NEW PROPERTY OWNER INFORMATION FORM - …

1 The The The The Village of franklin ParkVillage of franklin ParkVillage of franklin ParkVillage of franklin park 9500 W. Belmont 9500 W. Belmont 9500 W. Belmont 9500 W. Belmont franklin park IL 60131 franklin park IL 60131 franklin park IL 60131 franklin park IL 60131 NEW OWNER INFORMATION FORM VILLAGE OF franklin park 9500 W. Belmont franklin park IL 60131 (847) 671-8245, Fax: (847) 671-8790 Date: PROPERTY Address: Number: Type of PROPERTY : Single Unit: Multi: Commercial: Industrial: PROPERTY OWNER (s): PROPERTY OWNER Contact Person: PROPERTY OWNER Contact Address: Contact Cell Phone: Home Phone: Contact Work Phone: Contact Email: Tenant INFORMATION : (if applicable) Name: Address.

2 Contact Phone: By the signature below, I hereby represent that the INFORMATION provided on this application is true and correct to the best of my/our knowledge. OWNER s Signature (Required)(Required)(Required)(Required) Printed Name