Elkhoury vs. Beal Properties, LLC & Oakdale Building Two, LLC

                                                          

CASE NO. 18 CH 07193        

    

-CLASS MEMBER CLAIM FORM-

 

This is a .pdf of the Claim Form:                                This is a .pdf of the Class Notice:  

 

 

 

 

 

This is the full text of the Claim Form below:

 

 

 

 

Elkhoury vs. Beal Properties, LLC & Oakdale Building Two, LLC

                                                          

CASE NO. 18 CH 07193        

    

-CLASS MEMBER CLAIM FORM-

 

            TO receive your $70.00 claim amount, please fill out this form and promptly email, mail, or deliver it back to or by email to Mark Silverman, mark@depositlaw.com or by mail at Mark Silverman Law Office LTD., 225 W. Washington, STE 2200, Chicago, IL 60606, or by FAX to 312 256 2055

 

Class Claimant:

 

_______________________________                                  ____________________________________

Current Name              (First)                                       (M.I.)                                       (Last)  

 

Apartment building: _______________________________________________________________

 

Unit Number: ____________________________________________________________________

 

Your Current Address:

                                    ____________________________________________________

                                    Street                                                                   Unit Number

 

 

                                    ____________________________________________________

                                    City                               State                                Zip

 

 

 

Your Current Telephone Number(s):                                                                          

 

 

 

Your Current Email:_______________________________________________________

           

 

Date:______________________________

 

 

 

Printed Name: __________________________________