McCullom Lake, IL · McHenry County

No notary required

New Resident Form

The New Resident Form collects household and contact information from people moving to McCullom Lake who return it to the Village office.

What this form is

New residents use this form to provide the Village with service and billing addresses, owners’ names, phone and email, and the number of occupants. The form asks the signer to swear that the information is true and correct, then sign and date it; residents are asked to return it to the office at their earliest convenience.

Who needs it

People moving to McCullom Lake should complete and return the form to provide the Village with their household and contact details.

How to submit it

Return the completed form to the Village office at 4811 W. Orchard Drive, McCullom Lake, IL 60050; the form also lists a phone number, fax number, and email address.

About notarization

This form is signed and dated without a notary; the signer swears the information is true and correct, but no notarized attachment is listed.

How to submit this form

  1. 1

    Download The Form

    Download the McCullom Lake New Resident Form PDF.

  2. 2

    Complete The Form

    Enter the service and billing addresses, owners’ names, phone and email, and number of occupants.

  3. 3

    Sign And Date

    Sign and date the form after swearing that the information provided is true and correct.

  4. 4

    Return It To The Village

    Return the completed form to the Village office at 4811 W. Orchard Drive, McCullom Lake, IL 60050.

Frequently asked questions

Who should complete the McCullom Lake New Resident Form?
People moving to McCullom Lake should provide their household and contact information and return the form to the Village office.
What information does the form request?
It requests service and billing addresses, owners’ names, phone and email, and the number of occupants. The signer also swears the information is true and correct.
How do I submit the New Resident Form?
Return the completed form to the Village office at 4811 W. Orchard Drive, McCullom Lake, IL 60050, as directed on the form.
Do I need a notary for the New Resident Form?
No. Sign and date the form; it asks you to swear the information is true and correct, but no notarized attachment is listed.

Need something notarized?

This New Resident Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.