EXHIBIT B   CITY OF BERWYN INTERESTED PARTIES REGISTRY REGISTRATION FORM FOR INDIVIDUALS (NON-ORGANIZATIONS)
Please read and review the TIF Interested Party Registry Rules. If you are eligible to register as an individual, complete the following application form. Submit the completed form along with a copy of your current driver’s license or state identification card (to confirm proof of address) to the City Clerk of the City of Berwyn, 6700 West 26th Street, Berwyn, IL 60402. After the City Clerk of the City of Berwyn receives this application, you will be contacted by mail within ten days after the receipt of this application.
   PLEASE PRINT WITH A BLUE OR BLACK PEN.
(1)   Name__________________________________________________________________________
(2)   Address________________________________________________________________________
   (All notices will be
   mailed to this address.)____________________________________________________________
(3)   Home telephone number___________________________________________________________
(4)   TIF District for which I am applying to become an interested party, pursuant to the Tax Allocation Redevelopment Act, ILCS Ch. 65, Act 5, §§ 11-74.4-1 et seq. and the ordinance of the City of Berwyn, Cook County, Illinois authorizing the establishment of tax increment financing “interested parties” registries and adopting registration rules for the registries. If you want to become an interested party for more than one TIF District, you must complete and submit a separate registration form for each and every TIF District.
                              _______________________________________________
                                             Signature    
                              _______________________________________________
                                             Date    
(Ord. 99-55, passed 12-14-1999)