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 Address City County State ZIP Code Phone*Email* I hereby authorize:Licensed Commercial Vehicle Relocator RTV-R # To remove all illegally parked vehicles from:Address: City County State ZIP Code Which is owned by:Property Owner Who is located at:Address: City County State ZIP Code The property is:Description of Property This contract is a CALL PATROL OTHER This property is located:# of Miles from 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: No Yes Relocator 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.Name Name Effective Date of the Contract MM slash DD slash YYYY Property Owner's Name: Signature Date MM slash DD slash YYYY Relocator's Name Signature Date MM slash DD slash YYYY 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 humanCommentsThis field is for validation purposes and should be left unchanged.