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Kathy Michael McLean County Clerk If the following application applies to you, Phone: (309) 888-5190 please sign completed form and mail to the Fax: (309) 888-5932 McLean County Clerk's office by May 1st. 115 E. Washington Street, Room 102 PO Box 2400 Thank you, Bloomington, IL 61702-2400 Email: [EMAIL REDACTED] Join us on our Blog, Facebook, and Twitter Application for Reduction of Mobile Home Local Services Tax Printed Name of Current Owner Address Mobile Home ID Number City or Village Zip Name of Mobile Home Park Phone Number [ ] Please check box if not located in Mobile Home Park State of Illinois County of McLean Senior Citizens I actually reside in said mobile home, and I hold title to the mobile home as provided in the Illinois Vehicle Code, and I reached the age of 65 prior to January 1 of the year in which this statement is filed. My date of birth is OR Persons with Disabilities I actually reside in said mobile home, and I hold title to the mobile home as provided in the Illinois Vehicle Code, and I was Totally Disabled on and have remained disabled until the date of this appication. My Social Security, Veterans, Railroad or Civil Service Total Disability Claim Number is The undersigned declares, under penalty of perjury, that the above statements are true and correct. The local services tax for owners of mobile homes who are actually residing in such mobile homes, hold title to such mobile home as provided in the "Illinois Vehicle Code", approved September 29, 1969, as amended, and are 65 years of age or older or are disabled persons within the meaning of Section 3.14 of the "Senior Citizens and Disabled Persons Property Tax Relief and Pharmaceutical Assistance Act" on the annual billing date shall be reduced to 80 percent of the tax provided for in Section 3 of this Act. Proof that a claimant has been issued an Illinois Disabled Person Identification Card stating that the claimant is under a Class 2 disability, as provided in Section 4A of The Illinois Identification Card Act, shall constitute proof that the person thereon named is a disabled person within the meaning of this Act. An application for reduction of the tax shall be filed with the county clerk by the individuals who are entitled to the reduction. If the application is filed after May 1, the reduction in tax shall begin with the next annual bill. Application for the reduction in tax shall be done by submitting proof that the applicant has been issued an Illinois Disabled Person Identification Card designating the applicant's disability as a Class 2 disability, or by affidavit. (35 ILCS 515/7) I hereby make application for a 20% reduction of the total tax imposed under "An act to provide for a privilege tax on mobile homes," and state as follows: Signature of Current Owner Date