APPENDIX A: REGISTRATION FORM
   INTERESTED PARTIES REGISTRATION FORM
Registration for Individuals: If you would like to register on the Interested Parties Registry for one or more Redevelopment Project Areas (TIFs) in the Village of Lakemoor, please complete Part A of this form, sign and date the form and submit to the Village Clerk at the address indicated below.
Registration for Organizations: If you would like to register on the Interested Parties Registry for one or more Redevelopment Project Areas (TIFs) in the Village of Lakemoor, please complete Part B of this form, sign and date the form and submit to the Village Clerk at the address indicated below.
PART A: REGISTRATION FOR INDIVIDUALS (Please Print)
Name    
Street Address    
Village                                  State                   Zip Code    
Telephone (      )                        Fax (      )                         
E-Mail Address    
Please check the TIF(s) you are interested in below:
( )   Rt. 120 (North) TIF
( )   Rt. 120 (South) TIF
( )   All future or current TIFs
PART B: REGISTRATION FOR ORGANIZATIONS (Please Print)
Organization Name    
Contact Name    
Street Address    
Village                               State                   Zip Code    
Telephone (      )                            Fax (      )   
E-Mail Address    
Please check the TIF(s) you are interested in below:
( )   Rt. 120 (North) TIF
( )   Rt. 120 (South) TIF
( )   All future or current TIFs
Please return this form to:      TIF Interested Parties Registry
                     Village Clerk’s Office
                     Village of Lakemoor
                     28874 West Illinois Route 120, Suite C & D
                     Lakemoor, Illinois 60051
Signature/Title                                           Date    
(Ord. 14-O-33, passed 11-6-2014)