
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE_
STATUS,
R_
Note: *AII Fields Must Be Filled In
Claimant Name
James F Rappel
Claimant Address
1632 N. Hudson Ave. #11
Claimant
City, State & Zip Code
Chicago , IL 60614
Claimant Telephone
Office
Home
3126646033
Cellular
Claimant Birthdate:
11/25/1943
Property Tax Number:
PIN 14 - 33 - 330 - 019 - 1017
Water Account Number:
Building Type:
Townhouse
Com Units 0
Res Units 22
11
I,_T^f\H £5_n ft PPtH-L-_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, 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 hayp been paid and that I understand I am subject to penalties for perjuror falsific^luonHTefe/n.
OWNER SIGNATURE:_
DATE: /A
-Edit Form
Print this claim form
Please print this and return application to your aldermanic office before July 1
PAY ONLY THIS AMOUNT
$ 4,828.72
BY 12/13/10 (on time)
2009 Second Installment Property Tax Bill
Property Index Number (PIN) Volume Code Tax Tear (Payable In) Township
14-33-330-019-1017 495 74001 2009 (2010) NORTH CHICAGO
IF PAID LATE 12/14/10 - 01/13/11
$ 4,901.15
IF PAID LATE 01/14/11 - 02/13/11
$ 4,973.58
IF PAID LATE 02714/11 - 03/13/11
$ 5,046.01
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF:
$ 4,737.65 ON 02-25-10
Property location and classification for this PIN 1632 N HUDSON AVE CHICAGO IL 60614 5670
LATE PENALTY IS 15% PER MONTH, BY STATE LAW.
Property Classification 2-99
Taxing District
2009 Tax 2009 Rate 2009 %
Pension
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
539. 62 28. 95 609. 92 1, 178. 49
O. 261 0. 014 O. 295 0. 570
5. 64% 0. 30%
6. 38% 12. 32%
31. 01 24. 81
SCHOOL TAXES
Board of Education 4,891.73 2.366 51.13%
Chicago Community Colleqe Dist 508 310.13 0.150 3.24%
Scfiool Taxes Total 5,201. 86 2. 516 54.37%
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 231. 56 0.112 2.42%
Chicago Library Fund 204.68 0.099 2.14%
City ol Chicago 1,833.88 0.887 19.17%
Municipality/Township Taxes Total 2,270.12 1.098 23.73%
843. 54
COOK COUNTY TAXES
Cook County Forest Preserve District 101.31 0.049 1.06%
County of Cook 405.22 0.196 4.24%
Cook County Public Safety 235.70 0.114 2.46%
Cook County Health Facilities 173.67 0.084 1.82%
Cook County Taxes Total 915.90 0.443 9.58%
2. 06 146. 79
(Do not pay these totals)
9.566. 37
4.627 100.00%
2008 Tax 2008 Rate
460. 81 27. 43 563. 21 1,051.45
4, 520. 30 285. 26 4;805.56
213. 95 186. 52 1,696. 94 2, 097. 41
93. 26 409. 60 192. 00 157. 26 852. 12
0. 252 0. 015 0. 308 0. 575
2.472 0. 156 2. 628
0. 117 0. 102
0. 928
1. 147
0. 051 0. 224 0. 105 0. 086 0. 466
8,806 54 4.816
TAX CRLCULRTOfT)
2008 Assessed Value
66,259
. 2009 Property Value 2009 Assessment Level
684,700
X 10%
2009 Assessed Value
68,470
. 2009 State Equalization Factor
X . 3. 3701 ■
2009 Equalized Assessed Value (EAV)
:7 F■■ ;[ :■■ ■■: . 230, 751
'. 20Q9_UjC3jjrax RateJ_________________:.
X 4. 627%
2009 Total tax Before Exemptions i '=,'.' -10,676.85
Homeowner's Exemption Senior Citizen Exemption
925.40
185. 08
Senior Assessment Freeze Exemption - V:. . 00
2009 Total Tax After Exemptions
■ ■=9,566.37 First Installment.
4, 737. 65
Second Installment
. . + 4,828.72
Total 2009 Tax (Payable In 2010)
= 9. 566. 37
m m
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73 73
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LYNN M P.APPEL
1632 N HUDSON 11
CHICAGO IL 60614-5661
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
Entity No: 972
ST. MICHAEL'S SQUARE HOMEOWNERS ASSOCIATION OCTOBER 2010
Page: 1
For Dates 10/01/2010 To 12/31/2010 For Accounts: 503000 To 503000 For All Subaccounts
Account Sub Type Ret" # Vendor Description Post Dace Invoice # Jnv Date Amount
503000 WATER
6-22-10/9-22-10 ACK 972OP-000651 CHIWAT CITY OF CHICAGO 10/01/2010 482913482913 10/01/2010 5,695.26
9/22-11/22 ACK 972OP-000678 CHIWAT CITY OF CHICAGO 12/06/2010 482913482913 12/06/2010 2,569.76
Account Total 8,265.02
Total Disbursements 8,265.02
WOUN-LEV1N, INC.
GL DISBURSEMENT REGISTER
12/22/2010 11:10 AM
City of Chicago
Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You musl pay lor all metered waler.
CUSTOMER NAME
ACCOUNT NUMBER
BILL DATE
DUE DATE
ST MICHAEL SQUARE 482913-482913 Sep-27-2010 Oct-18-2010
Service Address: 442 W NORTH AVE CHICAGO IL 60610-1103 RECEIVED SEP 2 9 2QW
Summary of Charges for Jun-22-2010 thru Sep-22-2010
Total Current Waler..................................................................................... $ 3061.97
Total Current Sewer...................................;..................................,......... $ 2633.29
Penalty...................................................j,.;.................................;.............. $ 0.00
Total Current Charges........................\............................................... $ 5695.26
Previous Balance............................................................................... $ 2759.98
Adjustments............................................................................................... $ 0.00
Payments........................................................................................ $ 2759.98
Total Due.............................................1........._...................................... $ 5695.26
Penalties accrue at a rate ot 1.25% per month on late balances.
The Department of Revenue's Water Division otters a variety of flexible payment plans for water bills including a special circumstances/hardship plan (or thoetf who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-lino or call ub tor mora information.
Meter Reading Details
METERED UNITS READINGS
IN THOUSANDS PREVIOUS | CURRENT
Gallons 6303 7830
1000 Cubic Feet = 7480 Gallons
USAGE IN THOUSANDS ACTUAL or
Cubic Feet = Gallons ESTIMATED
204.1 = 1527 A
101A2U10 □□□MoEllBDMaE^lB "I DDDDSLTSEL DD005bcl52b S
PLEASE RETURN THIS POSTlON WfTH YOliA ALLOW 5 DAYS FOR PAYMENT BY MAIl
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O Box 6330
Chicago, Illinois 60680-6330 Service Address: 442 W NORTH AVE CHICAGO IL 60610-1103
ACCOUNT NUMBER DUE DATE
482913-482913
Oct-18-2010
TOTAL DUE
$5695.26
IS 1 5«R8956C01I (fS?
li1'!'1"1.....■■^■■■■■■■■■■■-'■■■■■■I-*■■■■■-li-lii»1B8-*"«iB*- Amount Paid: $
ST MICHAEL SQUARE 1740 E 55TH ST CHICAGO IL 60615-5979
1DLS2D10 □rJDMflEeU3D4fl2e113 1 □00a5bti5Bb O0QD5bt?5db S
304246
/22/2010 11:10 AM
R140-4464-3335 10-30-07
Jesse White - Secretary of State
11-25-11
JAMES F RAPPEL 1632 N HUDSON APT 11
CHICAGO IL60614 Birthdate 11-2543
Male 5'10" .»5.lbs BLUE Eyes Restrictions/; - Type/; Class r-**'V"c,/a»£ ;V:i;.bRG S??;bT:
DRIVERS LICENSE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
il|mi.|ii|i"|ii.iiiil|.iiT|i.ii.,i|T|i|ii|ii.||i|iii.i
Status:_ Reason:.
008*001*******5-DIGIT 60614 RATH, ETHEL
2400 N LAKEVIEW AVE 0-fJ~ 1> 0 I CHICAGO, IL 60614-2747 '
Claim Number: 1011137
Index Number: 1428322038 1233
Water Account Number: 300330328017
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: VI DALEY of Ward 43.
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.
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 lo 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 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. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
nil /
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
--Ii'-'M-iIM-ii-l'li-lhil-llMlli--lll>illi-hl---[-'lii-illl
Status:_ Reason:.
008*001 *******5-DIGIT 60614 RAY, MONNA J.
2400 N LAKEVIEW AVE APT 1604 CHICAGO, IL 60614-2739
Claim Number: 1018727
Index Number: 1428322038 1171
Water Account Number: 300330328017
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I IMrtMM-ft Ir^&y_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, 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
MAJL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Chicago City Council - Committee on Finance - Application for Senior
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
8
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD M 3
DATE_._
STATUS_
R_
11
Claimant Name
Claimant Address
Claimant
City, State & Zip Code
Claimant Telephone
Claimant Birthdate:
Property Tax-Number:
Water Account Number:
Building Type:
Note: *AII Fields Must Be Filled In
IL
Office
Home
3a
illular
PIN - -
Co cw^Ap
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, 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 ofthe 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 am subject to penalties for perjury or falsification herein.
Us- Jl&Ctj^
OWNER SIGNATURE:
DATE:
Please print this and return application to your aldermanic office before. July 1
PAY ONLY THIS AMOUNT
$
406.35
BY 12/13/10 (on time)
2009 Second Installment Property Tax Bill
Property Index Number (PIN)
Volume
Code
Tax Year (Payable In)
Township
14-33-409-024-1260 496 74001 2009 (2010) NORTH CHICAGO
IF PAID LATE 12/14/10 - 01/13/11
$ 412.45
IF PAID LATE 01/14/11 - 02/13/11
$ 418.55
IF PAID LATE 02/14/11 - 03/13/11
$
424.65
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF:
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
1850 N CLARK ST
Taxing District
Property location and classification for this PIN CHICAGO IL 60614 5881
2009 Tax 2009 Rate 2009 %
Pension
Property Classification 2-99
2008 Tax 2008 Rate
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
61. 31 3. 29 69. 30 133. 90
O. 261 0. 014 O. 295 0. 570
5. 64% O. 30%
6. 38% 12. 32%
3. 52 2. 81
64. 74 3.85 79. 13 147. 72
0. 252 0. 015 0.308 0. 575
SCHOOL TAXES
Board of Education 555. 77 2.366 51.13%
Chicago Community College Dist 508 35.24 0.150 3.24%
School Taxes Total 591.01 2.516 54.37%
635. 11 40. 08 675. 19
2. 472 O. 156 2. 628
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 26.31 0.112 2.42%
Chicago Library Fund 23.26 0.099 2.14%
City of Chicago 208.36 0.887 19.17%
Municipality/Township Taxes Total 257.93 1.098 23 73%
95. 83
30. 06 26. 21 238.42 294.69
0. 117 0. 102
0. 928
1. 147
COOK COUNTY TAXES
Cook County Forest Preserve District County of Cook Cook County Public Safety Cook County Health Facilities Cook County Taxes Total
11. 51 46. 02 26. 78 19. 73 104. 04
0. 049 0. 196 0. 114 0. 084 0. 443
1. 06% 4. 24%
2. 46% 1. 82% 9. 58%
0. 23 16. 67
13. 10 57. 55 26. 98 22. 10 119. 73
051 224 105 086 466
(Do not pay these totals)
1,086.88
4.627 100.00%
1,237.33
4. 816
(V
c
1/
7 l*>
Long-Time Homeowner
ANDRE L RAMBAUD 1850 N CLARK ST 2810 CHICAGO IL 60614-5324
..... m^-'i&^imxm^y^itmmm^
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
Cily of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chicago, Illinois 60680-6330
Little bills.
METERED ACCOUNT
leaks cause big
Check for and repair leaks.
You must pay for all metered water.
yCUSTpMER NAME;
ACCOUNT; NUMBER
DUE DATE
HEMINGWAY HOUSE COND ASSN 482715-482715 Nov-26-2010 Dec-17-2010
Service Address: 1825 N LINCOLN AVE CHICAGO IL 60614-5811
Summary of Charges for Sep-22-2010 thru Nov-22-2010
Total Current Water..................................................................................... $ 1941.05
Total Current Sewer.................................................................................. $ 1669.30
Penalty....................................................................................................... $ 0.00
Total Current Charges............................................................................ $ 3610.35
Previous Balance....................................................................................... $ 4770.31
Adjustments............................................................................................... $ 0.00
Payments....................................:............................................................ $ 4770.31
Total Due................................................................................................ $ 3610.35
Penalties accrue at a rate of 1.25% per month on late balances.
The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills Including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information.
Meter Reading Details 1 ooo cubic Feet = 7480 Gallons
V iyiETERED UNITS Y'V - *'. v'REAbijrfeS'^'-^ WM$W^XX^^^^ :;^:^^ACTUAL; 6r''^::. - IN THOUSANDS: .PREVIOUS jddURR^ :; Cubic;Feetd; = ^rOallons.v ||fflffHVIAl;ED|£|
Gallons 13273 14241 129.4 = 968 A
12172010 0004fl271504fl2715 1 00003131035 0D003b>1035 1
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT BY MAIL.
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago, Illinois 60680-6330 Service Address: 1825 N LINCOLN AVE CHICAGO IL 60614-5811
ACCOUNT NUMBER
482715-482715'
Dec-17-2010
TOTAL. DUE
$3610.35
6.1.2156 98057D11.p0l
li'<lli'i'ii'i>i'llill»li<iliiii,|i|ii'<!«l»l>iii"iih»il>1
HEMINGWAY HOUSE COND ASSN
MANAGEMENT
1850 N CLARK ST STE OFC
CHICA.GO IL 60614-6867 ,
Amount Paid: $
4246
12172010 000Mfl271S0Mfi2715 1 00003t>103S 00Q03bl035 1
Hemingway House,
1850 N.Clark Street Chicago, IL 60614 Phone:312-943-1825 Fax:312-943-5829
1/10/11
Chicago City Council Committee on Finance
RE: Homeowner Real Estate Taxes Exemption
To Whom It May Concern:
Mr. Andre Ranbeaud is a unit owner part ofthe community of Hemingway House Condominium Association. He bought the unit #2810 in 1993 and has occupied it since as his primary residence.
The Association is responsible to pay the water bill of the City of Chicago and not unit owners. Please find attached a copy of a water bill addressed to the Hemingway House.
Violette Deschamps, CPM Hemingway House Property Manager Sudler Property Management 312-943-1825 Voice 312-943-5829 Fax
Sudler, Proud recipient of the Institute of Real Estate Management's MANAGEMENT COMPANY OF THE YEAR AWARD AND THE 2010 TECHNOLOGY AND DESIGN AWARD
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Chairman mnv.eomniiUeeonfiriance.iirc' 312-744-3380
February 18, 2011
Mil.,!!!!!.!.,!!!!!.,.!!,,,!.!.!!!!!,!,
008*001*******5-DIGIT 60614 REHKOPF, PAULINE M. 1636 N WELLS ST APT 814 CHICAGO, IL 60614-6010
' 1111111111 -11 -11
For Official Use Only: Ward:__
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018039
Index Number: 1433422068 1068
Water Account Number: 3003301 37129
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: VI DALEY of Ward 43.
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 il to your ward office before July 1, 2011.
.Ihe 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 lhal I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 ofthe Municipal Code of the City of Chicago, that all waler 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.
OWNER SIGNATUR1 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.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111" I"11 ■ 11111"11 ■ I ■ ■1111" 1111111"'11111 ■ ■ If 11111 ■11111111
l"l
Status:_ Reason:
008*001*******5-DIGIT 60614 REYNOLDS, CHARLES A 2230 N LINCOLN PARK W #2H CHICAGO, IL 60614-3814
Claim Number: 1023319
Index Number: 1433202013 0000
Water Account Number: 483118483118
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: VI DALEY of Ward 43.
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 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 il to your ward office before July 1, 2011.
depose and stale 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 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.! am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
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. RETAIN 1 COPY FOR YOUR RECORDS
Please Pri
he undersigned, on oath.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I -11 -111111 -1'1 h I -1111' 1111'1111' -11' -1 h111111 -111111 -11 -111111
Status:_ Reason:.
008*001*******5-DIGIT 60614 RICH, S. JUDITH 2500 N LAKEVIEW AVE # 2603G CHICAGO. IL 60614-1846
Claim Number: 1020001
Index Number: 1428320030 1149
Water Account Number: 477744477744
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: VI DALEY of Ward 43.
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.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate properly 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 subjecLiopenalties 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 W.WRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,m||i.|i.|iii.i|.i.|i||.|.|.i|i|.||.ni,.i|,i.i|,.|i.|,i.i.i
Status:_ Reason:.
008*001 *******5-DIGIT 60614 RICH, RICHARD M. 2020 N LINCOLN PARK W APT 29A CHICAGO, IL 60614-3686
Claim Number: 1011094
Index Number: 1433208028 1328
Water Account Number: 300330226302
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: VI DALEY of Ward 43.
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.
depose and state that I am the applicant in the application, lhal 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
OWNER SIGNATURE R^Jv**^-' ^
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllllil-lllil-lili"i-hliilililli-l-i-ii-l-lrllll'l"li
Status:_ Reason:.
002*001*******5-DIGIT 60610 ROSENBAUM, DON 1440 N LAKE SHORE DR # 20A&C CHICAGO, IL 60610-1626
Claim Number: 1019171
Index Number: 1703103028 1121
Water Account Number: 584959584959
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: VI DALEY of Ward 43.
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 thai 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 lo 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 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
/
■^§^►228
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
1 -111 - -1 - -1111 -11111111M11111111 -111 -1 - -11 m 1111 -1 -1 - - -111111M
002*00l*******5-DIGIT 60610 ROSENBERG,GERRY J 1325 N STATE PKWY APT 4A CHICAGO, IL 60610-2170
Index Number: 1703106027 1001
Water Account Number: 585093585093
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022798
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: VI DALEY of Ward 43.
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 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 "C^flfrf ffo^euee^n,
Please Print Name
fndersigned, 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 lhal 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 taxpsp and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undeps^lnd I aprjM^fjgct to pjgrhallies for perjury of falsification herein.
OWNER SIGNATUR
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRJGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
■^s^228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
111 UP"!
Il-Ill|-Ill|-|-I-I|-Illll|-I|-Il-Il|-Ill-Illll|-Illl|-|IIIIIITI
002*001+******5_DIGIT 60610 ROSENBLUM, LOUIS 1335 N ASTOR ST AFT I3C CHICAGO, IL 60610-2140
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020012
Index Number: 1703105011 0000
Water Account Number: 584929584929
201 i 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: VI DALEY of Ward 43.
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 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.
'^/fr^^^ _the undersigned, on oalh,
Please Print Name
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 ofthe 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE^dP^CSs^ /U^^^/K^, j DATE 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.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
111"111" 111111111 1i11111111111111111111111 1111111 I"11
002*001 *******5-DIGIT 60610 ROSENBLUM, LYA DYM 1335 N ASTOR ST CHICAGO, IL 60610-2152
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011450
Index Number: 1703105013 0000
Water Account Number: 300120502100
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: VI DALEY of Ward 43.
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 properly 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,
' Please Print Name
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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. --DATE l[Ut(V__
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 nol send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
UO1S40
liiir-ill-lil-ilhl--illll-rl-lllllll-liuli-ll-iirl'i
008*001*******5-DIGIT 60614 ROTH, PHILLIP 1920 N CLARK ST APT 3C CHICAGO, IL 60614-5455
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011127
Index Number: 1433404026 1030
Water Account Number: 300330107401
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: VI DALEY of Ward 43.
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.
I T*^-11 if ^ t ^^^^"the undersigned, on oath, Please Print Name
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^taxevsFoperty taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understarra)l am subject i<rp«ria]ties for perjury of falsification herein.
OWNER SIGN>KJHEbg^^^ DATE V/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman'
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11L ■" I' I'1'" 11111 ■1111111 i 111 ■ ■1111111'' I ■ 111)" "
ll|,||,|ll|lMl
Status:_ Reason:.
003*001*******5-DTGIT 60610 RUMMEL, ZOE
1440 N LAKE SHORE DR APT 27E CHICAGO, IL 60610-5953
Claim Number: 1003730
Index Number: 1703103028 1181
WaterAccounrNumber: 300120506119 " "
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: VI DALEY of Ward 43.
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.
I y^Oi- Ru»)--mfcL_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, 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
Chicago City Council - Committee on Finance - Application for Senior Citizens Sewer Charge Annual Refund
City of Chicago Claim Form
2/7/11 3:54 PM
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE_
STATUS_
R
1 Claimant Name
2 Claimant Address
3 Claimant
City, State & Zip Code
4 Claimant Telephone
5 Claimant Birthdate:
Note: *AII Fields Must Be Filled In
Wayne Russell
842 W. Chalmers Place
Chicago , IL 60614 Office
773-525-7698 07/06/1940
Home
773-525-
7698
Cellular
6 Property Tax Number:
7 Water Account Number:
8 Building Type:
PIN 14 - 32 - 204 - 043 - 0000
431851-431851 Townhouse
11
Com Units Res Units
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, 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 or falsification herein.
OWNER SIGNATURE: W AWH /IZl^{1<J-/
DATE: 2^**11
Edit Form
Print this claim form
Page 1 of 2
PAY ONLY THIS AMOUNT
$ 6,137.64
BY 12/13/10 (on time)
2009 Second Installment Property Tax Bill
Property Index Number (PIN) Volume Code Tax Year (Payable In) Township
14-32-204-043-0000 492 74001 2009 (2010) NORTH CHICAGO
IF PAID LATE 12/14/10 - 01/13/11
$ 6,229.70
IF PAID LATE 01/14/11 - 02/13/11
$ 6,321.76
IF PAID LATE 02/14/11 - 03/13/11
$ 6,413.82
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF:
$ 7,652.99 ON 03-01-10
Property location and classification for this PIN
842 W CHALMERS PL CHICAGO IL 60614 3223
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
Taxing District
2009 Tax 2009 Rate 2009 %
Pension
Property Classification 2-10
2008 Tax 2008 Rate
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
777. 90 41. 73 879. 24 1,698.87
0. 261 0. 014 0. 295 0. 570
5. 64% 0. 30%
6. 38% 12. 32%
44. 70 35. 76
SCHOOL TAXES
Board of Education 7,051.79 2.366 51.13%
Chicago Community Collegp Oist 508 -44 7 07 0 150 3 24%
School Taxes Total 7.498.86 2.516 54.37%
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 333.81 0. 112 2.42%
Chicago Library Fund 295.07 0.099 2.14%
City of Chicago 2,643.68 0.887 19.17%
Municipality/Township Taxes Total 3,272 56 1 098 23 73%
1. 216. 03
COOK COUNTY TAXES
Cook County Forest Preserve District 146.04 0 049 1.06%
Countyof Cook 584.17 0.196 4.24%
Cook County Public Safety 339 77 0 114 2 46%
Cook County Health Facilities 250.36 0.084 1.82%
Cook County Taxes Total 1,320.34 0.443 9.58%
2. 98 211.61
(Do not pay these totals)
13,790.63
4.627 100.00%
728.09 43. 34 889. 88 1,661.31
0. 252 0. 015 0. 308 0. 575
7, 142. 18 .450. 7.2. 7, 592. 90
2. 472 0. 156 2. 628
338. 04 294.70 2.681.21 3,313.95
O. 117 0. 102
0. 928
1. 147
147. 35 647.18 303.37 248. 47 1,346.37
0. 051 0. 224 0. 105 0. 086 0. 466
13, 914. 53
4. 816
J WAYNE RUSSELL 842 W CHALMERS PL CHICAGO IL 60614-3223
TAX CALCULATOR
2008 Assessed Value ^ 105,057
2009 Property Value 2009 Assessment Level
955,600
X. 10%.
2009 Assessed Value
= 95,560
2009.State Equalization facto-
. X ■ 3.3701 '
2009 Equalized Assessed Value (EAV) "■ = 322,047 ^20094ocal .lax Rate . -i...>':... X . 4.627%
2009 Total Tax Before Exemptions = 14, 901. 11
Homeowner's Exemption
_ 925.40
Senior Citizen Exemption
. 185. 08
Senior. Assessment Freeze Exemption ■ '- ■ .00
2009 Total Tax After Exemptions
= : 13, 790. 63
First Installment ■
7 652. 99
Second Installment '.'
.-, + 6, 13.7. 64
Total 2009 Tax (Payable In 2010)
. '.-■■■= :U/ 13. 790. 63
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY.
DMVERSjUCENSE
t-Ki wor R240-4394-0192 oobl 07-06-44) txpirei: 07<:06il:3v i«so«): 05-28*$9x;
J WAYNE.RUSSttl-*-1- / ■<■-842-CHALIVIEH5 PI : *. CHICAGO lt.60614 y:
Male 6'03".21S lbs. CRN Eyes'
Clem: D
ttett: B Type: ORG
■■■ .i-im&i^ City of Chicago Rfl ______
/J^^^^t. Department of Revenue-Water Division . JrTEr2
ff' ^ ilk P.O. Box 6330 ACCOUNT
^7^ip| Chica90, lllinois 60680-6330 Lmie leaks cause big
llfe^SSM^'/ Customer Service: 312-744-4426 ' S'
^^^^^^^ E-mail: waterbill@cityofchicago.org Check for and repair Always include your name, account number, and a call back number, leaks.
3 as You must pay for all
metered water.
Service Address: 835 59 W CHALMERS PL CHICAGO IL 60614-3233
Summary of Charges for Nov-19-2010 thru Jan-21 -2011
Total Current Water..................................................................................... $ 818.13
Total Current Sewer.................................................................................. $ 703.59
Penalty....................................................................................................... $ 0.00
Total Current Charges............................................................................ $ 1521.72
Previous Balance....................................................................................... $ 2021.50
Adjustments............................................................................................... $ 0.00
Payments................................................................................................... $ 2021.50
Total Due................................................................................................ $ 1521.72
Penalties accrue at a rate of 1.25% per month on late balances.
The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information.
Meter Reading Details 1 ooo cuwc Feet^bo Gallons.
Gallons 6242 6650 54.5 = 408 A
□21fl2Dll OOimBlASlCmgiASl 3 D0D01S5172 00DD1S2172 5
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT BY MAIL.
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago, Illinois 60680-6330 Service Address:
835 59 W CHALMERS PL CHICAGO IL 60614-3233
431851-431851
Feb-18-2011
$1521.72
2.1.690 06505011 ,p01
r'l.....ihiii'il'''ll'l"i'llTl'hillilililM"illlH"i Amount Paid: $
SEMARY TOWNHOUSE ASSOC 842 W CHALMERS PL CHICAGO IL 60614-3223
02162011 000M31fl510M31fi51 3 0000152172 00D01S2172 S
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM#_
WARD_
DATE_
STATUS_
R_
11
Claimant Name
Claimant Address
Claimant
City, State & Zip Code
Claimant Telephone
Claimant Birthdate:
Property Tax Number:
Water Account Number:
,i Note: * All Fields Must Be Filled In
fteolbr u* i^Wln
IM-OO f\l. L^keV^s^ tw<° r*FM
IL
Office
1 cChtc-acjQ ;-LL kObl
Home
Cellular
PIN
Candc* mt'n\)rvr\ in h'<j^
last
Building Type:
I, }^ _'_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, 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/'^c -J ------ ->
Municipal Code of the City of Chicago, that penalties or assessments owed to the City oj subject to penalties for perjury or falsificat,
OWNER SIGNATURE: X»
DATE:^C_
refund under Section 3-12-050 ofthe es, property taxes, and all other fees, ave been paid and that I understand I am
Please print this and return application to your aldermanic office before July 1
Alderman Vi Daley
735 W. Wrightwood Chicago, IL 60614
1
Cily ol Chicago
The Department of Water Management P.O. Box 6330 Chicago, Illinois 60680-6330
HOTLINE: Water in your street or basement? Always call 311. Never e-mail. PAY ONLINE: Pay your bill online from the convenience of your home or office. See back for details.
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks
You must pay for all metered water.
CUSTOMER NAME
ACCOUNTNUMBER
Attn: 2400 LAKEWIEW COND 477649-477649 Service Address: 2400 08 N LAKEVIEW AVE CHICAGO IL 60614 Summary of Charges for Nov-19-2009 thru Jan-22-2010
BILL DATE
Jan-29-2010
DUE DATE
Feb-19-2010
Tolal Current Water..........................
Total Current Sewer..........................
Penalty.........................................
Total Current Charges..................________ _______....................
Previous Balance...............................................HB.JuiltUQ.
$ $ $ $ $
Adjustments...................................................._______............_............. $
Payments................................................Aw/rt»......... $
Total Due.
__________________________J&*P-
Late payments are subject to penalty.
$
5,491.89 4,723.03 0.00 10,214.92 8,969.36 0.00 8,969.36 10,214.92
Meter Reading Details
METERED UNITS INTHOUSANDS
Gallons
READINGS PREVIOUS I CURRENT
1000 Cubic Feet = 7460 Gallons
USAGE IN THOUSANDS Cubic Feci - Gallons
ACTUAL or ESTIMATED
14879
17859
Date 398.3
APPROVED FOR PAYMENT WOLIN-LEVIN, INC as Agents □ 211E010 D00M77tH10M77bHT 2 000105^12 0D0ia21M1H S
R-EASS RETWW THIS PORTION WTH YOUR PAYMENT. ALtOW 5 0AYS FOR PAYMENT BY MAI.
MAKE CHECK OR MONEY ORDER PAYABLE TO: Qtyot Chicago The Department of Water Management P.O. Box 6330
' Chicaoo. Illinois 60680-6330 Service Address: 2400 08 N LAKEVIEW AVE CHICAGO IL 60614
For Credit Card Payment. Onitne Payment See Reverse Side ->-
ACCOUNT NUMBER
477649-477649
DUE DATE
Feb-19-2010
TOTAL DUE
$10,214,92
Amount Paid; $
304017
03/24/2010 10:51\AM
C13eiP3fitl ******»**AUT0**3-1>IGIT tDfc
'lliil|i|mi'|i|i|iili«l«l">i«l>'i««il""i'ilii»«'«>«"'
Attn: 2400 LAKEWIEW COND WOLIN /LEVIN 1740 C 55TH ST CHICAGO IL 60015-5^98
\ 021t52D10 00QM77t.Mtl0H77bMtTl 2 000.1021^2 0DD102mii2 S
Alderman Edward M. Burke Chairman
February 18, 2011
MH'-'llllil-'i'M-r'-'rhl'i'
002*001 *******5-DIGIT 60610 SAGE, JOSEPHINE 1325 N STATE PKWY CHICAGO, IL 60610-2174
Index Number: 1703106027 1047
City of Chicago
Telephone 3L2-744-.3.380
I "-iM-l-MM'n
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003009
Water Account Number: 300120509637 '
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: VI DALEY of Ward 43. ■-■ }
i '
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.
I
Please Print Name
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, lhat all water taxes,_property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understands am subject to penaltieS?for perjury of falsification herein.
/) //.
OWNER SIGNATURE ^^f^J/}
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
lill-"luhiHl'll'liliilhl"illillliirhli"l-Tlii11'
008*001*******5-DIGIT 60614 SANDLER, STEPHEN P. 859 W CHALMERS PL CHICAGO, IL 60614-3233
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023229
Index Number: 1432204054 0000
Water Account Number: 43185143185 i"
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: VI DALEY of Ward 43.
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 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.
I ^Tl^Wt/L _fl ^tU^(^-~the undersigned, on oath. Please Print Name
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 interesi therein, lhat 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 taxjss.property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I undereMrfd I w subjifSt tlrpenalties ipAperjury of falsification herein.
OWNER SIGNATURE J^-^WAy^ ^MJ^^M/b^E '
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■ M1111 ■ 1111" 11111 11 ■ I ■ I ■ ■11111 ■ ■11 ■ ■«11' 111'111111 ■11" I" 1111
008*001 *******5-DIGIT 60614 SARNA, WALTER T. 2020 N LINCOLN PARK W APT 33H CHICAGO, IL 60614-4733
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021587
Index Number: 1433208028 1378
Water Account Number: 483679483679
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: VI DALEY of Ward 43.
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 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.
jhe undersigned, on oath.
Please Print Name
depose and slate thai 1 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.
OWNER SIGNATURE *^/j)f^ DATE £~/<2 3/'//
/ /
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lHlllVII"PlllIIITllllll"llHlll"llll"llllllllllTlll
Stafus:_ Reason:.
003*001*******5-DIGIT 60610 SANTANGELO, MARIO V. 1440 N LAKE SHORE DR APT 32C CHICAGO. IL 60610-5928
Claim Number: 1019023
Index Number: 1703103028 1214
Water Account Number: 584959584959
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: VI DALEY of Ward 43.
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 dale this application and return il 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 lhat I have a legal or equitable interest therein, lhat 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE TIIjlA^ AashJZ,
DATE Zj 2* / Z-Oil
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'l-ll-hll'I'-ii-iiiOi'XililT'-ll'li-o-'ih'llllli111-!
Status:_ Reason:
008*001 ***** * *5-DIGIT 60614 SCALES, STERLING 1636 N WELLS ST APT 708 CHICAGO, IL 60614-6010
Claim Number: 1022925
Index Number: 1433422068 1050
Water Account Number: 860591483909
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: VI DALEY of Ward 43.
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.
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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
STERLING SCALES
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
■ 11 r ■1 ■ i - - - ■ 1111 ■ -111 ■ 11 ■ ■ i11 ■ - ■ i - -111 -1 -11 -111 -1 - ■ - - -11 ■ -1111 ■
008*001 *******5-DIGIT 60614 SCHUMACHER, NORMA 1636 N WELLS ST APT 609 CHICAGO. IL 60614-6009
Lndex Number: 1433422068 1037 Water Account Number: 483909483909
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021136
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
k /wg« Cr\ <£ the undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat 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.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
1111 (I -11 -1111 >11111 -11111 -11 - i11HI (11' 1111 -11 - -11 > 111111M -1111
008*001 *******5-DIGIT 60614 SCHONEW1SE, ROGER H 1660 N LA SALLE DR APT 1701 CHICAGO, IL 60614-6014
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022921
Index Number: 1433423048 1180
Waler Account Number: 483900483900
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: VI DALEY of Ward 43.
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 properly 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,
Please Print Name
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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am^ybjectj^ri^perialties for perjury of falsification herein.
OWNER SIGNATURE
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman mvw.cnmniitleeiinfinance.org 312-744-3380
February 18, 201 1
iM^1-!1!!11'!!1!!-11!-!-!-1!1!1--1!-!11!1!1!!1-!-!1!!!!!-1!
008*001*******5-DIGIT 60614 SEPTOW, MARJORIE K. 2626 N LAKEVIEW AVE APT 502 CHICAGO, IL 60614-1809
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018358
Index Number: 1428318064 1014
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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.
I M A RJOR [ £ K~. SE P TO Wthe undersigned, on oath. Please Print Name
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.
OWNER SIGNATURE ?h.£LH^ML>^. >^a^t/pATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
» *fil?> 228
/^'S'-'^'S^--. t'ny uI'Chicago i^T', S^ijV Department of Revenue
Waicr Billing it Collections Division .i.l.i S Male St. I.I. 10
Y.pJ Chicago. Illinois 60604
Application for Senior Citizen Sewer Service Charge Exemption Account Number:
Customer Code Premise Code
* Premises Address: IhbQ /j/. ^HlOL
Leo a/ SHMfA/
'Owner Name:
(as ouncnlK listed on hill) Last l-'itst
"Phono Number: 3 IjL~337~3Q5I Email Address: SllOyhCLcll'nCL6cd>Cfrrr\
Owner Birlhdatc: 'MjLmJZ- 13 I f ^5
* Properly Index Number: - 3j_ - %3 - 0% - H73
(l-'ouml on Property Ta\ Hill)
To l)c eligible for the sewer service charge exemption you must meet the following criterions:
o You must be 65 years of age or older.
o Occupy the property as your principle place of residence.
Residence must be a single family home or have a separate metered water service or water assessment for a residence that is not a single family home.
The account must be in good standing. The account cannot be delinquent.
You must provide tbe following documentation with your application:
1. Proof of age - copy of Driver's License or State ID
2. Proof of ownership - copy of deed or property tax bill
3. Proof of residency- copy of utility bill
The undersigned on oath deposes and says that he/she is the owner of said real property, said property is a single family dwelling or has a separate metered water service or water assessment for a residence that is nol a single family home, that this is his/her principal place of residence, is 65 years of age or older and otherwise qualifies for exemption under Section 3-12-050 of the Municipal Code of the City of Chicago, and (ha! he/she is subject to penalties for perjury for falsification herein.
Dale: Reason:
Persons ;u:c 65 and over who reside in their own residence but do nol qualify lor an exemption us explained abo\e hecausc then icsidencc is a townhouse. condominium unil or cooperative apartment lhat does not have separate nicletcd water service or a separate Cily waler assessmeni for the residential unit may apply for a refund in lieu oflhe exemplion provided in 3-1 .M)5()(a) of ihe Municipal Code of Chicago. The amount oflhe refund shall be $50.00 per qualified residence for each calendar vc.ar Application fur a refund in lieu of exemplion shall be made to the alderman oflhe ward in which the applicant iv.ulr. m> inter than Aiuiiist C ofthe calendar year for which a refund is requested.
$ 977.86
BY 04/01/11 (on time)
2010 First Installment Property Tax Bill
Prostata Mate (pho Wma ^ TslTear JaMiti
14-33-423-048-1473 496 74001 2010 (2011) NORTH CHICAGO
IF. PAID LATE 04/02/11 - 05/DT/11 $ 992:53
IF PAID LATE 05/02/11 - 06/01/11
$ 1,00720
IF PAID LATE 06/02/11 - 07/01/11
$ 1,021.87
TAX CALCULATOR
ATORJ
LATE PENALTY IS 1.5% PER MONTH, j BY STATE LAW. j
2009 TOTAL TAX
1660 N LA SALLE ST
CHICAGO IL 60614
Prop^ Classification 2-99
Dear Fellow Taxpayer, ^$^^-^^P^MMi-
^ l2t^l^"^ pas^fed by tlie Illinois LegisI^thLire chln^s thi.i^^jmeS due date for Tax Year 2010 property taxes (payable in 2011) to April 1 2011
hZVu^^lST^r *? ^ date. whicrVwill revert'
^ . Jr^h 1 for ft^re Rrst ,n^lment collections. The Tax Year 2011 First Installment tax bill will be due March 1, 2012.
Sincerely,
2010 ESTIMATE 2010 1ST INSTALLMENT
1,777.93 55*
977.86
Cook County Treasurer
Maria Cook
Treasurer
SHARYN LEON
1660 N LA SALLE #4106
CHICAGO IL 60614-6028
issm
9
« See the reverse side of this instructions.
977.86 ? Please include only one check and one on^inal payment coupon
i BY 04/01/11 (on time) I per envdopt Use of this raupon auA
[ If paying later, refer to amounts above. ? to reduce check amount to prevent oveqjaymenL "V --. :^,- .
□
Property Index Number (PIN) Volume*
14-33-423-048-1473 496
I Amount Paid " j
! i
0000017?flb7 m33M23DMflm?32 0101A 00000112537 00001007207 00001021A72
81473 010(
SHARYN LEON OR CURRENT OWNER 1660 N LA SALLE #4106 CHICAGO IL 60614-6028
i>U»ll>.ll.....ll.l.,l.|f,l||,ll|,||l.||ll,l||,l||l|
COOK COUNTY TREASURER PO BOX 4468
CAROL STREAM XL 60197-4468 f.llll....lfl.|f.,.|.|I.|,.|,||.aI,.ff|I.aIH.|..||[
m33M230Mflm73/0/10/E/00000«i77fib/l
P
Chicago mom ,■
leis^t'BfJSOlhi GRH lyes
Class: 0 ■ind: "*"* Rest: B Type: OSG
An Exelon Company
Customer Service / Power Outage English
1-800-EDISON1 (1-800-334-7661) v Espanol . .
1-800-95-LUCES (1-800;955-8237)
Hearing/Speechi Impaired
1 -800-572-5789 (TTY) ::
Your Usage Profile
13-Month Usage (Total kWh) h
Page 1 of 2
Account Number 3972663007
Name SHARYN LEON
Service Location 1660 N LA SALLE DR APT 4106
CHICAGO Phone Number 312-992-1090
Previous Balance
Total Payments - Thank You
Amount Due on February 3,2011
$42.30 $42.30 $4947
Issue Date
Januaiy 12,2011
Mete |
Onfofmsl |
|
Read Date |
Meter Number |
Load Type |
Reading Type |
Meter Reading Previous Present Difference |
Multiplier X |
Usage |
1/12 |
999628089 |
General Service |
Total kWh |
10477 Actual | 10813 Actual I 336 |
1 |
336 |
|
|
|
|
|
|
|
.350
175
J FMAMJJ A SON D J
Service from 12/9/2010 to 1/12/2011 - 34 Days Electricity Supply Services
Electricity Supply Charge Transmission Services Charge Purchased Electricity Adjustment
Residential - Multiple $25.80
336kWh X 336 kWh X
0.07600 0.00725
25.54 2.44 -2.18
Electric Usage
Month
Jan-10 /
Feb-10
Mar-10
Apr-10
May-10
Jun-10
Jui-10
Aug-10
Sep-10
Oct-10
Nov-10
Doc-10
Jan-11
kWh
293
i 223
160 ■;;ttv:'
■ 236 252 ■
:2iefM.; :.>«£:;.
■■■188li^;-;,::':^S';:;
233 ':/~:T:'': ■. 27i%j;-.!y'WP ;&:ZpP0§$
Average Daily
Delivery Services - ComEd
$17.86
Month Billed kWh |
Temp |
Last Year . Last Month Current Month', |
./W8.6 9.0 |
23 37 24 |
|
|
|
Customer Charge Standard Metering Charge Distribution Facilities Charge
Taxes and Other
Smart Meter Program Environmental Cost Recovery Adj Energy Efficiency Programs Franchise Cost State Tax Municipal Tax
Total Current Charges
336 kWh X
0.02437
336 kWh X 336 kWh X
7.40 2.27 8.19
$5.81
0.23
0.00019 0.06 0.00156 0.52 1.78 1.11 2.11
$49.47
(continued on next page)
Return only this portion with your check made payable to ComEd. Please write your account number on your check.
An Exelon Company
19025 1 AV0.332 i8Q2snigo2s«ig2iaQ8i oi oxbwu 2M7soii320n SHARYN LEON
1660 N LA SALLE DR APT 4106 CHICAGO. IL 60614-6028
>lllllll'll'IM>l»'ll'lll'lllllll'll'l"l'|l'll'llllll''l'>l"l>
39726 6300 70000 0000
Account Number 3972663007
Payment Amouit
Automatic payment deducted on 2/3/2011
$49.47
ComEd PO Box 6111
Carol Stream, IL 60197-6111
00000011170000000000
317Ebb30070000D4147]i034004,i470
City of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
m
483900-483900
Jan-28-2011
Feb-18-2011
Attn: 1660 CONDOMINIUM ASSOCIATION
Service Address: 1636 60 N LA SALLE DR CHICAGO IL 60614-6005
Summary of Charges for Nov-19-2010 thru Jan-21 -2011
Total Current Water..................................................................................... $ 4764.39
Total Current Sewer.............................................................................. $ 4097.38
Penalty....................................................................................................... $ 0.00
Total Current Charges........................................................................ $ 8861.77
Previous Balance....................................................................................... $ 10644.58
Adjustments............................................................................................... $ 0.00
Payments................................................................................................ $ 10644.58
Total Due......,....................................................................................... $ 8861.77
Penalties accrue at a rate of 1.25% per month on late balances.
' The Department of Revenue's Water Division offers a variety of flexible payment plans for.water bills^ including'as plan for'
those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-fine or call us for more Information.
Meter Reading Details
Gallons
27316
29692
317.6
2376
□ 2182011 □ □ □ 4 fl 31 □ □ □ 4 6.-3*1 □ □t
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. ALLOW;5DAYS FOR PAYMEWT-BY MA1I
flflbl?? I
-I5A/V JX>\\
'hi
MAKE CHECK OR MONEY ORDER PAYABLE TO: City of Chicago
Department of Revenue-Water Division
P.O. Box 6330 v.
Chicago, Illinois 60680-6330 Service Address: 1636 60 N LA SALLE OR CHICAGO IL 60614-6005
483900-483900
Feb-18-2011
$8861.77
8.1.2721 06505D11.pO1
'M'i'i'M'"1.........il'llrlul1'..........I........Mil
Attn: 1660 CONDOMINIUM ASSOCIATION MANAGEMENT OFFICE 1660 NLA SALLE DR CHICAGO IL 60614-6000
Amount Paid: $
304246
0B162D11 □□□4fl3tiDDD4fl3TDD b □□□□AAbl77 □□□□flflbl?? T
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60002 Telephone
Chairman ww.commitleeonfinance.iiri' 312-744-3380
February 18, 2011
,|II.II,I||I||T||.|.TT|.I.II||||I.|||.||II.I|.I|.|I
002*001*******5-DIGIT 60610 SILVERMAN, DOLORES 1555 N ASTOR ST CHICAGO, IL 60610-1673
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016217
Index Number: 1703101028 1086
Water Account Number: 300120503288
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: VI DALEY of Ward 43.
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.
I Qn)nR«r^ S^Vg^i^ilrr^igned. on oath, Please Print Name
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, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE<Sk»S[v)--va ^R^L^v^-v-^DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■'SSI*'228
Alderman EdwardJVI. Burke Cliairman .
City of Chicago
Committee on Finance City Hall Room 302, 60602 ■■ mnvxcinimilteecmfinance.or'i
■Telephone 3 j 2-744-3380
February 18, 2011.
1111 ■ i ■ i ■ i ■ i1 r- -1111 -11 ■ i ■ i - - - ■ -111 ■ - ■ i 11 -1 ■ ■ ■ 111-1 ■1 -11 - - ■ 1111
002*001 * * * * * * *5-DIGIT 60610 SILVERMAN, HOWARD B. 1335 N ASTOR ST APT 12A CHICAGO, IL 60610-2140
For Official Use Only:. Ward: ;'- / *'
Intro: Date:_
Status:__
Reason:_
Claim Number: 1020095
Index Number: 1703105011 0000
Water AccbunrNumbeTr584929584929-""" " ':' "= "
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: VI D ALEY of Ward 43.
To determine whether your cohdo/co:op/tbwnhouse 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, ypu must,sign and dale this application and return it to your ward office before July :1, 2011. ~ '. '; : ";;.' ' ,' ;
the undersigned, on oath, '". .
Please Print Name
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January I, 2011 lhat I am the owner of record of said real estate properly or lhat 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, thai 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.
OWNER SIGNATURE'
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 WWRIGHTWOOD AVE Chicago, IL60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
For Official Use Only: Ward:_
Intro. Date:,
Status:_
Reason:_
Claim Number: 1009571
February 18, 2011
i||j|.l|.||lj|lii.liiiMillll|l|l|.ilill|.|li,i.ili|li
002*001*******5-DIGIT 60610 SIMON, MARION E. 1515 N ASTOR ST CHICAGO, IL 60610-1627
Index Number: 1703101027 1033
--WalerTVccounrNufnber: 300120503240 ------ ~~-------------------- V " " . . --------
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: VI DALEY of Ward 43 . , ,, .. . ,
To. determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance,; thejCqnimittee 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.
undersigned, on oath, . Please Print Name ....... i-
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.
AmO^ If.J&L DATE?^flu^l^Ail
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAJL 1 .SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman VI DALEY, .......
,AUn: KArM , ' , ! . ;|, ..., ,-;............,.............. ,.
735 W:WRlGHTWdOb AVE ;. '' ^ ' ' "\ * "/''r''
Chicago, il60614:, .,r--:.rii:i^..,.,,,:....."...'......., '. ' "
»*r-
Please, do not send it. to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
Chai rman H-ww.commilleeonfinance.nrg 312-744-3380
February 18, 2011
■Y i ■ 111 ■»■ ■1 ■ i ■ ■ ■ i ■ ■ i -1 ■ ■ i ■ 11 ■ i111 ■«i ■ ■ i ■ ■ i i ■ i ■11 ■ - ■ ■ ■1111 ■ 11 ■
008*001*******5-DIGIT 60614 SIMMONS, CHARLOTTE I. 2626 N LAKEVIEW AVE APT 3607 CHICAGO, IL 60614-1830
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018374
Index Number: 1428318064 1391
Water Account Number: 300330329256
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: VI DALEY of Ward 43.
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,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 lhat 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.
OWNER SIGNATURE/^L^^iZfy^y^ DATE f~-^/ XT',
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
111111111
February 18, 2011
(WJIMOS
i i11 -11 -111 -1M1 h -1 - i11 - -111 -1 -1 -11
003*001 *******5-DIGIT 60610 S1MONIAN, SARA 1440 N LAKE SHORE DR APT 29D CHICAGO. IL 60610-5925
"11" 11 ■ 1111"11" I '
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019136
Index Number: 1703103028 1192
Water Account Number: 584959584959
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: VI DALEY of Ward 43.
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 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 il to your ward office before July 1, 2011.
__the undersigned, on oath,
Please Print Name
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 subje^to penalties for perjury of falsification herein.
cxA^° C^l/jMrtniJZA A DATE ' 2-3-2-0//
OWNER SIGNATURE^6^^ KyjJyi/Vl^j ^ ^ \ Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
-M111111111111111 -11 >1111111 -1 - - -1 -11E111 -11M1 -111 -111-11 -1 -
008*001*******5-DIGIT 60614 SMITH, JANICE L. 1960 N LINCOLN PARK W APT 2208 CHICAGO, IL 60614-6531
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020878
Index Number: 1433400042 1236
Water Account Number: 482825482825
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: VI DALEY of Ward 43.
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 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 il lo your ward office before July 1, 2011.
_the undersigned, on oalh,
Please Print Name
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.
OWNER SIGNATURE htfjlsjffry DATE &iZ/tJ,:z/cZ£>//
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.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'i"l"'rl,rM"l"'i',il,"'il"'ll","lll'l,ri'ir"l,'iili
Status:_ Reason:.
008*001*******5-DIGiT 60614
srvirrH, mary l.
I960 N LINCOLN PARK W APT 307 CHICAGO, IL 60614-5438
Claim Number: 1016357
Index Number: 1433400042 1007
Water Account Number: 300330124765
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: VI DALEY of Ward 43.
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 il to your ward office before July 1, 2011.
I rApty U \- « ^Dn-yvVf]_the undersigned, on oath.
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record ol 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
'lease Print Name
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall Room 302 60602 ww.c.'ommitleeonfinance.orj;
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
-11 < 11 -11 >111' 11111 -'' 11'111111111' I' h 11 h'1 j' -1111 -11111 j I -' -1 -
Status:_ Reason:.
008*001 *******5-DIGIT 60614 SNYDER, SHERWOOD 1960 N LINCOLN PARK W APT 1204 CHICAGO, IL 60614-6529
Claim Number: 1016366
Index Number: 1433400042 1113
Water Account Number: 300330124765
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: VI DALEY of Ward 43.
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 ofthe 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 unslsrstand 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE.
DATE
i
»'<^g*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■ I - -11 -1" 11" 11 ■1" ■" I"1" I" 11'"111" I""" 1111111111"1"1111111" I""" 111
Status:_ Reason:.
008*001*******5-DIGIT 60614 SOBECK, ERIKA 2754 N HAMPDEN CT APT 1307 CHICAGO, IL 60614-4835
Claim Number: 1022065
Index Number: 1428308030 1113
Water Account Number: 477834477834
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: VI DALEY of Ward 43.
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.
I £ZJV ACL- \ <2.cJ?_the undersigned, on oath,
depose and stale that I am the applicant in the application, thai 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 1 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
Telephone 312-744-3380
Ih'lli-l-o-il-il-lln-ihlhi'T'il'-lliill-1-1!!-11!
008*001*******5-DIGIT 60614 SOBELLI, HECTOR 2400 N LAKEVTEW AVE APT 2802 CHICAGO, IL 60614-2741
Index Number: 1428322038 1246
Water Accourii~Numberr300330328017 - - - ~ " " '" - -
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019867
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
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 lhat 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 H-ecJfef ^ahieUi__the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the^pplication, that this is my principal place of residence as of January 1, 2011,
that I am the owner of record of said/ years of age or older, and otherwise/ Chicago, that all water taxes, pro^ been paid and that I understand I,
OWNER SIGNATURE. Very Truly Yours,
state property or that I have a legal or equitable interest therein, that I am 65 for a refund under Section 3-12-050 ofthe Municipal Code ofthe City of 5)s/and all other fees, penalties or assessments owed to the City of Chicago have ft to penalties for perjury of falsification herein.
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Mt'-i'Ii'-iIi'-I-IiO-iI-i-'iit'i-i'IiI111!-1!1.....-I-II
Status:_ Reason:.
008*001*******5-DIGIT 60614 SORENSEN, VERNON ■ G> (*j£tT: 2500 N LAKEVIEW AVE CHICAGO, IL 60614-1846
Claim Number: 1001311
Index Number: 1428320030 1098
Water Account Number: 300330329128
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: VI DALEY of Ward 43.
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 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 Cs>ffiTT<£ (g. So(g?\/g<v/ 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 understand I am subject topenalties 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 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
Please Print Name
OWNER SIGNATURE.
^J<^t_DATE_ctf2#pl
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
||l,ll|.|||...|||ll.l.|||.|.l.l,|,||||l|.||l|l|,|l|l||||,|l
002*001*******5-DIGiT60610 STEIN, ROSE
1300 N LAKE SHORE DR AFT 34B CHICAGO, IL 60610-5165
Index Number: 1703108016 1120
Water Account Number: 300120504847
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Telephone .312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002112
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: VI DALEY of Ward 43.
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.
i ®ds^ /V S7<^ifJ _the undersigned, on oath.
Please Print Name
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 1 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, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE DATE
2-^3-fi
Very Truty- Yours. ,'Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 WW RIGHT WOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60002 Telephone
February 18, 2011
(HJlfifO
ii'MnliiTi-il'lH-'irl-ri'l'-'-llxi'-'-lil-'il-il11
008*001 *******5-DIGIT 60614 STENSON, MICHAEL P. 2626 N LAKEVIEW AVE APT 1905 CHICAGO, IL 60614-1813
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021429
Index Number: 1428318064 1209
Water Account Number: 477746477746
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: VI DALEY of Ward 43.
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 L 2011.
I fit C/L/4F.L- f. ^H^M^ndersigned. on oath, Please Print Name
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 lo p^naWesJpr perjury of falsification herein.
OWNER SIGNATURE/l/lflf JLdjJO [ ' ^4wK4M/ DArE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll'ilii-M'iii'-hl-i'il'l-ii'ii'l'I'-'ii'T111!!1-!11!-!!
Status:_ Reason:.
008*001*******5-DIGIT 60614 STETTLER, ANS
2500 N LAKEVIEW AVE APT 3002 CHICAGO, IL 60614-4874
Claim Number: 1011442
Index Number: 1428320030 1061
Water Account Number: 300330329126
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: VI DALEY of Ward 43.
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 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 VI DALEY Attn: KAREN
735 WWRIGHTWOOD AVE Chicago, IL60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
> 11111 - r - -1111 111 -1111 -11 - - - M -1 -1111111111 i1111 I - - -11 - -111111
Status:_ Reason:.
008*001*******5-DIGIT 60614 STODOLSKY, SUSAN B. 2440 N LAKEVIEW AVE APT. #9E CHICAGO. IL 60614-2872
Claim Number: 1021628
Index Number: 1428322015 0000
Water Account Number: 477653477653
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: VI DALEY of Ward 43.
To delermine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify lhat 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.
depose and slate 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I S'^yJ A, S'T'COOl-'S k^ the undersigned, on oath, Please Print Name
Alrlerman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
hi
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|.l,l||,||l|l|||||l||,l|,|l|,|l|l||l||||||ll||||,||,|||
Status:_ Reason:.
003*001 *******5-DIGIT 60610 STRAUS, HENRY H. 1550 N LAKE SHORE DR APT 21G CHICAGO, IL 60610-6604
Claim Number: 1019682
Index Number: 1703101029 1136
Water Account Number: 584974584974
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: VI DALEY of Ward 43.
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 lo your ward office before July 1, 2011.
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, thai all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand^ am subjecLto 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 W.WR1GHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18,2011
iii■ - i-■ i-11111 - - i 1111 ■ 111111 ■ 1111 - -1 ■ -1 -1 ■ i111 - - - -11 - -11 i ■ i -11 ■
008*001*******5-DIGIT60614 STOFFEY, HELENE W. 2650 N LAKEVIEW AVE APT 1608 CHICAGO, IL 60614-2952
Index Number: 1428318077 1137
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020840
Water Account Number: 477749477749
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: VI DALEY of Ward 43.
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 il to your ward office before July 1, 2011.
I
Jhe undersigned, on oath,
Please Print Name
depose and state thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 1 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
\^^\^jjJs 4%S^date^.^-^
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
♦ (■ggi.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
H -111 - -1 - <1111 -11 - 1111 -1 m 111 - -111M -1 -11 -1 h -1111111111 11 -1
Status:_ Reason:.
008*001*******5-DIGIT60614 STROBL, WALTER 2400 N LAKEVIEW AVE APT 312 CHICAGO, IL 60614-2732
Claim Number: 1018728
Index Number: 1428322038 1012
Water Account Number: 300330328017
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: VI DALEY of Ward 43.
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.
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 Cily 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 VI DALEY Attn: KAREN
735 W.WRiGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i ■ ■ i i1 ■ 11 ■ ■ ■ 11 ■ i ■ 111 ■ 1111 ■ i ■ i ■ 11 ■1111 -1111111111111 -11
008*001 *******5-DIGIT 60614 SVOBODA, RAYMOND 1660 N LA SALLE DR APT 2801 CHICAGO, IL 60614-6021
Index Number: 1433423048 1312
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:
Claim Number: 1018730
Water Account Number: 300149050191
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: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
.the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject t$ penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
2-^
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.
RETAIN 1 COPY FOR YOUR RECORDS
«.<*g*S,228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
||.l|l|l|l|ll||,|,lll|l|,|,ll|l,|l|.l|.|.,|ll|ln.l.,lll||ll|
Status:, Reason
008*001*******5-DlGIT 60614 SYCHOWSKI ROBERT 2626 N LAKEVIEW AVE APT 707 CHICAGO, IL 60614-1810
Claim Number: 1000249
Index Number: 1428318064 1091
Water Account Number: 300530329256
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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 thai you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January I, 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 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. RETAIN 1 COPY FOR YOUR RECORDS
I fed SV C t4 r-, \kfS K I the undersigned, on oath,
Please Print Name
OWNER SIGNATURl
DATE
Alderman Edward M. Burke Cliairman
City of Chicago
Commiltee on Finance City Hall Room 302 60602 www.enm mil leeon fi nance.org
February 18, 2011
003*001*******5-DIGIT 60610 TAGHERT, FRANCIS 1440 N LAKE SHORE DR APT 18D CHICAGO, IL 60610-5915
Index Number: 1703103028 1108
Water Account Number: 300120506128
Teleplione 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007701
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: VI DALEY of Ward 43.
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 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 you/ ward office before^July 1, 2011.
Please Print N
Jhe 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 interesi 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 uniJJeT^and I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
DATE
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. RETAIN 1 COPY FOR YOUR RECORDS
02/14/2011 12:51 7733277103 ALD VI DALEY PAGE 02/02
Chicago City Council - Committee on Finance - Application for Senior Citizens Sewer Charge Annual R... Page 1 of 1
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM#_
WARD_
DATE_
STATUS
R_
Note: *AII Fields Must Be Filled In
Claimant Name
Claimant Address
Claimant
City, State 8k Zip Code
Claimant Telephone
Office
Home
Cellular , _ .
Claimant Birthdate;
Property Tax Number:
PIN -
'1^:3^ -dsO(p -05% -100%
Water Account Number:
Building Type:
i, t=ri<^/d _
^_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that 1 am 6S 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 1 understand I am subject to penalties for perjury or falsification herein.
Com Units _
Res Units
7f
11
OWNER SIGNATURE:.
L! -
DATE:
if
Please print this and return appiication to your aldermanic office before July 1
© 2007 Chicago City Council - Committee on Flnanace. Ml Rights Reserved
11 /1 inni n
City of Chicago
Department of Revenue-Waler Division P.O. Box 6330 Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
i essssmsnm^i li etui
I
CUSTOMER NAME
DATE
DUE DATE
Attn: 2144 LINCOLN PARK WEST
483688-483688
Service Address: 2144 N LINCOLN PARK WEST CHICAGO IL 60614 Summary of Charges for Sep-21-2010 thru Nov-22-2010
Total Current Water.............................................................................
Total Current Sewer...............
Penally................................
Total Current Charges.........
Previous Balance...........................g£0^.y...........
Nov-26-2010 Dec-17-2010
RECEIVED DEC 0 fi ftM
Adjustments
Payments................................WOLW-tEV/N-iNCas-Agams-
Total Due,
S S $
$
s $ $ s
1012.64 870.67
0.00 1883.51 1749.22
0.00 1749.22 1883.51
Penalties accrue at a rate of 1.25% per month on late balances.
The Department of Revenue's Water Division otters a variety of flexible payment plans for water bills including a special circumstancos/hardship plan for (nose who qualify. Avoid Water shut off or have your sen/ice restored by entering a plan. Visit us on-line or call us for mofo information.
Meter Reading Details
1000 Cubic Feet = 7480 Gallons
METEREDiUNITS
THOUSANDS
031
READINGS
PREVIOUSlllCURRENTi
USAGE INiTHOUSANDS
ACTUAL'
ESTIMATED
,07
Gallons
4376
4881
67.5
505
12173010 0001o.3kofl04o3bflA 1 0000165351 D0Q01AA3S1 7
PLEASE RETURN THIS PORTION W1IH "OUR PAYMENT. ALLOW 5 DAYS FOR PAYMENT BY MAIL.
MAKE CHECK OH MONEY OHDfER PAYABLE TO: City of Chicago
Department of Revenue-Water Division P.O. Box 6330
Chicago. Illinois 60680-6330 Service Address: 2144 N LINCOLN PARK WEST CHICAGO IL 60614
C
ACCOUNTjNUMBER
DATE
TOTALSDUE
483688-483688
Dec-17-2010
S1883.51
20.1 <3386 99057011 pOZ
H,ii,lll,ii'll"lilii,l,,H"li'ill,,,,ll,l,l'iii'i,'iil"l'll' Amount Paid: $
Attn: 2144 LINCOLN PARK WEST C/O WOLIN LEVIN INC 325 W HURON ST STE 415 CHICAGO IL 60054-5048
12172010 aacmfi3bfiA0MA3baa i oooaias35i oaooiAA3si 7
ASHMA800/ASHMA810 HOMESTEAD DISPLAY/MAINTENANCE
1
494 14-33-206-052-1008 74001 NAME TARDY EILEEN
ADDRESS 2144 N LINCOLN PARK W
CITY-ST-ZIP CHICAGO IL 60614
1 = NON COOP DATE OF BIRTH= 02 17 45 TAX YR APPLD = 2 011 LABEL = DUE BATCH NUMBER = 27 MAINT DATE = 02/28/2011
PF1=ADD PF2=CHANGE PF3=DELETE
Cook County Assessor
Joseph Berrios
Cook County Assessor's Office 118 North Clark Street, Chicago, IL 60602 Phone: 312.443.7550 Fax: 312.603.5221 www.cookcountyassessor.com
-o
so = m
t'f-Zd-Tfid-o&bi 100%
Property Index Numbers) \jV[ tffftJ-'
Property Index Number(s)
Daytime Phone Number
Owner/Taxpayer Property Address , f
City
State Zip
As owner of the above property, I hereby apply for the Homeowner Exemption. I affirm by signature that this property was occupied by its current or previous owner as a principal residence as of January 1, 2010. I understand that it is against the law to provide false information on this Homeowner Exemption application.
& //T st si ( w OFFICE OF
K 0» /hi , Vau 2 - / ^ - (COUNTY ASSESSOR
Applicant's Signature /7 Date U xli 1 V 2*U
FEB I B 2011
IF YOU ARE APPLYING FOR THIS EXEMPTION FOR THE FIRST TIME AT THIS ADDRESS, you must include a copy of a recent property tax bill and a copy of one of the following valid forms of proof of age and residency with this application: an Illinois Driver's License (both sides) OR an Illinois Identification (ID) Card.
NOTE: Individuals using forms indicating a different name must demonstrate a connection to the current name by including a copy of a marriage certificate or other supporting documents. Owners of Cooperative Apartments must also submit a copy of their Stock Certificate, Occupancy or Trust Agreement.
I affirm that I was bom in 1945 or earlier, or my spouse was born in 1945 or earlier and myself or my spouse is liable for payment ofthe taxes and that this property was occupied by its current or previous owner as a principal residence.
Date of Birth
a-th (i___
Date
$ 736.15
BY 04/01/11 (on time)
2010 First' Installment Property Tax Bl
Property Index Number (PIN)
14-33-206-052-1008
Volume Cade Tai Year (Payable In) Township
494 74001 2010 (2011) NORTH CHICAGO
IF PAID LATE 04/02/11 - 05/01/11
$ 747.19
IF PAID LATE 05/02/11 - 06/01/11
$ 758.23
IF PAID LATE 06/02/11 - 07/01/11
$ 769.27
TUX CALCULATOR
I LATE PENALTY J IS 1.5% PER MONTH, I BY STATE LAW.
2009 TOTAL TAX
L
2144 N LINCOLN PARK WEST
CHICAGO IL 60614
~. . . , . J 2010 ESTIMATE
Property Classification 2-99 X
1,338.45 555S
Dear Fellow Taxpayer,
The "2010 First installment"Tax BiiTis dueTridayTApriri, 2UT1. T
A law recently passed by the Illinois Legislature changes the First Installment due date for Tax Year 2010 property taxes (payable in 2011) to April 1, 2011. This is a one-time change to the First Installment due date, which will revert back to March 1 for future First Installment collections. The Tax Year 2011 First Installment tax bill will be due March 1, 2012.
Sincerely,
Maria Pappas Cook County Treasurer
2010 1ST INSTALLMENT
= 736.15
_... Cook .County. Jfreasyr-er--
■ '£51
^3
'TP
11
EILEEN TARDY
2144 N LINCOLN PARK W
CHICAGO IL 60614-4651
Cook County Treasurer's Office - Chicago, Illinois ::
Page 1 of 1
1 |
3Bpf tREnSURERS jt«KE ' ChicagoJHinois ■m^J^m |
|
|
Payments
Payment Status Online Paymant
By Mail At Chase Bank Community Bank
In Person Get a Copy of Bill Returned Checks
Prior Years Prepayment
If Taxes Were Sold
Home
Research a Topic: Research our ever-expanding library of useful topics. Click Here.
Cook County Property Tax and Payment Information
Printed copies of this information may not be used as a tax bill. PayiriHHta.fiiiist lis submitted with original tax bill.
Property Index Number (PIN): 14-33-206-052-1008
View Prior Tax Year Information
2010 Tax Year information - Payabie tn 2011
Tax Year 2010 Tax Type: Current Tax Volume: 494 PCL: 2-99
Property Location
2144 N LINCOLN PARK WE CHICAGO, IL 60614-4651
(To update contact the Cook County Assessor's Office at 312-443-7550.)
Mailing Information
Exemption Information
EILEEN TARDY
2144 N LINCOLN PARK W
CHICAGO, IL 60614-4651
To update your mailing information click here.
To request a duplicate tax bill click here.
Exemptions do not become effective until the 2nd installment.
For last year's exemption data please scroll down to 2009 taxes due in 2010.
To check if you received exemptions on previous tax years, click here.
Tax Payment Information
Installment
1st
Tax Amount Billed
$736.15
Tax Due Date
04/01/2011
Last Payment Received
$736.15
Balance Due:
$0.00
Date Receive
02/14/1
Prina's.'e Versio
The balance.dus, including any penalty, is ss of: 3/21/201 Payments processed'.ere. pasted through: 3/18/201
View Current Tax Year Infonnation
2009 Tax Year Information - Payable in 2010
Tax Year 2009 Tax Type: Current Tax Volume: 494 PCL: 2-99
Property Location
2144 N LINCOLN PARK WE CHICAGO, IL 60614-4651
(To update contact the Cook County Assessor's Office at 312-443-7550.)
Mailing Information
Exemption Information
EILEEN TARDY
2144 N LINCOLN PARK W
CHICAGO, IL 60614-4651
Homeowner Exemption Received: YES Senior Citizen Exemption Received: NO Senior Freeze Exemption Received: NO
2/21/2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cilv Hall Room 302 60602 Telephone
Chairman wwwx(>mmitteet>nfinunt:e.<>rj: 312-744-3380
February 18, 201 1
(Hit■
11 r 11 - M111M1 - e 11111 - - -1 -1 - -1 -11 -1 - -111111M m 1111 -111 -11 - H
002*001*******5-DIGIT 60610 TATLEY, SELMA H. 1313 N RITCHIE CT APT 704 CHICAGO, IL 60610-5112
Index Number: 1703108017 1164
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020651
Water Account Number: 584978584978
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: VI DALEY of Ward 43.
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.
I -SfcrL,MA T^fTLi^/ the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that 1 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 underslandJ am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
■■n
For Official Use Only:
Ward:_
Intro. Date:_
I.I.II.IH.IH,,!!,,||||,111,111,lT|lM,II,J,,,,,,!,,,,!!!
Status:_ Reason:.
002*001*******5-DIGIT60610 TAYLOR, JACQUELINE 1445 N STATE PKWY APT 305 CHICAGO, IL 60610-1557
Claim Number: 1021649
Index Number: 1703102042 1007
Water Account Number: 585096585096
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: VI DALEY of Ward 43.
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, 201 1. 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 vJ ar-ny)p\\w(> / <^y//?f the undersigned, on oath. I Please Print Name'
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 interesi 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. ' IS Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
■'■"ll-lll-iir-lhii-ll-,il'-illll-l-lli--'i-ii h'-M'M'-i'ii
Status:_ Reason:.
008*001 *******5-DIGIT 60614 TECKLENBURG, WALTER F. 2626 N LAKEVIEW AVE APT 1004 CHICAGO, IL 60614-1811
Claim Number: 1011134
Index Number: 1428318064 1100
Waler Account Number: 300330329256
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: VI DALEY of Ward 43.
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.
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 1 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 VI DALEY Atln: KAREN
735 W.WRIGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
OWNER SIGNATURE.
**®*'22B
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 201 1
■ -1 -1111 -1 -11111 -11'1 - -111 -11 -11 -11M -1111111 -11111111 -1 -
002*001*******5-DIGIT60610 THEODOSSIS, TOM 1550 N LAKE SHORE DR APT 6G CHICAGO, IL 60610-1664
Index Number: 1703101029 1033
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019681
Water Account Number: 584974584974
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: VI DALEY of Ward 43.
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.
I Vh/yf "7///? (TpO?'^5 the undersigned, on oath, Please Print Name
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 lhal 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 Cily of Chicago, lhat all waler 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.
OWNER SIGNATURE
Very Truly Yours,
DATE /-f&^ts
J3> ?o//
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W. WRIGHT WOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
il-"!!!!---!-!1--Il-li--i[i-lilnlllilill-llliii-lli-IMI'li-i1
Status:_ Reason:.
008*001*******5-DIGIT 60614 TURLE, WALTER 2500 N LAKEVIEW AVE # 601-602 CHICAGO, IL 60614-1846
Claim Number: 1020002
Index Number: 1428320030 1162
Water Account Number: 477744477744
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: VI DALEY of Ward 43.
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 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.
_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 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 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. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
■^^S^ 228
Chicago City Council - Committee on Finance - Application for Senior Citizens Sewer C~ Page 1 of 1
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM#_
WARD_
DATE_
STATUS_ R_
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Note: *AII Fields Must Be Filled In |
1 |
Claimant Name |
Grethen S Urban |
2 |
Claimant Address |
333 W. Belden Ave. |
3 |
Claimant City, State & Zip Code |
Chicago, IL 60614 |
4 |
Claimant Telephone |
Office |
Home 773-281-4906 |
Cellular |
5 |
Claimant Blrthdate: |
06/11/1936 |
6 |
Property Tax Number: |
PIN 14 - 33 - 202 - 091 - 1012 |
7 |
Water Account Number: |
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8 |
Building Type: |
Condo |
Com Units |
Res Units 15 |
11 |
I. (>A e/c A c /-\ S- (-Us fi. B A /*/ f print vour name!, the undersianed on oath deposes and states that I am the applicant on this application, 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 or falsification herein. OWNER SIGNATURE: ^^^<^Cl_ ^t^Z^Z-^--- DATE: <2 /23 // 1 |
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Please print this and return application to your aldermanic office before July 1
© 2007 Chicago City Council - Committee on Finanace. All Rights Reserved
2/15/2011
- "Tt&S$crvtdry\hf5§tale'of ib^ uf fth/erica ■'. : - ' ^'^JT-- hereby requests all' whom it.jnay. concern to permit 'the citizenInatianal , iif the VnitedStates"named herein to pass u ifhoi/t delay or hindrance mid in ciise af need t» gire all laujiii did and proleclia)^^:.
............
preseiitcs touie'ir&jbim
SU
| 'y 'g^liEl Scmturm de Estaa&di (oslEsw preseuie sglicita a fcggggi. ^xt
},- , "''zdutbridades^crtnipeiett^^ de.los-E'slados Utiidq^^. ' K£
:c'tiso[de'hecesidad, presi'trle. tvda.la'. ificitas.;
DEC 0 3 2010
City of Chicago
Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 66680-6330-
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
CUSTOMER NAME
ACCOUNT NUMBER
BILL DATE
DUE DATE
BELDEN ON THE PARK-448 431855-431855 Nov-26-2010 Dec-17-2010
Service Address: 327 35 W BELDEN AVE CHICAGO IL 60614-3817
Summary of Charges for Sep-21-2010 thru Nov-22-2010
Total Current Water..................................................................................... $ 539.40 s"N.
Total Current Sewer.................................................................................. $ 463.88 /asiscw I
Penalty....................................................................................................... $ 0.00 I J
Total Current Charges............................................................................ $ 1003.28
Previous Balance....................................................................................... $ 958.53
Adjustments....................................................;........................................ $ 0.00
Payments................................................................................................... $ 958.53
Total Due................................................................................................ $ 1003.28
Penalties accrue at a rate of 1.25% per month on late balances.
The rjepartmentcrf Revenue's Water Division offers ai variety of flexible payment plans for water bills including a special circumstances/hardship plan for those who qualify;. Avoid Water'shut off op have your service restored by entering a pian, Visit us ore-.line-or callus for more information. 7- '
Meter Reading Details
METERED UNITS IN THOUSANDS
READINGS PREVIOUS I CURRENT
1000 Cubic Feet = 7480 Gallons
USAGE IN THOUSANDS Cubic Feet = Gallons
ACTUAL or ESTIMATED
Gallons
2600
2869
36.0
269
i2i72Dio QQLmaiasscmaiflss i aaaoiDD3Ea 0000100323 ^
PAYONLy THIS AMOUNT
* 4,356.34
2009 Second Installment Property Tax BE
BY 12/13/10 (on time)
Property Index Number (PIN) Volume Code Tax Tear (Payable In)
14-33-202-019-1012 494 74001 2009 (2010)
Township
NORTH CHICAGO
IF PAID LATE 12/14/10 - 01/13/11
$ 4,421.69
IF PAID LATE 01/14/11 - 02/13/11
$ 4,487.04
IF PAID LATE 02/14/11 - 03/13/11
$ 4,552.39
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF:
. Property location and classification for'this PIN 333 W BELDEN AVE CHICAGO IL 60614 3883
LATE PENALTY IS 13% PER MONTH, BY STATE LAW.
Property Classification 2-99
Taxing District
2009 Tax 2009 Rate 2009 %
Pension
2008 Tax 2008 Rate
MISCELLANEOUS TAXES
Metro Water Reclamation District Parks-Museum/Aquarium Bond Chicago Park District Miscellaneous Taxes Total
542. 93 O. 261 5. 64%
29.12 0.014 0.30%
613.65 0.295 6.38%
1.185.70 0.570 12.32%
31. 20 24.96
501.25 29.84 612. 63 1,143. 72
SCHOOL TAXES
Board of Education Chicago-Community College-Dist 508. School Taxes Total
4,921.71 2.366 51.13%
--3-1-2r^3- 0.4SO--3-24%__
5,233.74 2.516 54.37*
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund Chicago Library Fund City oi Chicago Municipality/Township Taxes Total
232.98 0.112 2.42%
205.94 0.099 2.14%
1,845.12 0.887 19.17%
2,284.04 1.098 23.73%
848. 71
232. 72 202. 89 1, 845.86 2,281.47
COOK COUNTY TAXES
Cook County Forest Preserve District 101.93 0.049 1.06%
County of Cook 407.70 0.196 4.24%
Cook County Public Safety 237.14 0.114 2.46%
Cook County Health Facilities 174.74 0.084 \ 1. 8 2%
Cook County Taxes Total 921.51 0.443 ' 9. 58%
2.08 147.69
101.44 445. 55 208.85 171.06 926.90
(Do not pay these totals)
9.624. 99
4.627 100.00%
9,579.38
0.252 0.015 0.308 0. 575
4,916.98 2.472
_310. 29 ... _ 0.156 .
5,227.27 2.628
0.117 0.102
0. 928
1. 147
0.051 0. 224 0.105 0. 086 0. 466
4. 816
(
TAX CRLCULRTOR
2008 Assessed Value
74.836
2009 Property Value
V 743,280 2009 Assessment Level
■ X 10%
2009 Assessed Value
... ■ ' -': =: . 74,328 ;;
2009 State Equalization Factor
* ':■ 3. 3701
■ 2009 Equalized Assessed Value (EAV)
■ ;= 250.493
X 4.627% 2009 Total Tax Before Exemptions
■ .■ ■■ = 11,590.31
lomeowner's Exemption
1,780:24
Senior Citizen Exemption
185.08
Senior Assessment Freeze Exemption
■ '-' ■ : .oo
2009 Total Tax After Exemptions := 9,624.99
First Installment
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
UUI7S2
(III,!!,,,,!!,,!,,,,,!!!!,!,,!!)!!),!,.,)!!,!,!.!!.,!!!!,!,!!.)
008*001*******5-DIGIT60614 VANDERVOORT, STEPHEN H. 2043 N HALSTED ST #C CHICAGO, IL 60614-4369
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023230
Index Number: 1433125044 1016
Waler Account Number: 431967431967
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: VI DALEY of Ward 43.
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, Please Print Name
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 waler 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURfOsgifiX^X)^ J^yrrTVpATEQp)| QQ H
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRJGHTWOOD AVE Chicago. IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illl-ll'IrlliiV'l-li'lii-lll-N'I'l-lil-ii'-hi'r1!-11!
Status:_ Reason:
008*001 *******5-DIGIT 60614 WALSDORF, MARY T 1660 N LA SALLE DR APT 2505 CHICAGO, IL 60614-6019
Claim Number: 1022924
Index Number: 1433423048 1280
Water Account Number: 483900483900
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: VI DALEY of Ward 43.
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 dale this application and return it lo your ward office before July 1, 2011.
depose and state thai 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 interesi 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 lo the City of Chicago have been paid and thai 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 VI DALEY Attn: KAREN
735 W.WRIGHT WOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your aldennan will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
MARYT. [A/AL&hnQFtb
:he undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
:vii7,.11,■11,11,,-1-■■11■■■11-■11111 ■-111-1 -1 ■ i ■ i ■ ■ ■ ■ 11111 ■ ■ ■ -1 ■
008*001*******5-DIGIT60614 WATANUKI, KUMIKO 1660 N LA SALLE DR APT 607 CHICAGO, IL 60614-6008
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018769
Index Number: 1433423048 1055
Water Account Number: 300149050207
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: VI DALEY of Ward 43.
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 properly meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state lhal 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 understandLam subject to penalties for perjury of falsification herein.
OWNER SIGNATURE*^^^^ DATE ^7-^ ^ 3-6//
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.
RETAIN 1 COPY FOR YOUR RECORDS
12/01/2010 1506 FAX 312 284 359C
PRUDENTIAL RUBLOFF
(hieajjo City Council - ('omniillee on Finance - Sower ("h;in,>e Annual Refund
@ 0"1/004
I'a-c 1 oil
The Chicago City Council
Committee on Finance
-« lfy. ifr. TB
SEARCH
Hr,,.-.- ■-■ n,:.:nv.
Sewer Charge Annual Refund for Seniors
Wrint you need to be eligible for the Sewer Ch;»rcj« Annu.it Rf.lund:
You must be- 6I-" year;, of age, or older, ,):-, ol January 1 lot tlx: year you ,ire cipplyiritj.
You must be t.he sole owner, or owner in joint' l.enont.y, m ren.mey hi r.<irrurinn of the properly.
You must occupy Lite property as' your principal place of residence.
You niuit own d townhouse, condominium unit, or cooperative apartment that shores o con'mioo water bill.
ihreo documents must I"".'; submitted with your application;
MOST RECENT WATER BILL
I jepcncl'.nq on your illit'!;':, you can obt.nn a writer Dill by contactinc) your build inq nssofiotmn.
1 his will verify the waU'i meter or osr.o^r.od account and tlie water dCcounl. number.
Choose One item From Each List
2otl Installment of most recent tax bill indicating you are receiving the senior citizen homestead deduction;
OP.
o Copy of the approved application for the senior citizen homestead deduction
or y<u tm &
' -r *.\ \.'
Assessor's Senior Homestead Deduction (A.S.H.D.) printout You can obtain this by calling (312) 443-7550
PROOF OF AGE
(any below ore
acceptable)
* copy ol drivers
I r i ll''
o copy Ol i-itrfle I.D. card
copy of Passport
o copy ot: Birrh Certificate
/■Ai r-
The .Senior Gli/en Sewer Charne Refund Application form must be completely filled out and submitted to your Alderman. If you apply by mail, DO NO I send ontimjls, SUBMIT COPTFS. Click here to find your Alderman.
Click here to receive an online version ol the f. iOe I l,-:i.i\S SR'Vil::K CHAPGF ANNUAL I <!'.!'■ UN I.: APPLICATION.
If you have any questions, do not hesitate to calf this office nt (312) 7-VJ-9293.
iiC'K'r: | '.■?r.t-;0',,.:": I HP.vr-. i en;/>.iu i ini-o ; i.:i-:-r>i.ip/;:[^ i eriMi'.v.rr e.s [ y.i
<.'■':> JO'H'i OHir.VH-. f.:tv CmmCr. ■■ (.'.OllVllilH;.;; O" l-:n;mrl; All Rl.|li;s f!il:Mrt-j Usi- </> till'. \vt.:h:.'.li'.: v']:''!''':. your ;uv (.'C'T'i.'l It Iv' Ih'.; Tt-.- r T-. I Jr - . .-in.-.' r:i:-;|ii;f i><i.\j. y :n.y ■Slli: L'i.'v'-.-Imciv,: f) (".rik.,i.i(: Wi"':i M.,r,i;j|.ri '.'Ml
Ia hi ltd ct; p 2 ; 7?
<-<ffl*
!ifl['i:/;\s,\vvv.c('inmiltcx-oiinn:uice.orj,v',claini.s/se\vi.:r.ii.i;[> / '
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12/u1/2u10 15:06 FAX 3 12 284 3593 PRUDENTIAL_RIJBL0FF 0 002/004
Cily ol Chionno
. .Ljepai'imeni ut Hovrriui':.--WmIci Division
5\
METERED
, r on raw ACCOUNT
■■; ;v.nil!:-;
Customer Service: 312-"V'-3-i-44ftf-i ■ ■■7>:J V E-mnil: wai^rbill!/tciiVQlchicoiyo.Of(j Cheek tor ;mc! rep.m
\'7-" Alwuvt- include voi.it ;u/7i/.?. account :>:im>n-: ,3 cn// back number. ''-ak^.
Web: v/ww.cityolehicayo.oru'nvvcnLio ' Yfui "must pay lor all
metered wciler.
RITCHIE TOWFR CONDO 58497(5-584976 Oct-2S-W0 Nov 19-P010
Service Address: 1310 IM RIT CHIE CT CHICAGO IL G0C1C
Summnrv of Charges for Sop-.?o-?0l0 Ihm Oct-?f>-2010
Total Current Waloi..................................................................................... S o3G.'8
'5'Olal Current Sewer................................................................. ■........ :-' 719 11
Penally................................................................................................. S
Total Current Charges............................................................................. S I5b5.^:i
Previous Balance.................................................................................. $ 1805.10
Adjustment............................................................................................. S 0.00
Payments................................................................................................ $ 00
Total Due -................................................................................................. S 3360.48
l:Vn<jll|i:v.: r i.n.- a: ,:i t:irr: of [■<.;■' hummO oo J; >ti.- I j: iJ.m'i.-
The Di-partmonf Cll Revenue's Wiltffr Division otlcrr. il v.irimy ol fli:xitilr pnymotil plan:: tor wralcr bill-i InekKlinci il 'ipr-riiil ci«;um5l.v>nffrJliar<jKlil|> pl.ifi !«' tfioxc who qualify. Avoid W.H«t i.hut oH or Ikmi<! your sorvrf.i\ ifMjtoiud toy entorinn » Hl.ici. Vi;,it tir. on-linn or cull <r. 'or moic Ifitorm.niem.
Meter Reading Detaiis
Gallons 13557 13374 55.7 * 417
linSDIO Oi:jD5flMT?bOSAMci7L ]. 000033^3 DD0033b04fl 5
MAKC OHI--CK OR MONPY OR0r.ll PAY A!-',;. K IO City ol Chw.;,Kio
DcpmtlYiCsnt ot RiiViimiO-V/nlvjr Divi:;iim:
p o. r.x<n
C!m;;:i';:-., ite, liOGiio t^o Service Address 1310 N RITCHIE CT CHICAGO IL 60610
5tf'l07S-SS497G Nov-19-2010 53360.48
iijl!l,lj|)i1.i,!j,{,i.i|.|iiIii||ti,|ji.i,.||i|!t.i,iIi! Amount Paid: S
Hi 1 CI lit! I O'.VhR CONDO H-iCblVING ROOM l.J,10 N plTCHIi;' CT
Chicago n i;ogio :mok
LUPOID 0D05fl4T.>u:iSflMr}7b 1 OOOQB.^OMS 000033tOlifl 5
12/01/2010 1506 FAX 312 284 3593
PAY ONLY THIS AMOUNT
BY 12.'13/1A (on time)
PRUDENTIAL RUBLOFF
$ 0 0 3 / 0 0 4
2009 Second Installment Property Tax
I'ffJlu'llv fin!':a Niiinbpr fl'INj Volume Cnclr
1V - 03- 107 - 019- 1 101 490 7400?
2009 (2010) NORTH CHICAGO
IF PAID LATE 1Z14/KI - (11/13.11
$ 2,905.84
IF PAIO LATE 01.14/11 - uy/1311
$
2,948.78
THANK YOU FOR YOUR FIRST INSTALLMIN7 PAYMLNT OF;
% on o;!-in
Properly titration snrl classification for Ihrs PIN
linn n ritchic ct
Tiixlnc; District
MISCELLANEOUS TAXES
Metro Wnlot Ro.damation Di.'.trii.t
P.uk.i-Mijin.ijM'i/ActUJMUtM but ill
Chicago Park District MIsccH.-int'oUi; T.-ixc* Total
CHICAGO l[ fiOfi'lO 21 CO
?009 Tnx 2D09 Rate
2110!) 1
:u4 ni;
1 n. Ml
:uiri no
0 2Gi
II 01/1
o. 205
0 S7D
SCHOOL TAXES
Donrd ni Eriucrilinn Otiiri.ifiu community Collr;r;i.' Hurt SOU School Taxes Total
:i i?/ on i!)i>.
3 . a?f, 34
00 not pay these lotah;)
0. C4i.
I).
Ij JM'/ \-t -ill
'!. jGO hi. I.V,:, li 1M> H :M"'. ?. 516 'J/X
MUNICIPALITY/TOWNSHIP TAXES
Ohir.iitji) Hrihnul "l(J(! C Imp) lund mh [);"! 0. 1 ll> -);:'/■
Ch'caqo Library rund Kill hm 0.099 2.
t :nv ni Chic.'ifin 1,1/"' 33 0 KH/ l'l i
l\Auntcipatltyn"ovtnM)lp Tains Total 1.451 21 1. 09U ?S 73%
COOK COUNTY TAXES
("(ink Cuunly rriresi Preserve District H4 VH n 04T
Criunly nl (inrik flC^.OG 0. lli(j
Clink 6ull"ty 1'lll.llic: ofilrlv 1SU.S/ (J. 11.1
Clink Cuimty f li:;"ilth I nr.ilitu.t;. 111.0/.' 0. Otl'l
CooK County Tuxtn; Toftil 5BS 50 0 4/13
i oc;. .1
2. 'ICi'/c
n r.nx
IF PAIO LATE 02/14.11 - 03.13/11
$ 2,991.72
f LATC PENALTY j IS 1.511 PI:R MONTH, I IIY SI ATI LAW.
ProfiCrly Clas:;ilii.:alion 2- fJO
Portion
10 k:; is iii;
93 S3
ZOOS Tnx 20011 Rule
'i'i
10. .12
'Am. ;''i>
70G OG
:i.o:
101. GO 3. 2i>S. 9li
i;:> f',:'
?7.'i 04
io',i on
(i :>s:' u in:, » ;ioh
O. bib
:■ .1/T
li I Mi ?. G28
m:.i. (i/ 0. 11"/
i:»v :>!i o ni'.1
1. !M. si n. ri:'fi
1.400.43 1.147
o. usi
0. 2H-l 0 ICS 0. Out 0 406
TAX CALCULATOR
2008 Assessed Value
/UlKl Pfo|n'i|y V.;km
i'lMi!) A:.:.i,:-.:;iin'.ni l.rtiil
44.414
4;-:i. ij'.iii
2009 Assessed Value
42,185
?firiH firsts Frin/iitf.-iiloii l.idrn
X :-. <.(.!
Fflftt r<iu^li70l At-f.i!:.R«il V.l!;ra ll-A'J)
- Mr. itit*
I'W'fl Lw;,il r :ix R.ui:
X .i.t;;>;--. .'JL"10*> lrit.il Bi'luin Ucrnptkiit:.
- G.lirB II
H(»i!ci)vjMi:r':i r.xmniUKin
_ r"77 G2
Suiilii Cili/iin Fxrmplion
1R.'i OH
Siiinni A:;Mi:>Miii:!'f! Inid.'i: f.xi^iuiiHiH . 00
0. 115 41
A 1)2/ 100 OOX
4 it Hi
WAl.KI l'l JIMHU- .1 WALKLH
i3io n Ft11en11 in pin
DHCAGO M (JOfilO H.IO/
i'Mlfi Tolal Atlm l:Xr,moli')ii:--
- 0.115.-II
iiil.i in:ii.ii:mrnt
;v ?.s::. m
Sf.r.nnd In.'j.iHriKint
+ 2. SC.?.«0
Tni.il SOfid Ira ,'l iv.ii I" In ;:,01(1)
~ (i, ii:;, 41
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NQT TO DOUBLE PAY.
PAYMENT COUPON
$ 2,862.90
BY 12/13.10 (do time)
II paying Inter, relur to .immints above.
See (In* rc.vcriH1 skiV ol this bill lor licinilcd pnymciTl insirnciiims. P1i:;.isi.: un.hiflr.' only Oiu: i:hi:i k ,inil oiK' orjpiul p.tymciil i.Oil|.ion per envelope. Use oi this coupon .iiithorizcs Tri-iiMiiri'-:! Ol'fia: to mctiK'i; check iimount to prevent overpayment.
PrCiimrly Index Nurnbor (PIN) Volume 17-03-107-019-1101 49R
I AnumiV. r.lkl
| | Niimu/Miiiiinj; Address ch.inge: Clieil; I
nit ;in-.j r'nniplrti; lonn oil Lvi:t' 10 U]xl:it.- ynur n.imr (in.|r,ir Pi.iiliii^ ;,i.1.lii-
lntiLide n.inii'., PIN. .kIiIitm^ }i .iiii.^ii. ph. we and e-mail dv.vt p.iv.ihli-1.1 G.'nk I ~i<nntv 'liviiMiivi
D0D02flbf?<iDT 17031070nil012 00^55 D0D02eiDSfiMS OOOOe^MfiTfifl DDDD5tni7BD
.-ii i Mi.'MiiM.jin ntn (i on 'i iiiwiii
WALKER JIMMIE J WALKES OR CURRENT OWNER 1310 N RITCHIE CT 23D CHICAGO IL 60610-8407
i.ltll..li>..illl...ll..llil...l,l,.ll!l,.,lll
COOK COUNTY TREASURER PO BOX 4488
CAROL STRCAM IL 60197-4488
i.il!t..III.II.I.II.IM..I.!l.ll,[|.!.ll
i7D3io?oxc5iioi/o/o,::i/F/nnnnpftF,?cin/?
01/2010 15:07 FAX 312 284 3593 P R U D E N TIA L _R U B L U F F g] 004/0
City of Chicago
Committee on Finance
Alderman Edward M.'Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i K11740
Hiillinili-l-l-lliiil--lllll--llilllll-lllll-llill-iiilill"1
008*001 *******5-DIGIT 60614 WEISS, MARCO F. 2440 N LAKEVIEW AVE APT. #14F CHICAGO, IL 60614-2872
Index Number: 1428322015 0000 Water*A"ccOTnt"Num'uer: 477653477653
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021633
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: VI DALEY of Ward 43.
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 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.
I rM ft- fe-C d £ \k) E ) S *> the undersigned, on oath, Please Print Name
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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understafra I arrisyliject to penalties for perjury of falsification herein.
OWNER SIGl^ATTJ^-----^__^ DATE | ) 1
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
».-*t5i».228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111111 ^ 11 < 111111'11M' 11' 111111111 111 -1MI 1 h 111 -111111111111
Status:_ Reason:.
003*001*******5-DIGIT 60610 WELLING, DIANE M 1325 N STATE PKWY APT 10F CHICAGO, IL 60610-6119
Claim Number: 1022801
Index Number: 1703106027 1041
Water Account Number: 585093585093
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: VI DALEY of Ward 43.
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 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 [) i /\/.| IE. 1a7tzLt-t fiJ&__the undersigned, on oath,
depose and state that I am ihe 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send il to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
OPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Aid erman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
HtK)4'i(J
->h-i-h> i-Mi--' Mil-'il111! iXPillil li-111!!11 Mill11!-l-'-h
003*001*******5_DIGTT 60610 WESTERMAN, MAXWELL 1515 N ASTOR ST APT 10A CHICAGO. IL 60610-5797
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003811
Index Number: 1703101027 1019
Water Account Number: 300120503240
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: VI DALEY of Ward 43.
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,
Please Print Name
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, lhat 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.
OWNER SIGNATURE
UJk4tA*>~iSt DATE ^\, //__
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.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
■1111 -1 - -11 - -1111 -111111 > -11 -11111111 -1 -111 - - -111 > i11 -1111 - - V i
002*001 *******5-DIGIT 60610 WHERRY, PHILIP C. 1 E SCHILLER ST APT 5D CHICAGO, IL 60610-2166
Index Number:. 1703104020 1059
Water Account Number: 585082585082
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022276
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: VI DALEY of Ward 43.
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 properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
C. Ue If T U the undersigned, on oath, Please Print Name /
■p-
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January I, 2011 lhal I am the owner of record of said real estate property or that 1 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. v
OWNER SIGNATURE.
^ /
Very Truly Yours,
DATE
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. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
3J2-744-3380
Telephone
February 18, 201 1
For Official Use Only:.
Ward:_
Intro. Date:_
,||llll,h|,llll|,||,|,|,l,,l||,,|,l,l|||,|,lll,||l|
Status:_ Reason:.
002*001*******5-DIGIT 60610 WHITE, IDA
1300 N LAKE SHORE DR APT 17C CHICAGO, IL 60610-2179
Claim Number: 1002609
Index Number: 1703108016 1058
Water Account Number: 300120504847
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: VI DALEY of Ward 43.
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.
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 1 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, lhat all waler 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i-i-■ -1111 -1 -11 - ■ 111 -11■-1111-1 -1111 ■ 111111 -11 -1■111i-111 ■ i i - ■ i
008*001*******5-DIGIT 60614 WITKOWSKY, IRIS S. 2440 N LAKEVIEW AVE CHICAGO, IL 60614-2872
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005800
Index Number: 1428322015 0000
Water Account Number: 300330328505
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: VI DALEY of Ward 43.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_JT^l-S S- U) JTK.CU2$/Cythe undersigned, on oath.
Please Print Name
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 ofthe 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.
OWNER SIGNATURE \3aCs> £> C^-^^^typs\l ^XtJL 0."$. ^#(1
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■^g5»>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 00602 Telephone
February 18, 2011
F-hiiilii'-'-i'l'-'iillii'Nil-ill-ir-
002*001 *******5-DIGIT 60610 WOLIN, LEON
1501 N STATE PKWY APT 11A CHICAGO, IL 60610-5737
■"ii'MII'-'I
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020932
Index Number: 1703100013 1025
Water Account Number: 585100585100
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: VI DALEY of Ward 43.
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, 20J1.
I
before July 1, 20J1
Jhe undersigned, on oath.
Please Print Name
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 interesi therein, that I am 65 years of age or older, and otherwis£_qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxefrTprogertytaxes,^^ fees, penalties or assessments owed to the City of Chicago have
been paid and that I ^rtaWstarKTl am subjeot to acuities for perjury of falsifiration/fterein.
if
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY . Attn: KAREN 735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
.^3^.228
Alderman Edward M. Burke Chairman
City of Chicago
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111 ■ i ■!1 ■ ■ 11" ■ i111 > 11 ■ 111111M1M111 ■ 111 i1 ■ - ■11111 11 ■111 1111
Status:_ Reason:.
003*001*******5-DIGIT 60610 WOLLMAN, JACK B. 1325 N STATE PKWY APT 20A CHICAGO, IL 60610-6127
Claim Number: 1022926
Index Number: 1703106027 1095
Water Account Number: 585093585093
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: VI DALEY of Ward 43.
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 lhat 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 Cf>CK B . V\)O L-L-MP\M 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 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 VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
UJI7V4
- -111111111 -1 -1111111 -11 ri11111111 -11111 - -111 11111111111 < i' 11 -
008*001*******5-DIGIT 60614 YOUNG, JOANN
2020 N LINCOLN PARK W APT 24J CHICAGO, IL 60614-4730
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016397
Index Number: 1433208028 1276
Water Account Nurriberr300330226319
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: VI DALEY of Ward 43.
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.
I
'JffilQs^/S y<gr L, luSQ the undersigned, on oath, Please Prim Name /
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.
OWNER SIGNATUR^^W^g^l^ DATE^ , <Z ^* nltf J/
Very Truly Yours, /
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman VI DALEY Attn: KAREN
735 W.WRIGHTWOOD AVE Chicago, IL 60614
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:^_
.I-mIIIIIIII,!!,!!!,,,!.!.!!,!!!,,,.,,!.!,,!,,!!!,!.!!!!!,),
■ i
Status:_ Reason:.
002*001 *******5-DIGIT 60610 ZIVIN, ALMA 1212 N LAKE SHORE DR CHICAGO. IL 60610-2371
Claim Number: 1002646
Index Number: 1703114003 1030
Water Account Number: 300120504601
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: VI DALEY of Ward 43.
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 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 T 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 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. RETAIN I COPY FOR YOUR RECORDS
Please Print Name