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. .. - - - - ---• - -_-• -•_••- "•_ ____. ....._,.,r_�............... ... ................,y........,,... ,........,......,,y.,........,�.r��..�� <br /> from the deed.If yau prefer,submit an�'/z"x 11"cnpy of the extended legal description with ihis form.You may aiso use the space below to write <br /> a�iditional property index numbers,bts sizes or acreage from Step t,line 3. <br /> Parcei 1:The North 110.5 fest oi the East 157.47 feet of the West 281.3 feet oi Lat i of Westiake Secand Additton of Outlots to ihe City of Decatur <br /> as per Plat recarded in Book 335,Page 591 ot the Records in the Recorder's Offic;e of Macon County,except that part taken for pubiic highway <br /> purposes.Situated in Macon County,ftlinois. <br /> Parce)11:Easement dated January 7,2000 and recorded January 24,2000 in Book 2945,Page 438 as Document No.1531447,created by Alvin 1 <br /> Cohen and Cari 0.Blazier,indfviduafly arul as sole partners i�DAC Partnership,for ingress and egress tor the benefit of Parcel i,over the foilowir <br /> described tracts: . <br /> The North t&4.5 feet of the East 143.38 feet oi the West 223.385 feet of the East 1003.67 feet of lot One(i)of Westiake 2nd Additlon of Outlots t <br /> Ehe City of Decatur,as per Piat recorded in Macon County,iltinois,except part taken for a street right of way.AND the North 110.5 feet of the East <br /> 80 feet of the We&t 316.t3 feet ot Lot One(t)of Westlake 2nd Addition of Outlots to the City of Decatur,as per Plat recorded in Book 335,Page 5 <br /> of the Records in the Recordar's OH'ice of Macon County,Iilinols;except that portion teken for public highway purposes.Situated in Macon County <br /> Illinois. <br /> � <br /> Step 4: Complete the requested information. � <br /> The buYer and seqer(or thafr apents)harebY varlty that to the best of their knowtedpe and beliet,the WII adual canstderation and facts stated In this deciaraUon are irue and corceU.It ihis <br /> fra�s8clion irnroNes erry real estate tocated in Cootc Cour�ty,lhe 6uyar and seUer(or their agenis)heratsy veMy U�at to tl�e bast at thdr knowl e,the name d ihe buyer shovvn on the <br /> i dead or essignmeik oi benetidal hNeted in a fand Wat is eilt�a nalural psrson,an Iilfnob carponNon or foreipn eorporaHon suthor(zad to do sineas or�aWuire and hold title lo real <br /> estate In IU'awis,a parinerstdp suthorized to do twsiness or a�quire and hold titis to reai estate In lqinois,or oMer endry reeopnizzad as a person and aulhorized to do busineu or acquire <br /> and hold tHie to reai estale under the laws ot ihe State d Ililnots,Any petson who wiGfupy fafsl8as or omQs arry tn�rmatbn req�red in tMs declaraGon shaii be guilty of a C�ass B m�sde- <br /> meanw br the tEst oNenss and a Class A m�demearwr for subsequeeri obenses.My persoa who knowfnpy submits a false stafement concerNng the ideniily of a graniee shatl be guiiry <br /> ' of a Class C misdemeanor for the Brst otfense and oi a Gass A misdemeanor tor subsequant otfenses. <br /> SeEler Information(Please print.) <br /> Darryt Szcefaszczyk and Jeremy 5zczelaszczyk,iather and son,as Joint Tenants <br /> r <br /> IP <br /> S �tb signatur e e s �me p one <br /> Buyer tnfarmation(Piease print.) <br /> City of becatur, <br /> Buyer's or wstee'c name 8uyer's trust rnrmber Qt appiieaWa-not an SSN or FEit� <br /> One Ga K.Anderson Ptaza Decatur IL 62523 <br /> Sveet a re (a r ale) City State ZIP <br /> � � 2���aza-2�a� <br /> BuyePs o eni s gnature Buyers dayttme phone <br /> F,►eu t biit to: <br /> City of pecatur,Illinois One Gary K.A�dersan Plaza Decaiur IL 62523 <br /> Name or company Street address Gty State ZIP <br /> Preparer t�forrnation(Piease print.) <br /> Patrick M.Holtrop-Crawford,Murphy&7illy <br /> Preparer's and companyk name Preparer's flle numher(it apQlicable) <br /> 27 ashington 5treat Springfield Il 62702 <br /> S eet addr s Cf1y Stata ZIP <br /> � w ( 217)572-1089 <br /> Prepar�'S slgnatttre Preparefc daytime phone <br /> pholirop�a cmtengr.com <br /> Preparers e-mait address(if avatiabfa) <br /> Identify any required documents submtlted with this form.(Maricwith an•x:� X Extended legai description ,�,Form PTAX-203-A <br /> itemized list of personal property �Form PTAX-203-B <br /> To be compieted by the Ch1ef County Assessment Offtcer <br /> i 3 Year prior to sale, __„_ �, <br /> couniy — 7ownsi,� �iass"— cooto-T�rw� —' cade i code 2 q Does ihe sale involve a mobile home assessed as <br /> 2 Board of Review's finai assessed vatue tor fhe assessment year real estate? _ Yes _ No <br /> prior to the yeaz of sale. 5 Comments <br /> land ,_.,_. , � _ � � _ _... ._ � — — _. . <br /> Buiidings _ � _..— — � — —— � — — — - <br /> Totai , <br /> illnois Department of Fievenue Use Tab number <br /> Pdpe 2 014 PTAX-203(R•10110) <br />