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PART A: REGISTRATION FOR CITY OF DECATUR RESIDENTS <br /> (please print) <br /> Name: <br /> Street Address: <br /> City: State: Zip Code: <br /> Home Telephone: <br /> I have attached a copy of as proof that I am a resident of the <br /> City of Decatur, as of the date of this registration form. Please note this is requited. <br /> Please check the TIF(s)you are interested in below: <br /> Near North Redevelopment Olde Towne Redevelpment <br /> Project Area Project Area <br /> Southeast Plaza Redevelopment Eastgate Commons <br /> Project Area Redevelopment Proje t Area <br /> Pines Shopping Center Grand Avenue <br /> Project Area Redevelopment Project Area <br /> Southside Redevelopment <br /> Project Area <br /> Signature: Date: <br /> (Signature and date required) <br /> Please note that your registration, if accepted,will be valid for three years. Please notify <br /> the City of Decatur,at the address below,of any change made to this registral ion. <br /> Please return this form to: <br /> City of Decatur <br /> TIF Interested Parties Registry <br /> City Clerk's Office <br /> One Gary K. Anderson Plaza <br /> Decatur,Illinois 62523 <br />