Senior Citizen Discount
Refuse Application
City of DeWitt 414 East Main Street DeWitt, MI 48820 Name: ______________________________________________________________ Address: ______________________________________________________________
Date of Birth: _______________ Employed: Yes To be eligible you must meet all of the following requirements.
62 years of age or older Annual household income of $40,000 or less Retired Must re-apply annually
No
You may be requested to furnish verification of the above.
Date: ______________
Signature: ______________________________________
Phone: 517.669.2441 Fax: 517.669.8211 www.@dewittmi.org