Ordinance O2011-594 Passed

(Senior Citizen Sewer Refund) BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO: SECTION 1. Pursuant to Section 3-12-050 of the Municipal Code of Chicago, Helene S. Gabelnick_is hereby entitled to a Fifty Dollar ($50.00) (Name) Senior Citizen Sewer Charge Refund for the premises located at _910 South Michigan Avenue. Apartment 1811 . (Address) SECTION 2. This ordinance shall take effect upon its passage and publication. FOR OFFICIAL CLAIM # USE ONLY WARD DATE STATUS R APPLICATION FOR SENIOR CITIZENS SEWER CHARGE ANNUAL REFUND OWNER NAME: ^6 ^ ^-AJ X-C/cf H^L/./ ' ~ "■' ■'■ ' ' ■ . " '■ Apt# <■■. i CHICAGO, IL 606 Q< HOME PHONE #: (311 ) , y^S - £ y 73 OWNERBIRTHDATE: O7 / ^3 / / 3 '! :"f' f WATER ACCOUNT NUMBER: Str1^ -': 6^7^ 5" A-Nil) 5^7 ^4 -5^g7^, ' (found on water bill) , ^ ' f -"' " PROPERTY TAX NUMBER: / 7 / / 5^ ■ ' •/ 307 , / Oj\ O ' /r /J35^;:' (found on property tax bill) ' ' 1 TYPE OF STRUCTURE: ' CP Condominium Unit • 1 ; I 2. Townhouse ' ' ' 11 3. Cooperative Apartment I, /J^ <^. (°H£i&xiiJn i c^tL , the'undersigned on oath depose and stat that I am (print name here) ":" 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" aim subject to penalties for perjury or falsification herein. . ' 'r OWNER-SIGNATURE: /^^Le M^dl-dl^L'? .. DATE: KloxJ . / <>'.. B.olO ; PLEASE RETURN TO YOUR ALDERMAN'S OFFICE IU^DlOiiBjrj^l City of Chicago Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue METERED ACCOUNT Little leaks cause big bills. Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: Attn: 910 MICHIGAN AVE LOFT ASSN 588725-588725 Oct-25-2010 Nov-15-2010 Service Address: 900 12 S MICHIGAN AVE CHICAGO IL 60605-2201 Summary of Charges for Sep-14-2010 thru Oct-15-2010 Total Current Water.................................................^^rr~7l............ $ Total Current Sewer.........-..:.v.:;:ZZ~..!it.-r..g.o.....................\........... $ Penalty....................C"...............Ilj.^jl'.V..'....................1.. Total Current Charges..f,.,..e.;.>..^.,AS^A...:..■:.".."....._.._.„,............f... Previous Balance .....1}'!....«....U.^s>..l■■■■ -\- Adj ust me nts..............«.„.„.. .-7.oJ.. .1....; ;tt.t. „.........„ _._. „........^r.. I.. Payments..................LL.'...".".. - «* —--'* ... a Total Due Penalties.accrue/af a rate of .1.25% per month on late balances. 750.00 645.00 6.00 1395.00 2148.30 0.00 2148.30 1395.00 The Department of Revenue's Water Division offers a variety of flexible payment plans for water,billsincludingafspecial circumstarices/hardship plan for: those who qualify. Avoid Water shut off or'.have your sehHceVestored by entering aSian". Visit us^orirline or call us for more information. Meter Reading Details 1000 Cubic Feet = 7480 Gallons Cubic Feet v '-7;V',READINGSf'':-^r'7-':-;' PREVIOUS' I CURRENT-1!, ;i#PfG'uB s*tiM--------- 111S5D1D □□□Sflfl75SD5flfl72S S □□0013TSDD □ □□□13ti5DD 7 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: 900 12 S MICHIGAN AVE CHICAGO IL 60605-2201 588725-588725 Nov-15-2010 $1395.00 3 1 499 93338D11 .p01 liilllilliiiilill,iili,i,illli"l,iil,i,,lllllililiii,iiil"lilll Amount Paid: $ Attn: 910 MICHIGAN AVE LOFT ASSN C/O JAMIE MANAGER 910 S MICHIGAN AVE CHICAGO IL 60605-2356 1115 ED ID □□□Sflfl725D5flfl725 5 □□□013=1500 □□□□13T5DQ 7 18 an City of Chicago ■ ... - Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue METERED ACCOUNT Little leaks cause big bills. Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: Attn: 910 MICHIGAN AVE LOFT ASSN 588726-588726 Oct-14-2010 3jftj!lE8,Pl Nov-04-2010 Service Address: 900 12 S MICHIGAN AVE CHICAGO IL 60605-2201 Summary of Charges for Sep-03-2010 thru Oct-06-2010 Total Current Water.........................................................................$ Total Current Sewer........................................................^rrrrrrrTZZ........|... $ Penalty......................................^^^^.^.^X.O.Q:....................1. $ Total Current Charges....CT................It:';..'.:'."....................................\. $ Previous Balance.....................13.0?..'....vy......X $ Adjustments......................;....:.„,v....^...M.^.i„:..v..QB.B^:^:..^4 $ Payments...........................:.V.;^..:.'....90...:.:v::::l:.'."."........................\ $ Total Due.....................................-t^j*^-*^ $ Penalties accriie.at a-rate of. 1.25% per morlth on late.balances'-—" 1289.36 1108.85 _2398^T; *45^94 0.00 0.00 69/1/I5 The Department of Revenue's Water piyision dffers'.a.variety of flexible; payment plansifor 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 Gallons 14542 15185 86.0 643 11042D1Q □□□Sflfl72bDSflfi75b 3 □□□DbllllS □ uODtiTlllS 2 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: 900 12 S MICHIGAN AVE CHICAGO IL 60605-2201 w< #AGCPUNT^NUMBERP 588726-588726 •^fOTAbJDUE^-t^ Nov-04-2010 $69^1.15 1.1.112 92161D11 p01 |.||l.l|l.l|,ll|,||l|.l.|.||..ll,lll|.ll|.,.|lll|.l.||.,l||l||l„ Attn: 910 MICHIGAN AVE LOFT ASSN C/O JAMIE MANAGER 910 S MICHIGAN AVE CHICAGO IL 60605-2356 Amount Paid: $ 11D42010 □□□Safl72t.0Sfla72b 3 □□□□bllllS OOOObTlllS 2 1$ 3,064.88 | j 2009 Second Installment Property Tax Bill BY. 12/13/10 (on time) IF PAID LATE 12/14/10 - 01/13/11 $ 3,110.85 Property Index dumber (PIN) 17-15-307-036-1235 510 76027 2009 (2010) SOUTH CHICAGO P Volume Code Tax Year (Payable In) Townthip IF PAID LATE 01/14/11 - 02/13/11 $ 3,156.82 IF PAID LATE 02/14/11! - 03/13/11 : $ : 3,20279 > ^S«^^f^5^^^^^^^S^:- Eft-.; THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF: PAY THIS BILL AT C00KC0UNTYTREASURER.COM OR ANY CHASE BANK. LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW. 910 S MICHIGAN.AVE Taxing District CHICAGO IL 2009 Tax 2009 Rate 2009 % Pension : ...... Ep»aaB^ Property Classification 2- 99 2008 Tax 2008 Rate 2008 Assessed Valued. .: • „lli i-2009/Propei^;Va"lue^Wa^^^i*^ ffi irS*3l MISCELLANEOUS TAXES Metro Water Reclamation District Parks-Museum/Aquarium:Bond: ' Chicago Park District ■ Miscellaneous Taxes Total 370.96. 19. 90 419.29' 810. 15: O. 261 0. 014 0. 295 0. 570 5. 64% 0.30% 6.38%. 12.32% 21 31 17 05 334: 08;y -,'19. 89';': 408.32 782 29 . -0.-252 .: O. 01b . 0. 308 ■.. 0 575 :■: 2009 Assessment Level :2009 Assessed Value SCHOOL TAXES Board of Education —;Ghicagfl:Gomrnunity■ Gollege^)isl 508 r ■: Sc7ioo/:Taxes>rota/r^': . ^'VSi; »'^009iState.iEqu^izatioo;Fador^^^^>V. S2u09-E$a|lied-A«e^a>V^ 3,362. 84r, . 2.366 15^21-3r20--.'-^0:~t5e:: ' 3, 576.04 2. 616 51.13% , -t—3.-24%;--• 54. 37% . 3;277:18r y 2: 472 S~^.T-.-^206-856: * ' 3,483 99 " * MUNICIPALITY/TOWNSHIP TAXES TIF-Chicadb-Near South'. . ■■**:.':■'- r** ..'***. Chicago Special Service Area 12 . ... 0. 00 , 6. 000 0. 00% ; Chicago School Bldg & Imp Fund. 159. 19 0. 112 2:42% Chicago Library Fund 140171 0.099 2. 14% City of Chicago 1,260.71 0.887 19.17% Municipality/Township Taxes Total 1, 560: 61 1. 098 23. 73% 579.89 0 00 0. 00-: : 155. 11. • ■: 135. 22, . 1.230. 27- 1,620. 60: 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, 69. 64 . 0.049 1.06% 278.59 0 196 4.24% 162:03- : 0.114 ':' 2. 46% 119.39 0. 084; .1.82% 629 65 0. 443 ! '. 9. 58% 1.42 100.91 67. 61 296.97V ... 139':'20^-':. 114.01v ' 617. 79 . (Do not pay these totals) 6,576 45 4.627 100.00% 6,384.67 . 4.816 *-..jx ?2009»TotoCTax?AfteriExejnptions^fe*aK ^r ^Z'M '-SZ.^- A ; :,f. 676>45 E% 55, f.n o: 73 0 :Total'2009:Tax.(Payabl6 In 2010); ,.. . HELENE S GABELNICK 910 S MICHIGAN #1811 CHICAGO IL 60605-2293 $ 3,064.88 BY 12/13/10 (on time) I If paying later, refer to amounti above, See the reverse side of this bill f6r:aetaiied payment' ihstructiqriV-Please include only ,one check and one original payment coupon . per envelope. Use of this coupon authorizes Treasurer's Office-. ,: to reduce check amount to prevent overpayment. ' ■ ' '"Visit cookc6untyclerk.com for. information about TIFs arid for TIF. revenue distributions. . ' T3ND j^i !. Property Index NumDer (PIN) Volume Ipj 17-15-307-036-1235 510 f?rp m Amount Paid m ^ ft8': □Include name, PIN, address, location, phone and fes Name/Mailing Address change? Check box and complete form on back to update your name and/or mailing address. e-mail on check payable to Cook County Treasurer. ?j£ 000030hiMflflO 171S3D7D3b.lS3Sa ODTES □DDD311DaSc1 D0QD31St.fl2,r QOODaSOaTIS 20 17-15-307^)36-1235 0 09 4 550646 COOK COUNTY TREASURER PO BOX 4488 Jesse White - Secretary of State NUMBER ISSUED G145-3374-3809064W)7 H E LE NE. sffljttjMxfr CHICAGO iL'tX»05f f EXPIRES 07-23-ir BirtrKlate:%^3tt3^ ;> Female $03''y140:lbs ^;:HZL Eyes " Restncfiore^i.^y^^?Glass ,r^.;. DRIVERS LICENSE (Senior Citizen Sewer Refund) BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO: SECTION 1. Pursuant to Section 3-12-050 of the Municipal Code of Chicago, _Mary Nalbandian is hereby entitled to a Fifty Dollar ($50.00) (Name) Senior Citizen Sewer Charge Refund for the premises located at 801 South Plymouth Court. Apartment 804 . (Address) SECTION 2. This ordinance shall take effect upon its passage and publication. 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_ , 1 j Claimant Name 2 'Claimant Address 3 Claimant ; City, State & Zip Code Note: *AII Fields Must Be Filled In [Mary Nalbandian 801 S. Plymouth Ct. #804 :Chicago, IL 60605 4 Claimant Telephone 5 \ Claimant Birthdate: 6 : Property Tax Number: ; 7 Water Account Number: 1 Office '06/10/1934 Home '312 947 0574 Cellular pin 17 - 16 - 419 - 007 - 1136 '588628-588628/29/30 8 , Building Type: Condo 111 I, l\Ant-^ A/zf llo 6 ad) av) ses Com Units ■ Res Units f_ jj 198 _(print your name), the undersigned on oath depose's 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: 7Y)aTUA. alM-asSI Aj( DATE Edit Form Print this claim form Please print this and return application to your aldermanic office before July 1 © 2007 Chicago City Council - Committee on Finanace. All Rights Reserved HUMBER ISSUED 41 55-8034-885N 07-1M7 MARY NALBANDIAN 801 S PLYMOUTH COURT UNIT 804 CHIACGO IL 60605 Birthdate 10-06-34 Female 5'05"140lbs BRN Eyes f,.; 'I ?r..';Type;-- A -Class - -. Jesse White - Secretary of State IB UF.ETIME'L',-'; St/, City of Chicago Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue Little bills. METERED ACCOUNT leaks cause big Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: CONDO ASSC./SUDLER& 588630-588630 Oct-14-2010 Nov-04-2010 COMPANY Service Address: 801 S PLYMOUTH CT CHICAGO IL 60605 Summary of Charges for Sep-03-2010 thru Oct-06-2010 Total Current Water..................................................................................... $ 140.37 Total Current Sewer.................................................................................... $ 120.72 Penalty....................................................................................................... $ 0.00 Total Current Charges............................................................................. $ 261.09 Previous Balance....................................................................................... $ 317.04 Adjustments............................................................................................... $ 0.00 Payments................................................................................................... $ 317.04 Total Due.................................................................................................. $ 261.09 Penalties accrue at a rate of 1.25% per month on late balances. ThaDepaiirrieM those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or calf^sfor^or^jptormatlort. Meter Reading Details Gallons 1121 1191 9.4 70 11DMED1D □0D5flflb3005flflb3D 1 0Q0002bl0c) DDOODEblOT D City of Chicago Department'of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue Little bills. METERED ACCOUNT leaks cause big Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: CONDO ASSC. / SUDLER & 588629-588629 Oct-22-2010 Nov-12-2010 COMPANY Service Address: 801 S PLYMOUTH CT CHICAGO IL 60605 Summary of Charges for Sep-13-2010 thru Oct-14-2010 Total Current Water..................................................................................... $ Total Current Sewer.................................................................................... $ Penalty....................................................................................................... $ Total Current Charges.............................................................................. $ Previous Balance....................................................................................... $ Adjustments............................................................................................... $ Payments.................................................................................................... $ Total Due.................................................................................................. $ Penalties accrue at a rate of 1.25% per month on late balances. 735.00 632.10 0.00 1367.10 1590.30 0.00 1590.30 1367.10 .The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills Including a'spe^ those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us bri-llrie'br. cal^y^;ij|^-infeiw»B«iK •;<'•&.';•:''•:•'-'•• • Meter Reading Details 1000 Cubic Fast A Gtygy; Q ^ 2010 ',A Cubic Feet 2050 2099 49 366.5 11122010 QDOSflflbETOSflfibE^ b 000013b710 000013b710 fl few tu-.m^ws* City-of Chicago Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue Little bills. Check leaks. METERED ACCOUNT leaks cause big for and repair You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: CONDO ASSC./SUDLER & COMPANY 588628-588628 Oct-22-2010 Nov-12-2010 Service Address: 801 S PLYMOUTH CT CHICAGO IL 60605 Summary of Charges for Sep-13-2010 thru Oct-14-2010 Total Current Water..................................................................................... $ 705.00 Total Current Sewer.................................................................................... $ 606.30 V.- Penalty.................................................................................W3*'/fo"%'$ % 0-00 Total Current Charges........................................................B?../Jfc%|.|Li^ 1311.30 Previous Balance................................................................................ $ pi 506.60 Adjustments................................................................A......NOV-H-201B A °-00 Payments.......................................................................I.......................... $ | 1506.60 Total Due....................................................................D....................... $ JQ> 1311.30 Penalties accrue at a rate of 1.25% per monthfir/lata balances.____ - The'Department^bf Revenue^ Water Division offers a variety of flexible payment plans for water bills Including a speclal clrcurnstances/hardshlp plan for 'those who qualify;AvoidWater.sHut ottor have your service restored by entering.a plan. Visit lis online or.calfus for rhbro Information;',, Meter Reading Details 1000 Cubic Feet = 74S0 Gallons Cubic Feet 1919 1966 47 351.6 111EED10 ODDSfiflbEflDSflflbEfl =) □000131130 0000131130 3 pay only this amount 2009 Second Installment Property Tax Bill %D ^J^J^Jmd^^T Property Index Number (PIN) Volume Code Tax Year (Payable In) Township BY 12/13/10 (on time) 17-16-419-007-1136 511 76002 2009 (2010) SOUTH CHICAGO IF PAID LATE 12/14/10 - 01/13/11 $ 588.94 IF PAID LATE 01/14/11 - 02/13/11 $ 597.64 IF PAID LATE 02/14/11 - 03/13/11 $ 606.34 THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF: $ 652.72 ON 02-09-10 PAY THIS BILL AT C00KC0UNTYTREASURER.COM OR ANY CHASE BANK. LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW. 801 S PLYMOUTH CT Taxing District Property location and classification for this PIN CHICAGO IL 60605 2079 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 69. 55 3. 73 78. 61 151.89 0. 261 0. 014 0. 295 0. 570 5. 64% 0. 30% 6. 38% 12. 32% 3. 99 3. 19 SCHOOL TAXES Board of Education 630. 47 Chicago-CGmrr.ur.ity-CallGgo Diet 508 ----39r-57-- School Taxes Total 670 .44 2.366 51.13% —0-150— 3.24%-2.516 54.37% MUNICIPALITY/TOWNSHIP TAXES Chicago School Bldg & Imp Fund 29.84 0.112 2.42% Chicago Library Fund 26.38 0.099 2.14% City of Chicago 236.36 0.887 19.17% Municipality/Township Taxes Total 292.58 1 098 23.73% 108. 71 COOK COUNTY TAXES Cook County Forest Preserve District 13.06 0.049 1.06% County of Cook 52.23 0.196 4.24% Cook County Public Safery 30.38 0.114 2.46% Cook County Health Facilities 22.38 0.084 1.82% Cook County Taxes Total 118.05 0.443 9. 58% 0. 26 18. 91 (Do not pay these totals) 1,232. 96 4.627 100.00% 62. 10 3. 70 75. 90 141. 70 609. 15 -38,-44 647. 59 28. 83 25. 13 228. 68 282.64 12. 57 55.20 25. 87 21. 19 114. 83 1,186.76 0. 252 0. 015 0. 308 0. 575 2. 472 -0.J56 -2. 628 0. 117 0. 102 0. 928 1. 147 051 224 105 086 466 4. 816 TAX CRLCULfiTOR 2008 Assessed Value 14,868 2009 Property Value 2009 Assessment Level 142, 800 X 10% 2009 Assessed Value 14,280 2009 State Equalization Factor X 3.3701 2009 Equalized Assessed Value (EAV) = 48,125 -200S-Loes!-Tax-Rats—- X 4.627% 2009 Total Tax Before Exemptions = 2,226.74 Homeowner's Exemption _ 808. 71 Senior Citizen Exemption 185.08 Senior Assessment freeze Exemption , .00 2009 Total Tax After Exemptions = 1. 232. 96 First Installment 652.72 Second Installment + 580. 24 Total 2009 Tax (Payable In 2010) = 1, 232. 96 m m C •v ■o m 73 O 73 H 0 73 ■< 0 ■c 73 73 m n 0 73 o MARY NALBANDI AN 801 S PLYMOUTH CT 804 CHICAGO IL 60605-4002 IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY^ (Senior Citizen Sewer Refund) BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO: SECTION 1. Pursuant to Section 3-12-050 of the Municipal Code of Chicago, _Rose Nalbandian is hereby entitled to a Fifty Dollar ($50.00) (Name) Senior Citizen Sewer Charge Refund for the premises located at _994 South Park Terrace . SECTION 2. This ordinance shall take effect upon its passage and publication. (Address) 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_ , 1 [ Claimant Name 2 Claimant Address 3 'Claimant City, State & Zip Code 4 Claimant Telephone i' 5 j Claimant Birthdate: 6 Property Tax Number: 7 :'Water Account Number: 8 I Building Type: Note: *AII Fields Must Be Filled In !, Rose Nalbandian 994 S. Park Terrace Chicago, IL 60605 Office 111/01/1931 Home 312 663 1384 Cellular pin 17 - 16 - 423 - 002 - 1116 588611-588611,588610-588610 Townhouse Com Units ;Res Units 0 Si 144 ■J |l I,_(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 j 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the 1 ' Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, . 11 j; 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 i'r^v.irtJL^ M\ggJMLrri u^Ll-^aA DATE: t?^C, Edit Formj Print this claim form Please print this and return application to your aldermanic office before July 1 © 2007 Chicago City Council - Committee on Finanace. All Rights Reserved ( ( City of Chicago Department of Revenue-Water Division _ P.O. Box 6330 viOV 1. 3 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always Include your name, account number, and a call back number. Web: www.cityofchicago.org/revenue METERED ACCOUNT Little leaks cause big bills. Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: DEARBORN PARK CONDO ASSOC 588611-588611 Nov-10-2010 'Ii Dec-01-2010 Service Address: 960 96 S PARK TER CHICAQO IL 60605-2018 Summary of Chuiwv for—6ot 06 Q010 thm Nrw m Tim Total Curren Total Curren Penalty Total Current Previous Bal a ^ Adjustments-^ Payments Total Due Water.. Sewer., ■ ■ ■Qas^Purehaes" V SQL Iter IlSStde. SUDLSR ■ -Chat* Request mMSHsation' ^^ZZZZZZJ^^I^ZZZZZ Z'.^S i J Brapared-By> w Dt^s%haltles accrue lte*1 icnth on late balances 146.39 125.90 0.00 272.29 350.59 0.00 350.59 272.29 The Department of Revonuo's Water Division ofters a varloty of flexible payment plans for water pljlo^ncfudlng o special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your servlco restored by entering a plan. Visit us on-line or call ue for more Inlormation. City of Chicago' Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330 Customer Service: 312-744-4426 E-mail: waterblll ©cityofchicago.org Always Include your name, account number, and a call back number. Web: www.cltyofchicago.org/revenue NOV 1.5 201C METERED ACCOUNT Little leaks cause big bills. Check for and repair leaks. You must pay for all metered water. PAY ONLINE: Pay your bill online from the convenience of your home or office: DEARBORN PARK CONDO ASSOC 588610-588610 Nov-10-2010 Dec-01-2010 Service Address: 960 96 S PARK TER "CHICAGO IL 6060"5:20"18~~"" Summary of Charges for Oct-06-2010 thru Nov-04-2010 ■ Total CurrentiWater....................ghfi*!................ju-*i*v;a...............i^x,^ $ Total CurrentfSa&fflT; j__i_,~~^,L^................................$ ...... $ Penalty... Total Current Changes Previous Balai Adjustments Payments.... Total Due ... ■sins. 3\ Penalties accrue at a rate of 1.25% per month on late balances. 20.06 17.25 0.00 37.31 22.38 0.00 22.38 37.31 Tho Department of Rovenue's Water Division offers a variety of flexible payment plans for water bills Including a special circumstances/hardship plan for thoso 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. PAY ONLY THIS AMOUNT $ 1,170.64- . 2009 Second Installment Property Tax Bill BY 12/13/10 (on time) Property Index Number (PIN) 17-16-423-002-1116 Volume Code Tax Year 511 76002 2009 (Payable In) Township (2010) SOUTH CHICAGO IF PAID LATE 12/14/10 - 01/13/11 $ 1,188.20 IF PAID LATE 01/14/11 - 02/13/11 $ 1,205.76 IF PAID LATE 02/14/11 - 03/13/11 $ 1,223.32 THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF: $ 1,640.40 ON 02-09-10 PAY THIS BILL AT C00KC0UNTYTREASURER.COM OR ANY CHASE BANK. LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW. 994 S PARK TER Taxing District Property location and classification for this PIN CHICAGO IL 60605 2018 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 158.57 8. 51 179. 22 346.30 0. 261 0. 014 0. 295 0. 570 5. 64% 0. 30% 6. 38% 12.32% 9. 11 7. 29 SCHOOL TAXES Board of Education -Chicago Coir.mu.nii'v College Disf-508-School Taxes Total 1,437.42 1.528.55 2.366 51.13% -O. 150--3r24*- 2.516 .54.37% MUNICIPALITY/TOWNSHIP TAXES Chicago School Bldg & Imp Fund 68.04 0. 112 2. 42% Chicago Library Fund 60.15 0.099 2.14% City of Chicago 538.88 0.887 19.17% Municipality/Township Taxes Total 667.07 1.098 23.73% 247.87 COOK COUNTY TAXES Cook County Forest Preserve District 29.77 0.049 1.06% County of Cook 119.06 .0.196 4.24% Cook County Public Safety 69.26 0.114 2.46% Cook County Health Facilities 51.03 0.084 1.82% Cook County Taxes Total 269.12 0.443 9.58% 0. 60 43. 13 (Do not pay these totals) 2,811.04 4.627 100.00% 2008 Tax 2008 Rate 156. 06 9. 29 190. 74 356. 09 1, 530.91 — 36rBi­ll 627. 52 72. 46 63. 17 574. 71 710. 34 31. 58 138. 73 65. 03 53. 26 288.60 2, 982. 55 0.252 0. 015 0. 308 0. 575 2.472 -G.-1S6-2. 628 0. 117 0. 102 0. 928 1. 147 0. 051 0. 224 0. 105 0. 086 0. 466 4. 816 TAX CALCULATOR 2008 Assessed Value 28,849 2009 Property Value 295.540 2009 Assessment Level X 10% 2009 Assessed Value 29,554 2009 State Equalization Factor X 3.3701 2009 Equalized Assessed Value (EAV) = 99,600 ^-2009' Local-TajrRate>-- X 4.627% 2009 Total Tax Before Exemptions = 4,608.49 Homeowner's Exemption 1,612.37 Senior Citizen Exemption 185.08 Senior Assessment Freeze Exemption .00 2009 Total Tax After Exemptions = 2,811.04 First Installment 1, 640. 40 Second Installment + 1,170.64 Total 2009 Tax (Payable In 2010) = 2,811.04 7\ m m TJ C ■o *0 ffl 73 ■o 0 73 0 z- ■n 0 73 0 c 73 n 0 73 o Long-Time Homeowner ROSE NALBANDI AN 994 S PARK TER CHICAGO IL 60605-2018 IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO DOUBLE PAY. Jesse White*Secretary of Stale . ORjVEfl'S LICENSE ik: no, N415-7203-1611 bob: 01-M"3f' Expires: 01rl Kr4\ Issued: TJ.OS*fl^./ - roseHaibanoiah^ '■ 994*S.PARKTtRRAC£ \ CHICAGO IffiO'fiOS / Cliiss: End: Rest: Type: B ORG