State of Illinois Illinois Commerce Commission 527 E. Capitol Avenue, Springfield, IL 62701 217/782-4654 Fax 217/785-1448Relocator Contract Summary Form For validation, mail by Certified mail, return Receipt Requested.Contract #I am the Owner / Property Manager:Property AddressCityCountyStateZIP CodePhone*Email* I hereby authorize:Licensed Commercial Vehicle RelocatorRTV-R #To remove all illegally parked vehicles from:Address:CityCountyStateZIP CodeWhich is owned by:Property OwnerWho is located at:Address:CityCountyStateZIP CodeThe property is:Description of PropertyThis contract is a CALL PATROL OTHER This property is located:# of Milesfrom the relocator's address to which the illegally parked vehicles will be routinely relocated.The private property is in an: incorporated unincorporated Was this private property previously under contract with another relocator:NoYesRelocator This contract may be cancelled only on ten (10) days notice by either party. That notice must subsequently be given to the Illinois Commerce Commission. Authorized agent/s of the property.NameNameEffective Date of the Contract Property Owner's Name:SignatureDate Relocator's NameSignatureDate This form is required for compliance with 625 ILCS 5/18a-100 et seq. Missing or inaccurate information will render this form invalid and it will not be accepted by the Commission.How many states in the United States of America?*Let us know you are humanPhoneThis field is for validation purposes and should be left unchanged.