Full record / Kaid.pdf

Kaid.pdf

Yousef Kaid, Petitioner V City Of Lincoln Park, Respondent · 26-000511-TT

← View full record

Text extracted from the reviewed PDF, organized by page. OCR and reading order may contain errors; confirm details in the PDF below.

Page 1

STATE OF MICHIGAN 

MICHIGAN TA 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

AL RRIBNNaROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL PETITION FORM 

PRINCIPAL RESIDENCE EXEMPTION / QUALIFIED AGRICULTURAL EXEMPTION 

Pursuant 

to Tax Tribunal Rute (TTR) 279, you MUST submit a copy of the notice giving rise to the appeal (i.e., Board of 

Review Decision or other notice) with this petition. 

If you do not submit this document, you may be held in default. 

Section 1: Petitioner's Contact Information 

First Name 

1 AN 

Last Nameo/Company Name 

Yousef 

Kaid 

Mailing Address (No., Street, P.O. Box or Rural Route) 

662 Champaign Rd 

City or Town 

State 

ZIP Code 

Lincoln Park 

Mi 

48146 

Telephone Number 334-352-5598 

E-mail Addresz (do not enter unless you want MTT to send all correspondence via e-mail) 

Joe84mobile@gmail.com 

Section 2: Petitioner’s Attorney/Authorized Representative’s Contact information 

First Name 

Last Name 

Firm Nama (if any) 

Malling Address (No., Street, P.O. Box or Rural Route) 

City or Town 

State 

ZIP Code 

Telephona Number 

Emall Address (do not enter untess you want MYT to sand all correspondence via email) 

Section 3: Subject Property Information use the muttiple parcel form for additional, contiguous parcels. 

How many parcels 

are you 

if you are appealing 

more than one parce, are they contiguous 

or adjoining? 

appealing? 

1 

0 Yag 

0 No 

"if No, you must file separate appeals for each parcel 

Parcel identification Number: 

45012040021000 

Classification of Property: 

 Reall.] 

Personal Bl} (check one] 

/ 

Agricuttural [1 

Commerciail] 

 Industriat 

1 

Residential 

TimberCutover [1 

Developmental 

1 

Utility [1 (check one) 

Property Address (No., Street) 

662 Champaign Rd

Page 2

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Check which of the following you are appealing 

I 

pnctpat Residence Exemption 

a Quatified Agricultural Exemption 

Section 5: Explain the Reason for this Appeal 

The property located at 662 Champagne Rd. has been my principal residence during 

the 2024 and 2025 tax years. 

| have continuously lived at an occupied the property at 

my primary residence. The principal residence exemption was removed due to my 

drivers license address not matching the property address during our review. This was 

an administrative issue and did not reflect my actual residency. 

| did not claim a 

president principal residence exemption on any other property during these years 

| have 

since corrected the Homestead status with the city of LINKIN PARK and the property is 

currently recorded as a principal residence 

| also corrected my drivers license to reflect 

the 662 Champagne Rd. supporting documentation is attached demonstrating that 

| 

lived at the property during the relevant tax years. 

| respectfully request that the 

principal resident exemption shouldnt be reinstated for the 2024 in 2025 tax years that 

the additional taxes be removed. 

Section 6: Jurisdictional Issues 

indicate who denled the exemption undar appeal: 

Aer 

County ee or Equalization 

Hichig 

al of Treasury 

Board g Review 

Other 

if you checked “other” above, explain: 

List the date your Principal Reskience Exemption or Qualified Agricultural Exemption was denied: 

2-12-2026 

Tax year(s) deniad: 2024 and 2025 

Fee Information 

Afiling faa of $25.00 is required unlass tha property has a Principal Residence Exemption of 

at least 50% for all tax years at Issue on the 

data this petition is filed. 

Signature required / 

ai

Page 3

IMPERIAL TAX AND ACCOUNTING SERVICES INC 

26261 EVERGREEN RD SUITE 275 

. SOUTHFIELD, MI 48076 

(313) 457-2040 

amakki@imperialcpa.com 

March 8, 2026 

YOUSEF T. KAID and MANAL Y. AL NADESH 

662 CHAMPAIGN 

LINCOLN PARK, MI 48146 

Dear YOUSEF and MANAL, 

Please find enclosed copies of your tax return(s) for the tax year ended December 31, 

2025. Instructions for filing your return(s) are attached for your convenience. Retain the 

copies for your records. 

The federal income tax return will be electronically filed, do not mail the enclosed copy, 

but retain it for your records. 

Form 1040 Federal Individual Income Tax Return 

The Michigan 

income tax return will be electronically filed, do not mail the enclosed 

copy, but retain it for your records. 

Form MI-1040 Michigan Individual Income Tax Return 

We prepared your returns based on the information you provided us. Please review the 

returns carefully to ensure that there are no omissions or misstatements of material facts. 

If you have any questions about your tax returns, please contact us. We appreciate this 

opportunity to serve you. 

Sincerely, 

AL MAKKI

Page 4

on 8819 

IRS e-file Signature Authorization 

(Rev. January 2021) 

OMB No. 1545-0074 

» ERO must obtsin end retain completed Form 8879. 

Depattment 

of the Treasury 

intemal Revenue Service 

» Go to www.irs.gov/Farm8879 

for the latest information. 

Submission Identification Number (SID) 

Taxpayer's name 

YOUSEF 

T KAID 

Spouse's name 

MANAL 

Y AL NADESH 

Tax Return information — Tax Year Ending December 31, 

2025 (Enter year you are authorizing.) 

Enter whole dollars only on lines 1 through 5. 

Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. 

1 

Adjustedgrossinoome 

. 

©... LL... 

hh 

ee 

eee 

ee 

ee 

ee. 

1 

16,982. 

2 

Tofaltax 

. 

. 

. 

. 

. 

. 

«Lo 

o.oo 

ee 

ee 

ee 

ee 

ee 

ee 

ee 

ee 

a 

2 

982. 

3 

Federal income tax withheld from Form(s) W-2andForm{s} 1099 . 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

3 

139. 

4 

Amountyouwantrefundedtoyou 

. 

. 

. 

. 

. 

LL. 

LLL 

LL 

LL Looe 

a 

4 

9,525. 

5 

Amountyouowe 

. 

. 

. 

. 

5 

[ull] 

Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) 

Under penalties of perjury, { declare that | have examined a copy of the income tax return {original or amended) 

| am now authorizing, 

and to the best of 

my knowledge and belief, 

it is true, correct, and complete. 

| further declare that the amounts in Part 

| above are the amounts from the income tax 

retum (original or amended) { am now authorizing. 

| consent to allow my Intermediate service provider, transmitter, or electronic retum originator (ERO) 

to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason 

for any delay in processing the return or refund, and {c) the date of any refund. If applicable, | authorize the U.S. Treasury and its designated Financial 

Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for 

payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This 

authorization 

is to remain in full force and effect until 

1 notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a 

payment, 

| must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 

business days prior to the payment (settlement) date. 

| also authorize the financial institutions involved in the processing of the electronic payment of 

taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. 

| further acknowledge that the 

personal identification number (PiN) below is my signature for the income tax return (origina! or amended) 1 am now authorizing and, if applicable, my 

Electronic Funds Withdrawal Consent. 

Taxpayer's PIN: check one box only 

I 

[Xl 

tauthorize 

IMPERIAL TAX AND ACCOUNTING SERVICES INC 

to enter or generate my PIN 

Ss my 

ERG frm rams 

Enter 

ve digs ut 

signature on the income tax return (original or amended) 

| am now authorizing. 

| will enter my PIN as my signature on the income tax retum {original or amended) 

i am now authorizing. Check this box only 

if you are entering your own PIN and your retum is filed using the Practitioner PIN method. The ERO must complete Part Ill 

below. 

Your signature » 

Date» 

Spouse's PIN: check one box only 

authorize 

IMPERIAL TAX AND ACCOUNTING SERVICES INC 

to enter or generate my PIN 

ERO fim name 

signature on the Income tax return (original or amended) | am now authorizing. 

| will enter my PIN as my signature on the income tax retum (original or amended) 

| am now authorizing. Check this box only 

if you are entering your own PIN and your retum Is filed using the Practitioner PIN method. The ERO must complete Part ti 

below. 

Spouse's signature »> 

Date » 

Practitioner PIN Method Returns Only—continue below

Page 5

BE 

STE 

DRIVER: 

NS 

MEM : 

026 

3/24/20, 

YOUSEF TAHER 

LINCOLN-PARK, 

481 

sox 

M.-H 

NONE 

t NONE

Page 6

OMB No. 1545-0074 

1RS Uso Only —~Do not wits or staple in this space. 

Department 

of the Tr 

— Intermal Revenue Service 

£1040 U's. individual income Tax Return |2025 

For the year Jan. 1-Dec. 31, 2025, or other tax year beginning 

, 20285, ending 

, 20 

| Soe separte instructions. 

[1 Faod pursusnt to saction 301.9100-2 [7] Combat zone 

[] Deceased 

Spouse 

other 

| 

i 

Your first name and middie intial 

Lastname 

Your social security number 

YOUSEF 

T 

KAID 

if joint retum, spouse's first name and middie initial 

Last name 

MANAL 

Y 

AL NADESH 

Hi 

0. 

. 

00. 

Check here if your main home, and your 

lome address {number and streed). ¥f you have a P.O. box, ses instructions. 

Apt. no. 

Ishak 

tobi ihrtaght 

662 CHAMPAIGN 

tho US. for mom than belt of 

2025,_[C] 

Clty, town, or post office. if you have a foreign address, also complete spaces balow. 

State 

ZIP code 

LINCOLN PARK 

MIX 

48146 

Foreign country name 

Foreign province/stats/county 

Foraign postal code | S48 RAC: 

a your tax or 

oe. 

[You 

[spouse 

Filing Status 

LI Single 

[1 Head of household (HOH) 

Check only 

DX Married filing jointly (even if only one had income) 

[1 Qualifying surviving spouse (ASS) 

one box. 

Married 

FS). En 

N 

If you checked the HOH or QSS box, enter the child's name 

[J 

Mantad fing saparesly 4 

)- 

Enter spouse’s 

SSN above 

if the qualifying person is a child but not your dependent: 

On treating a nonresident allen or dual-status alien spouse as a U.S. resident for the entire tax year, check the box and enter their 

name (see instructions and attach statement it required): 

At any time during 2025, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, 

i 

Digital Assets exchange, 

or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions) 

. 

. 

[Yes 

[No 

Dependents 

Dependent 1 

Dependent 2 

Dependent 3 

Dependent 4 

(see Instructions) (1) Firstname | AHMED 

LEEN 

MOHAMED 

Y 

if more 

(3 Lastname 

| KAID 

KAID 

RAID 

ra 

pendents, 

4 Relationship} Son 

Daughter 

son 

instructions 

and check 

GR CnecKEved] 

(9) TX] Ves 

o Bes 

© Bves 

© LIves 

here 

. 

. [1 Hana 

of 5095 

®) 

Xl Andintheus. 

m 

Bd Andinthe 

us. 

® 

Xl adintheus. 

® []Andinthe 

us. 

6) Chack if 

[] Fulk-time 

[1 fomanenty [1] Fulbtime 

Ll aTean” [J Fulltime 

[1 Permanently [] Fulktime 

LJ Pemanenty 

1 Crodits 

[5 

Child tax 

[1 Creditor 

[x] Ghid tax 

I cant 

Bj Grid tax 

LJ Greditfor 

LJ Chid tax 

[1] Greditfor 

dependents 

dependents 

dependents 

dependents 

[_] Check if your filing status is MFS or 

HOH and you lived apart from your spouse for the last 6 months of 2025, or yout are legally 

separated according to your state law under a written separation agreement or a decree of separate maintenance and you did not 

five in the same household as your spouse at the end of 2025. 

income 

1a 

Total amount from Form(s) 

W-2, box 

1 (ses instructions) 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

1a 

11,518. 

Attach 

b 

Household employes weges notmportedonForm{gw-2 . 

© 

. 

. 

. 

. 

. 

. 

_ 

. 

. 

. 

. 

1b 

W-2here. 

Also 

¢ 

Tip income not reported on line 1a (see instructions) 

. 

. 

. 

. 

FO 

gchFomms 

uo 

icaid waiver payments not reported on Form(s) W-2 (see instructions) 

. 

Joga itu 

© 

Taxable dependent care benefits from Form 2441, line26 

. 

. 

. 

. 

. 

. 

. 

. 

. 

if you did not 

f 

Employer-provided adoption benefits from Form 8839, fine 31 

gota Form 

g Wages 

from Form 8919, line 

6 . 

W2see 

Other 

eamed incom (ses instructions). Enter type end amount: 

i 

Nontaxable combat pay election (ses instructions) 

. 

. 

. 

. 

. 

. 

. 

] 

hi] 

| 

2 

Addinestathroughth 

. 

. 

. 

. 

. 

. 

o.oo 000 

LLL 

Attach Sch. 

B 

2a 

Tax-exemptinterest 

. 

. 

. 

2a 

b Taxableinterest 

. 

. 

. 

# raqulred. 

Sa 

Qualfieddividends . 

. 

. 

| 3a 

b Ordinary dividends 

. 

. 

© 

Check if your child's dividends are included in 

1 [] Line 3a 

2 [] Line 

3b 

4a 

IRA distributions . 

. 

. 

. 

|4a 

| 

| 

b Taxableamount. 

. 

. 

.

Page 7

IMPERIAL TAX AND ACCOUNTING SERVICES INC 

26261 EVERGREEN RD SUITE 275 

SOUTHFIELD, MI 48076 

(313) 457-2040 

amakki@imperialcpa.com 

January 30, 2025 

YOUSEF T. KAID and MANAL Y. AL NADESH 

662 CHAMPAIGN 

LINCOLN PARK, MI 48146 

Dear YOUSEF and MANAL, 

Please find enclosed copies of your tax return(s) for the tax year ended December 31, 

2024. Instructions for filing your return(s) are attached for your convenience. Retain the 

copies for your records. 

The federal income tax return will be electronically filed, do not mail the enclosed copy, 

but retain it for your records. 

Form 1040 Federal Individual Income Tax Return 

The Michigan 

income tax return will be electronically filed, do not mail the enclosed 

copy, but retain it for your records. 

Form MI-1040 Michigan Individual Income Tax Return 

We prepared your returns based on the information you provided us. Please review the 

returns carefully to ensure that there are no omissions or misstatements of material facts. 

If you have any questions about your tax returns, please contact us. We appreciate this 

opportunity to serve you. 

Sincerely, 

Al Makki

Page 8

Departmant of tha Treasury 

— intemal Revenua Service 

U.S. Individual Income Tax Return 

£1040 

OMB No. 1545-0074 

[2024 

1RS Use Only —Do not write or staple in this space. 

Fortho year Jan. 1-Dec. 31,2024, or other tax yoarbogltning ~~~ +2024, ending 

,20 

Sea separate instructions. 

Your first name and middle initial 

Lastname 

‘Your social security number 

YOUSEF 

T 

RAID 

If Joint return, spouse’s first name and middie initial 

Last name 

MANAL 

Y 

AL, NADESH 

Home address {number and street). If you have a P.O. box, see Instructions. 

Apt. no. 

Presidential Election Campaign 

662 CHAMPAIGN 

Check here if you, or your 

Chy, 

I] 

y 

Iota 

. 

Zip 

spouse If filing jointly, want $3 

Hy, town, 

or post office. If you have a foreign address, also completa 

spaces below. 

State 

code 

to go fo this fund. Checking 

LINCOLN PARK 

MI 

48146 

box below will not change 

Foreign country name 

Fore!gn province/state/county 

Foreign postal code | your tax or refund. 

[Jvou 

[spouse 

Filing Status 

1 single 

[11 Head of household (HOH) 

Married filing jointly (even if only one had income) 

Check only 

one box. 

J Married filing separately (MFS) 

[I] Qualifying surviving spouse (QSS) 

if you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the 

qualifying person is a child but not your dependent: 

Ou treating a nonresident alien or dual-status alien spouse as a U.S. resident for the entire tax year, check the box and enter 

their name (see instructions and attach statement if required): 

} 

Digital 

At any time during 2024, did you: (a) receive (as a reward, award, or payment for property or services); or (b} sell, 

Assets 

exchange, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) 

[ves 

No 

Standard 

Someonecenciaim: 

[] Youesadependemt 

[| Your spouse as a dependent 

Deduction 

[] Spouse itemizes on a separate retsm or you were a dual-status alien 

Age/Biindness You: [] Were born bsfore January 2,1960 

[J Areblind 

Spouse: 

[] Was bom before January 2, 1960 

[J Is blind 

Dependents (ses instructions): 

(2) Social security 

(9) Relationship 

|(9) Check the box If qualifies for (see Instructions): 

if more 

(1) First name 

Last name 

to you 

Child tax credit 

| Grodi for other dependents 

than four 

AHMED 

KAID 

Son 

[5] 

[mm] 

dependents, 

LEEN 

KAID 

Daughter 

[7] 

[ml] 

and chack 

MOHAMED Y 

 KAID 

Son 

[5] 

[ml] 

here 

[] 

[m] 

Income 

1a 

Total amount from Form(s) W-2, box 1 (see instructions) 

1a 

17,275. 

Attach Form(s) 

b 

 Housshold employes wages not reported on Form{s) W-2 

. 

1b 

W-2here.Alse 

© 

Tip income not reported on tine 1a (see instructions) 

. 

. 

1c 

attach Forms 

d 

Medicaid waiver payments not reported on Form(s) W-2 (see Instructions) 

. 

1d 

Toamax 

© 

Taxable dependent care benefits from Form 2441, ine 26 

1e 

vias withheld. 

f 

Employer-provided adoption benefits from Form 8839, line 29 

hid 

If you did not 

9 

Wages from Form 8919, line 6 

. 

| 1g | 

Coy Form 

h 

Other eamed incom (ses instructions) 

. 

FE 

EY 

0. 

1 

Nontaxable combat pay election (see instructions) 

. 

| 

1 

| 

~ 

me 

___ 2 

Add lines 1a through 

1h 

a. 

ee 

ee 

ee 

ee 

1z 

17,275. 

Attach Sch. 8 

2a 

Tax-exempt interest 

. 

2a 

b Taxable interest 

2b 

it required. 

8a 

Qualified dividends 

3a 

b Ordinary dividends 

. 

3b 

~~" 

4a 

IRAditributions 

. 

4 

b Taxable amount 

. 

4b 

Sandard 

re 

5a 

Panslons and annuities 

. 

5a 

b Taxable amount 

. 

5b 

» Singles or 

8a 

Social security benefits 

. 

[<5] 

b Taxable amount 

. 

. 

oo. 

6b 

eng 

¢ 

if you elect to use the lump-sum election method, check here (see instructions) 

CB)

Page 9

Form 1040 (2024) 

Page 2 

Taxand 

16 

Tex (see instructions). Check if any from Form(s): 

1 [18814 

2 [J 4ag72 

al] 

16 

0. 

Credits 

17 

Amount from Schedule 2, line 3 

17 

0. 

18 

Add lines 16and 17 

. 

. 

18 

0. 

19 

Child tax credit or credit for other dependents from Schedule 8812 

. 

19 

20 

Amount from Schedule 3, fine 8 

20 

21 

 Addlines 19and 20 . 

21 

22 

Subtract fine 21 from line 18. Hf zero or Toss, enter 0 

. 

22 

0. 

23 

Other taxes, including self-employment tax, from Scheduls 2, ine 21 

23 

0. 

24 

Add lines 22 and 23. This is your totsf tax 

24 

0. 

Payments 

25 

Federal income tax withheld from: 

= 

a 

Forms) W-2 

25a 

160. § 

b 

Form{s) 1099 . 

. 

25b 

¢ 

Other forms (see instructions) 

Ce 

ee 

ee ee 

25¢ 

Lo 

d 

Add lines 26a through 25¢ 

. 

. 

. 

FE 

1: 

160. 

If you have a 

28 

2024 estimated tax payments and amount applied from 2023 retum 

. 

Cee 

ee ee 

26 

if pkg] 

27 

 Eamed income credit EIC) . 

27 

7,774. 

28 

Additional child tax credit from Schedule 8812 

28 

2,216. 

28 

American opportunity credit from Form 8863, line 8 . 

29 

80 

Reserved for future use 

. 

30 

31 

Amount from Schedule 3, line 15 

31 

32 

Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits 

. 

. 

32 

9,990. 

33 

Add lines 25d, 26, and 32. These are your total payments 

. 

. 

Lo. 

33 

10,150. 

Refund 

34 

Ifline 33 is more than line 24, subtract line 24 from line 33. This is the amount you pe— 

- 

34 

10,150. 

35a Amount 

of line 34 you want refunded 

to 

you. If Form 8888 

is attached, check here 

. 

. 

. 

[J 

{35a 

10,150. 

Directdepost? 

 b 

Routing num 

BX Checking 

0 Savings 

See instructions. 

d 

Account numb! 

36 

Amount of line 34 you want applied to your 2025 estimatedtax 

. 

. 

. 

36 

Amount 

37 

Subtract line 33 from line 24. This is the amount you owe. 

You Owe 

For details on how ta pay, go to www.irs.gov/Payments or see instructions 

. 

38 

Estimated tax penalty (sseinstructions) 

. 

. 

. 

. 

. 

_ 

. 

. 

. 

. 

Jas] 

Third Party 

Do you want to aflow another person to discuss this retum with the IRS? See 

Designee 

instructions. 

. 

. 

. 

[XlYes. Complete below. 

[Ne 

Designee’s 

Phong 

Personal identification 

name 

Al Makki 

no. 

(313)457-2040 

number (PIN) 

Sign 

Under penalties of perjury, | declare that | have examined 

this return and accompanying 

schedules and statements, and to the best of my knowledge 

and 

Here 

batief, they 

are true, correct, and complete. Declaration of preparer (other than taxpayer) Is based on all information of which preparer has any knowledge. 

Your signature 

Date 

Your occupation 

If the IRS sent you an identity 

Protection PN, enter it hore 

Joint retum? 

SELF EMPLOYED 

oonst) 

"TT 

T1171] 

Soe Instructions. 

Spouse's signature. i a joint retum, both must sign. 

| Date 

Spouse's occupation 

If the IRS sent your spouse an 

Keep a copy for 

Identity Protection PIN, enter it here 

your records. 

HOMEMAKER 

(seo inst) 

Phone no. 

Emel address 

Paid 

Preparers name 

Preparers signature 

Date 

PTIN 

Check If: 

Preparer 

Al Makki 

Al Makki 

01/30/2025 

Self-employed 

Use Only 

Fimn's namo 

IMPERIAL TAX AND ACCOUNTING SERVICES 

INC 

Phoneno. (313)457-2040 

Fim'saddress 

26261 EVERGREEN RD SUITE 

275 SOUTHFIELD MI 

48076 

|Fmm'sEy 

Go to wwwiirs.gov/Form1040 for instructions and the latest information. 

BAA 

REV 01/24/25 PRO 

Form 1040 (2024)

Page 10

customer service & billing: 

chat: wowway.comfchat 

1-866-496-9669 

5, 5 

| Eee 

A 

AF 

H 

AE phone 

for service at... 

internet + tv 

662 CHAMPAIGN RD 

LINCOLN PARK, Mi 48146-3008 

WOW! News 

if you haven't already, go green and switch to paperless 

statements today! Paperless statements are easily 

accessible, secure, and best of all - free. Paper statements 

are subject to a $4 per month fee which is subject to 

change without notice. As a courtesy, new customers get 

the Paper Statement 

Fee waived in the first 3 months 

of 

service. To sign up, visit the Billing Center section of 

Account Manager at login.wowway.com. 

The Terms and Conditions of your WOW! services 

including customer privacy may be revised from time to 

time and are available for your review at wowway.com. 

Click on the Terms and Conditions link at the bottom of 

the page. 

Have you used the Customer Bill Explainer yet? This new 

tool gives you a breakdown of your monthly charges. To 

access it, just log-in to your account through the Online 

Account Manager at login.wowway.com, go to the Billing 

tab, then click on Explain My Bill to view your billing 

statement details. 

Page lofi 

Account Name 

................. 

YOUSEF KAID 

Account Number 

. I 

Customer Phone 

-! 

Billing Date 

August 10, 2024 

ACCOUNT SNAPSHOT 

Last Bill 

Master Card Payment 7/24/24 

New Charges - See Below 

.. 

Total Amount Due 

NEW CHARGES SUMMARY 

WOW! Services & Bundles 

$59.49 

Additional WOW! internet Services 

.. 

$1.00 

Additional WOW! Products & Services 

. $4.00 

Other Charges & Credits 

.. 

$22.00 

Total New Charges 

... 

.$86.49 

PLEASE NOTE: Payments that are not received by the 

due date are subject fo a $10.00 Late Fee. 

“vouserkam 

WC WH 

To pay online, visit bginwowway.com. 

ACCOuUnt Number 

I 

PO BOX 4350 

Please detach and enclose 

this coupon 

CUSTOMer Phone 

= 

CAROL STREAM, IL 60197-2350 

with your payment. 

Billing Date 

August 10, 2024 

Do nok send cash. Make checks pay3b%e rotal Amount Due 

486.49 

Payment Due Date 

fafa

Page 11

hi 2 

F 3 

internet + tv + phone 

Page2ofy 

contact information 

customer services & billing: 

Account Name 

_... 

YOUSEF KAID 

chat: wowway.com/chat 

Account Number 

1-866-496-9669 

Billing Date ...... 

August 10, 2024 

WOW! SERVICES & BUNDLES 

08/09-09/08 WOW! internet Plan 

... 

Internet 1000 

....... 

08/09-09/08 12 month $25 promotional offer 

rerrre SBULHG 

$84.49 

— -$25.00 

Discount ends on 01/07/2025 

Total WOW! Services & Bundles ......ouvmnnnua $59.49 

ADDITIONAL WOW! INTERNET 

SERVICES 

08/09-09/08 Network Enhancement 

Fee 

................ errr $1.00 

The Network Enhancement Feo, which is not a government 

tax or fee, recovers some of the costs associated with 

Network improvements, security and maintenance and is in 

adoition to other charges associated mith WOW! internet 

08/09-09/08 Customer Owned Modem 

....... 

wrerrnn- $0.00 

Total Additional WOW! IMemet SErvioss ummm 

$1.00 

ADDITIONAL WOW! PRODUCTS & 

SERVICES 

08/09-09/08 Paper Statement Fee 

.. 

$4.00 

Total Additional WOWI PrOduots & SOMVICES wwumcwermmnrs $4.00 

OTHER CHARGES & CREDITS 

07/25 Reactivation Fee 

Total Other Charges & Credits .....umm 

$22.00 

.$22.00 

Sign up for automatic payments! 

Wher you entoll in antomal 

Ma stomps. No check weiting. No ph 

of your choice. Checks 

registered your Wo! 

ELECTRONIC CHECK CONVERSION 

Accent eo Honeed to do ga iA et Hn getialion payments Doh wiosry - 

; prayiments, your never worry about [5 ying yout rronlily VOW! bil on tims 

wally using the bank account of 

© 

Sian: up taday 2 at login.wowway.com Mote: if you 

2 only lakes a lew moments!

Page 12

Pagelof2 

contact information 

customer service & billing: 

chat: wowway.com/chat 

H 

1-866-496-9669 

Electronic Presentation Only 

Account Name 

................. 

YOUSEF KAID 

internet + tv + phone 

forserviceat.. 

Account Number 

—— 

662 CHAMPAIGN RD 

LINCOLN PARK, M1 48146-3008 

Customer Phone 

334) 352-5598 

Billing Date: ... 

February 10,2026 

WOW! News 

ACCOUNT SNAPSHOT 

' 

h 

alread 

a 

h 

a 

[1:1 {| SR 

- 

$192.98 

if you 

haven't 

already, go green and 

switch 

to paperless 

oo 

statements today! Paperless statements are easily 

Visa Payment 1/24/26 

accessible, secure, and best of all - free. Paper statements 

New Charges - See Below 

oe $107.49 

are subject to a $4 per month fee which is subject to 

n 

. $107.49 

change without notice. As a courtesy, new customers get 

: 

i 

the Paper Statement Fee waived in the first 

3 months of 

Payment DUE DALE ennai 02/28/26 

service. To sign up, visit the Billing Center section of 

¥ 

. 

SE 

ER 

: 

: 

” 

Account Manager at login.wowway.com. 

: 

RR 

NEW CHARGES SUMMARY 

WOW! Services & Bundles 

Additional WOW! internet Services 

- 

Other Charges & Credits. 

........ reinssan 

Total New Charges 

.. $84.49 

. $1.00 

PLEASE NOTE: Payments {hat are not received by the 

dus date are subject toa $10.00 Late Fee. 

=. 

. 

oy 

cans 

o 

Account Name 

YQUSEF KAID 

x 

ag 

fo pay by phone, 

856-496-9669. 

Wh C ; WA 

To pay online, visit loginwowway.com. 

 ACCOUNt Number 

Customer Phone 

- 

PO BOX 4350 

Please detach and enclose this coupon 

> 

CAROL STREAM, IL 60197-4350 

with your payment. 

Billing Date 

Too cen vale 

pbk rotal Amount Due

Page 13

Page20f2 

YOUSEF KAID 

customer services & billing: 

Account Name 

. 

4 

chat: wowway.com/chat 

Account Number 

Spl 

ge 

18661969669 

Billing Date 

internet +Ev + hone 

J Em 

February 10, 2026 

WOW! SERVICES & BUNDLES 

02/09-03/08 WOW! Internet Plan 

........... eerenereasanne $89.49 

internet 1000 

.... 

...$89.49 

02/09-03/08 12 month $5 Loyalty Offer ......... - 

Discount ends on 01/08/2027 

Total WOW! Services & Bundles 

uci: $84.89 

ADDITIONAL WOW! INTERNET 

SERVICES 

02/09-03/08 Network Enhancement Fee nun $1.00 

The Network Enhancement Fee, which is not a govemment 

tax or fen, recovers some of the costs associated with 

: 

security and. 

and isin 

tian 

other ears assaited wih Wow mies 

sarvicas. 

02/09-03/08 Customer Owned Modem 

..$0.00 

Total Additions] WOW! Internet Services mw 

$1.00 

OTHER CHARGES & CREDITS 

01/25 Reactivation FBO ........umwrmemmresrmosmssssomenes $22.00 

Total Other Charges 

& Credits ........—... 

Sign up for automatic payments! 

ing your momily WOW! hil on tine 

When you enroll in aitamats: fraymen 

LRU 5 ever ony af £2041 

Na stinnps. Mo check welling. Mo phone cal 

jigs 

automatically using the hank aceount oF credd card 

of your 

chico, Checking, savings, Credit, 

¢ 

5t ff you! 

& Sign: up today at login.wowway.com. Mote: If you havent 

segistered your WOW! Accmint 

you'll rretsed to fs 573 {oy et im ataimate payments: DoryLwoiry 

- 8 only takes a few moments! 

ELECTRONIC CHECK CONVERSION

Page 14

Payment Coupon 

AVOID SHUTOFF PAY $277.51 BEFORE 05/23/2025 

Please indicate amount paying $ 

Account Number 

“AVOID SHUTOFF 

277.54 

9217 1 MM O.576" TA42'2'PRO'IADS 

+++ 

IIKED ABG 480 

Total Due: 

$099.26] 

H 

YOUSEF KAID 

at 

p 

. 

662 Champaign Rd 

pa agen s 

to: 

Lincoln Park Mi 48146 

nergy 

P.O. Box 740786 

Cincinnati OH 45274-0786 

For address cotections, please visit dieeneigy.com of 

Scan code with 

Phone 

for quick and secure 

cal 800.477.4747. 

payment process! 

Fletum upper poston with your payed 

200475411138 

ICE 

Contact Information 

] 

] 

Programs you are enrolled in 

Gas Leak or Gas Emergency 

800.947.5000 

Customer Service or Power Outage 800.477.4747 

Hearing-Impaired TDD Line 

800.888.6886 (Mon-Fri Bam-5pm) 

Web Site 

dieenergy.com 

~—— Summary of Charges 

ccount 

Balance as of Apr 

07, 

Payment Received Apr 15, 2025 Thank You! 

Balance Prior to Current Charges 

Your account remaina past due, Please pay 277.51 

before 05/23/2025 to avoid SHUTOFF. 

Current Charges 

Residential Electric Service Time of Day 3 p.m. - 7 

357.53 

pam. 

Residential Gas Heating 

§7.09 

Other Charges and Credit 

5.34 

Total Current Charges 

419.95 

Account Balance as of May 08, 2025 

$999.26 

Your current charges are due on May 30, 2025. A 2% late payment charge will be applied it paid after the due date. 

Important Information 

Account Information 

The Gas Cost Recovery (GCR) charge represents the actual cost DTE pays for the natural gas you use. There is no mark-up 

# you pay what we pay. As of May 1, 2025, the GCR has decreased from $0.411 per CCF to $0.408 to reflect our decreased 

cost of fuel. For more information, visit dieenergy.com/price. 

The Distribution Securitization Charge, included in Other Delivery Volumetric Surcharges line on your bill, has been updated. 

This charge is owned by DTE Electric Securitization Funding 

| LLC and collected on its behalf, and is reflected in Section 

C9 of the DTE Electric Rate Book. The Power Supply River Rouge Securitization Charge, included in Other Power Supply 

Volumetric Surcharges line on your bill, has been updated. This charge Is owned by DTE Electric Securitization Funding 

§ LLC 

and collected on its bahall, and is reflected in Section C8 of the DTE Electric Rate Book. 

The average DTE Gas residential customer is expected to save $2.37 each month because of energy optimization programs 

over the remaining program life.

Page 15

SHUT-OFF NOTICE 

In order to protect our customers and employees, DTE Energy field personnel cannot accept payment when at the 

customer's premise to disconnect electric and/or gas services (s). 

To avoid shut off, pay the past due amount by the date indicated on the front of the bill using one of the foflowing methods:. 

Automated pay agents, located throughout Michigan, accept cash, checks and money orders. 

To assure your 

payment is posted to your account prior to the day it is available for disconnection, payments must be made a 

minimum of 5 business days prior to the date indicated in the Summary of Charges section on the front of this bifl. 

If 

no date is indicated, your service is subject to immediate shut off and you should contact DTE Energy immediately. 

To find the nearest agent, contact DTE Energy at 800.477.47. 

Pay by credit card or personal check by calling 800.477.4747, 

45274-0786. 

Mf paying by mail, payment must be received bs! 

Detail of Current Charges 

47 or visit our Web Site at dieensrgy.com. 

Checks and money orders are accepted by mail, addressed to DTE Energy, Box 740786, Cincinnati, OH 

fore the shut-off date. 

For Service at 662 Champaign Rd, Lincoln Park, Ml 

DTE Gas Company Residential Gas Heating 

Current Charges 

Current Billing information 

Customer Charge 

14.501 

Service Period 

Apr 5, 2025 - May 7, 2025 

Gas Distribution Charge 

59 CCF @ 0.447320 

26.39] 

Days Bitled 

33 

Gas Cost Recovery 

59 CCF @ 0.408000 

24.07) 

Meter Number 

4021806585 04. 

U-21291 IRM 

0.661 

Meter Reading 

2649 Actual - 3008 Actual 

Reservation Charge 

N 

59 CCF @ 0.036000 

212} 

CCF Used 

59,00000 

Res Income Assistance Credit 

~14.50F 

Your next scheduled meter read date is on of around JUN 5, 2025 

Other Delivery Surcharges 

1.65 

Residential Michigan Sales Tax 

2.20} 

Usage History - Average per day 

Total DTE Gas Company Current Charges 

57.09] 

Current 

Last 

Year 

Month 

Month 

Ago 

CCF Usage 

1.8 

08 

04 

Change 

125% 

350% 

DTE Electric Company Resldential Efectric Service Time of Day 3p.m.- 7 p.m. 

Current Charges 

Current Billing Information 

Power Supply Charges 

Service Period 

Apr 5, 2025 - May 7, 2025 

On Peak Capacity Charge 

363.454 @ 0.039840 

14.48] 

Days Billed 

33 

Off Peak Capacity Charge 

1439.063 @ 0.034030 

48.97] 

Meter Number 

533794404 

On Peak Non Capacity Charge 

363.454 @ 0.062330 

22.65] 

Meter Reading 

42809.438 Actual - 44611.955 Actual 

Of Peak Non Capacily Charge 

1439.063 @ 0.053250 

76.63] 

KWH Used 

1802.51700 

Power Supply Cost Recovery 

1802517 @ 0.002500 

4.51] 

On Peak Used 

363.45400 

Other Power Supply Volumetric Surcharges 

3.80] 

Off Peak Used 

1439.06300 

Delivery Charges 

Your next scheduled meter read date is on or around JUN 5, 2025 

Service Charge 

8.50 

Distribution 

1802517 @ 0.089070 

160.55) Usage History - Average per day 

LIEAF Factor 

0.87 

Current 

Last 

Year 

Res Income Assistance Credit 

~8,50 

Month 

Month 

Ago 

Other Delivery Volumetric Surcharges 

11.35] KWHUsage 

546 

462 

1053 

Residential Michigan Sales Tax 

13.72] 

Change 

18% 

48% 

Total DYE Electric Company Current Charges 

357.53 

Other Charges and Credits 

Late Payment Charge 

5.34 

Total Other Charges and Credits 

5.34 

Total Current Charges 

419.96

Page 16

Payment Coupon 

AVOID SHUTOFF PAY $648.17 BEFORE 12/23/2024 

3905 1 AB 0,534" T016'2' POT M12 

AUTO ALL FOR AADC 481 

YOUSEF KAID 

662 Champaign Rd 

Lincoln Park Mi 48146 

Sean code with Phone 

for quick and secure 

payment process! 

SHUTOFF NOTICE 

DTE 

Please indicate amount paying $ 

Account Number 

“AVOID SHUTOFF 

_ 649.47] 

Total Due: 

$1,196.22] 

Mait Payments to: 

DTE Energy 

P.O, Box 740786 

Cincinnati OH 45274-0786 

For address corrections, please visit dieenergy.com or 

call B00.477.4747. 

Retum upper portion with your payment 

200025621559 

Programs you are enrolled in 

Contact information 

Gas Leak or Gas Emergency 

800.947.5000 

Customer Service or Power Outage 800.477.4747 

Hearing-impaired TOD Line 

800.888.6886 (Mon-Fri 8am-5pm) 

Web Site 

dteensrgy.com 

eee SUUMMary of Charges 

Account Balance as of Nov 05, 2024 

Payment Received Nov 22, 2024 Thank You! 

Balance Prior to Current Charges 

Your account remains past due. Please pay 649.17 

if service Is shutoff, you will be required 

to pay your tolal due, an estimated 

deposit of $115.00 and applicable 

reconnect fees to restore service. 

before 12/23/2024 to avoid SHUTOFF, 

Current Charges 

Residential Electric Service Time of Day 3p.m.-7 

230.13 

p.m. 

Residential Gas Heating 

59.00 

Other Charges and Credit 

12.49 

Totat Current Charges 

301.62 

Account Balance as of December 05, 2024 

$1,196.22 

Your current charges are due on December 30, 2024. A 2% late payment charge wiit be applied if paki after the due date. 

Important Information 

Account Information 

‘The Power Supply TCSC Securitization Charge, included in the Other Power Supply Surcharges line on your bill, has been 

updated. This surcharge was approved by the Commission to recover costs associated with the unrecovered net book value 

of the Trenton Channel and St Clair generation sites. This charge is owned by DTE Securitization Funding Il LLC and collecled 

on its behalf, and is reflected in Section C8 of the DTE Electric Rate Book. 

The Michigan Public Service Commission approved price changes on your bill effective Nov. 21. The natural gas rate will 

increase to support infraslructure improvements. The average naturat gas customer will see a bill increase of $1.98 per month 

{100 ccf of gas). In addition, the Infrastructure Recovery Mechanism charge is reduced 10 $0.00 for Nov. and Dec. and will 

adjust to $0.66 beginning Jan. 2025. Your actual charges will depend on your monthly usage. Visit dieenergy.com/price to 

learn how you can manage your energy use and bills. 

The Power Supply Cost Recovery (PSCR) line item on your bill reflects a portion of the costs of the fuel and other sources 

DTE uses to produce and iransport electricity. As of November 1, this portion of the PSCR has decreased from 1.127 cents

Page 17

SHUT-OFF NOTICE 

In order to protect our customers and employees, DTE Energy field personnel cannot accept payment when at the 

customer's premise to disconnect electric and/or gas services {s). 

To avoid shut off, pay the past due amount by the date indicated on the front of the bilt using one of the following methods:. 

+ 

Automated pay agents, located throughout Michigan, accep cash, checks and money orders. 

To assure your 

payment is posted to your account prior to the day it is available for disconnection, payments must be made a 

minimum of 5 business days prior to the date indicated in the Summary of Charges section on the front of this bill. 

If 

no dale Is indicated, your service is subject to immediate shut off and you should contact DTE Energy immediately. 

To find the nearest agent, contact DTE Energy at 800.477.4747 or visit our Web Site at diesnergy.com. 

+ 

Pay by credit card or personal check by calling 800.477.4747. 

+ 

Checks and money orders are accepted by mail, addressed to DTE Energy, Box 740786, Cincinnati, OH 

45274-0786. 

If paying by mail, payment must be received before the shut-off date. 

For the average Michigan residential customer, renewable energy is estimated to avoid $3.08 per month of new coal-fired 

generation costs. 

Your account is pas! due. Please pay the past-due balance now. To pay by phone, call us at 800.477.4747. If paid, please 

disregard this notice. 

Your home healing cost from November 1, 2023 to October 31, 2024 was $1044.19. This information is needed if you apply 

for the Michigan home heating tax credit. 

If your service is shut off, please call 800.477.4747 to obtain the total amount required to restore service. This will include the 

past- due amount, a reconnect charge, a deposit and all other past due amounts before your service is restored. if DTE Energy 

is your provider for gas and electric, the past-due amount required applies to both services. Past due amounts for electric 

services are $625.44 and for gas services are $23.73.1f service is shutoff, pleasecall 800.477.4747 to obtain the total amount 

required to restore service. If you have an Advanced Electric Meter your service will be shut off remotely without a visit to your 

location. 

Other Information 

Detail of Current Charges 

| 

EE 

TE 

7 

For Service at 662 Champaign Rd, Lincoln Park, MI 

DTE Electric Company Residential Electric Service Time of Day 3 p.m. - 7 p.m, 

Current Charges 

Current Billing Information 

Power Supply Charges 

Service Period 

Nov 4, 2024 - Dec 5, 2024 

On Peak Capacity Charge 

104.357 @ 0.014380 

1.50] 

Days Billed 

32 

Off Peak Capacity Charge 

1084.496 @ 0.012410 

13.46] 

Meter Number 

5337944 04 

On Peak Non Capacity Charge 

104.357 @ 0.085180 

8.89] 

Meter Roading 

27899.109 Actual - 26087.962 Actual 

Oi Peak Non Capacity Charge 

1084.435 @ 0.073540 

79.75 

KWH Used 

1188.85300 

Power Supply Cost Recovery 

1188.853 @ 0.002500 

2.97} 

On Peak Used 

104.35700 

Other Power Supply Volumeltic Surcharges 

281} 

Off Peak Used 

1084.49600 

Delivery Charges 

Your next scheduled meter read date is on or around JAN 7, 2025 

Service Charge 

8.50 

. 

Distiibution 

1188.853 @ 0.081370 

g6.74| Usage History - Average per day 

LIEAF Factor 

0.87 

Curent 

Last 

Year 

Other Delivery Volumetric Surcharges 

6.12 

Monin 

Month 

Ago 

Residential Michigan Sales Tax 

582) KWHUsage 

37.2 

1106 

688 

Total DTE Electric Company Current Charges 

230.43 

Change 

66% 

37% 

DTE Gas Company Residential Gas Heating 

Current Charges 

Current Billing information 

Customer Charge {11/05/2024-11/20/2024) 

6.97} 

Service Period 

Nov 5, 2024 - Dec 5, 2024 

Customer Charge {1 1/21/2024-12/05/2024) 

7.020 

Days Bitled 

K)) 

Gas Distribution Charge 

15 CCF @ 0.388530 

5.83] 

Meter Number 

4021906585 04 

{11/05/2024-11/20/2024) 

Meter Reading 

2666 Actual - 2713 Acluat 

Gas Distribution Charge 

32 CCF @ 0.445160 

14.28] 

CCF Used 

47.00000 

(11/21/2024-12/05/2024) 

Your next scheduled meter read date is on or around JAN 7, 2026 

Gas Cost Recovery 

47 CCF @ 0.377000 

12.72 

U-20940 RM (11/05/2024-11/20/2024) 

1.95] 

Usage History - Average per day 

Reservation Charge 

47 CCF @ 0.035000 

1.65 

Current 

Last 

Year 

Other Delivery Surcharges 

1.31 

Month 

Month 

Ago

Page 18

PROGRESSIVE 

P.0. BOX 31260 

TAMPA, Fi 33631 

YOUSEF KAID 

662 CHAMPAGNE 

PROGRESSIVE 

DIRECT Auto 

Policy Number: I 

Underwritten by: 

Progressive Marathon Insurance Co 

February 21, 2024 

RD 

Policy Period: Oct 10, 2023 - Apr 10, 2024 

LINCOLN PARK, Mi 48146 

Page 1 of 

3 

progressive.com 

Online Service 

Make payments, check billing adivity, update 

policy information or check status of a claim. 

Auto Insurance 

1-800-776-4737 

For customer service and daims service, 

Cove rage Summary 

24 hours a day, 7 days a week. 

This is your Declarations Page 

Your coverage has changed 

Your coverage began on October 10, 2023 at the later of 12:01 a.m. or the effective time shown on your application. This policy 

period ends on April 10, 2024 at 12:01 a.m. 

This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of your 

coverage. The policy limits shown for a vehicle may not be combined with the limits for the same coverage on another vehide. The 

policy contract is form 9611D MI (09/19). The contract is modified by forms A245 Mi (10/17) and A298 Mi (04/23). 

Policy changes effective February 21, 2024 

Requested by: 

Chan 

EXPLORER has been 

added. 

The 2022 FORD EXPLORER has heen removed. 

The changes take effed as of the date and time requested shown above. 

Drivers and resident relatives 

Yousef Kaid 

Additional information: Named insured 

Eligible for PIP Medical Expense Coverage: Yes 

Manal Alnadesh 

Eligible for PIP Medical Expense Coverage: Yes 

Total tesidants: 02

Page 19

poly Number SN 

Yousef Kaid 

Page? 

of 3 

Outline of coverage 

2023 FORD F150 CREW PICKUP 

Garaging N ws i. 

Rating city: Lincoln Park 

Primary use of the vehicle: Commute 

Annual miles: 10,000 - 11,999 

tength of vehide ownership when policy started or vehicle added: Less than 1 month 

Limits 

Dedudible 

Premium 

Liability To Others 

$167 

Bodily injury Liability 

$50,000 each person/$ 100,000 each accident 

Property Damage Liabilly 

$50000eachacddent 

ee 

Personal Protection Insurance (PIP) 

Medical Expense 

Property Protection Insurance 

$1,000,000 

$0 

13 

Adal Cash Value 

iio 

Total premium for 2023 FORD 

$1,219 

2023 FORD EXPLORER 4 DOOR WAGON 

VIN 

Garaging ZIP Code: 48146 

Rating dity: Lincoln Park 

Primary use of the vehicle: Pleasure/Personal 

Annual miles: 6,000- 7,999 

Length of vehicle ownership when policy started or vehicle added: Less than 1 month 

We were unable to validate or locate prior history for the VIN you provided, which has impacted how we determine your premium. 

$50,000 each person/$100,000 each accident 

$50,000 each accident

Page 20

Policy Number: [| 

Yousef Kaid 

Page3 

of 3 

Premium discounts 

Policy 

he 

Multi-Policy, Paid in 

Ful, 

Continuous Insurance: Gold and Paperless 

Vehicle 

023F0RD TTT Driver and Passenger-side Airbag, Anti-theft Device and Smart Technology 

F150 

Discount 

2023 FORD 

Driver and Passenger-side Airbag, Anti-theft Device and Smart Technology 

EXPLORER 

Discount 

Smart Technology Discount ™ 

is a service mark of Progressive Casualty Ins. Co. 

Lienholder and additional interest information 

Vehide 

Lienholder 

Additional interest 

2023 FORD F150 

FORDMOTORCGRCO 

FORD MOTOR CR CO 

MINNEAPOLIS, MN 55439 

MINNEAPOLIS, MN 55439 

EO Er DT 

] 

MINNEAPOLIS, MN 55439 

MINNEAPOLIS, MN 55439

Page 21

- 

“ujeBe - ajokoa1 asea|d "91SEM JaWNSU09o-1sod wou spew sj eBexoed sy 

\ 

\ 

PRESS FIRMLY TO SEAL 

we 

PRESS FIRMLY 

ERR 

P_ 

UNIT 

US POSTAGE PAID 

P OS P 

$11.9 5 

Org: 4514 

Retail 

2554550146-4 

® Expected delivery dat 

PRIORITY MAIL® 

HB Domestic shipments it 

0 Lb 4.60 Oz 

® USPS Tracking® servic 

RDC 03 

® Limited international if 

gypecTED DELIVERY DAY: 

03/12/28 

® When used internation 

B060 

*Insurance does not cover ceri 

SHIP 

Domestic Mail Manual at http:/ 

. 

** See International Mail Manu: 

PO BOX 30232 

Ea LANSING MI 48909-7732 

FLAT RATE 

USPS TRACKING® # 

ee JE. 

TRAC KED n 

9505 5123 9248 6069 7122 42 

EP14F October 2023 

atic) 000014" 

OD:121/2x91/2 

ET

PDF reading copy

← View full record