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Elgin Illinois Form 9465 Online: What You Should Know

O. Box 206885 Elgin IL 60 E-mail at: naperpedstamu.edu Fill out the online form Complete a medical certification form. You may save it to your computer. If you do, please save it to your computer, so you are able to read it upon completion. We will review your medical certification form. If you are successful, we will send you an application for an electronic fund transfer (EFT) at a later date. After review of your application, we can: (1) Issue an order to your bank or financial institution to receive a 15 credit and 20 cash payment (each of which will be used to purchase additional supplies for your treatment). (2) Complete your Form 9465 and mail it to the address on the form indicating whether you are requesting that we send the credit directly to your checking or savings account. If you are requesting that we send the credit to your account and not to your checking or savings account, enter '15' in the amount box. (If you are requesting the credit to your account, a check may be required from your bank or financial institution.) If you have completed the application, we will notify you by mail if our instructions are fulfilled. CALL YOUR CREDIT CARD AND TELL THEM TO RECEIVE 15 CREDIT AND 20 Cash Payment. Once the 15 credit (which represents the amount of the 150,000 in uncollected back taxes that we will send to your account) is received, your account will start to receive an electronic payment to the amount of 45 per month, less transaction fees, and no interest on the balance. Once the 15 credit is received, your account will start to receive an electronic payment to the amount of 45 per month, less transaction fees and the interest of 1.5% per month. IF ENSURING AND THEN APPROVED We will contact you to let you know when your credit card is due. IF YOU'RE NOT APPROVED If you are not approved for an electronic payment within 4 weeks of the request, another application process may be commenced. Please keep a copy of all correspondence between you and the financial institution to prove your income. IF APPROVED A credit will be issued to your account the next business day.

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