95-57 AUTHORIZING PURCHASE OF REAL PROPERTY

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�linois Department of Revenue For Use By County Rec;order�s orr�ce . Cou nty Local Government Services Bureau REAL ESTATE TRANSFER DECLARATION �ate THE FOLLOWING INFORMATION IS REQUIRED BY THE REAL ESTATE TRANSFER TAX ACT(CHAP. DOC. N0. 120,PAR.1003,IL REV.STAT.).PAGES 1 THROUGH 3 ARE TO BE FIILED OUT 8Y THE SELLERS' AND BUYERS' OR THEIR AGENTS.ANY WILLFUL FALSIFICATION OR WILLFUL OMISSION OF INFORMATION IS A CLASS B MISDEMEANOR(CHAP.120,PAR.1005,IL REV.STAT.). V01. EXCEPT AS TO EXEMPi TRANSACf10NS,THE COUNTY RECORDER IS PROHIBITED BY lAW FROM ACCEPfING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRUST page (fRUST DOCUMENn FOR RECORDATION UNLESS IT IS ACCOMPANIED BY THIS DECLARA- TION CONTAINING ALL OF THE INFORMATION REQUESTED HEREIN(CHAP. 120,PAR.1003, IL REV.STAT.). Rec'd. By: PROPERTY IDENTIFICATION Address of Property 558 Wabash Ave. and 725 N. Martin L. King Jr. Drive Street City or Village Township Permanent Reai Estate Index No. 04-12-11-355-054 ; 053 Date of Deed 11-1-95 Enter Legal Description on Page 2 of this form. (aT�ust�owmeM� (Month/Year) NOTICE: The State of Illinois has enacted a Smoke Detector Act. Type of Deed Warrant� (a Trust DaumeM) PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.) Lot Size NQTE:You do not have to complete the Finance Questions at the bottom of this page or the Finance Schedule at the top of pages 2 and 3 of this form, if you answer any of the following questions"Yes". ACreage Yes No CheCk type of improvement on propetty 1. Is this a transfer between relatives or related parties? ❑ � ❑ Vacant (and/lot 2. Is this a compulsory transaction in lieu of foreclosure, ❑ Residence(Single family or duplex) divorce,court order,condemnation,probate,etc.? O SI � Mobile home(see note on page 2) 3. Was this a transfer in settlement of an installment wntrad ❑Apartment bldg. (6 units or less) for deed initiated prior to the year of recording? ❑ Sl ❑ Commercial apartment(Over 6 units) It"Yes",enter contract year �StOre, offiCe, COmmerCial bldg. SPEC/AL NOTE:If contrad y�ear is the same as year o/recordrng,answer this question "No': ❑ Industrial bldg. 4. Was the deed any of the following types: ❑ g! ❑ Farm, land Only •Sheriff's Deed •Judge's Deed •Quit Claim Deed •Conveyance of Less than full Interest ❑ Farm, with bldgs. •Trust Document which Refers to COLLATERAI ASS�GNMENT of Beneficial Interest of Trust ❑ Other S eci TERMS OF SALE Full Actual Consideration (Sale Price) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5 9 ,9 0 0. 0 0 Less amount of personal property included in purchase (Do not deduct value of beneficial interest of a land trust.) $ Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5 9 ,9 0 0 . 0 0 Less value of other real property transferred to seller as part of full consideration . . . . . . . . . . $ Less outstanding amount of mortgage to which the transferred real property remains subject . . $ Net taxable consideration subject to transfer tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5 9, 9 0 0 . 0 0 CALCULATION OF TRANSFER TAX Amount of State of Illinois tax stamps ($.50 per $500 or part thereof of taxable consideration) . $ NA Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . $ NA Total Transfer Tax Collected $ NA se this space to descri e any special cir�umstances invo vmg t is transaction: Exempt under provisions of paragraph b, Section 4 , Real Estate Transfer Tax Act. FINANCE QUESTIONS: If the answer is"No"to all of the above Sale Information questions,ALL of the following questions must be answered. If any oi the questions below are answered "Yes"the buyer•or buyer's` representative MUST complete the Finance Schedule on the top of pages 2 and 3. Yes No If FINANCE QUESTIONS 1. Does property REMAIN SUBJECT to a mortgage such as an assumed mortgage? ❑ � 1 through 5 2. Did the seller' provide a mortgage in partial or full consideration? ❑ � are answered ��NO��, 3. Did the seller' pay points to secure the buyer's' mortgage,inctuding VA and FHA insured loans? � F� DO NOT complete 4. Did the seller's' mortgagee make interest concessions to the buyer',i.e.,offer a "blended" Finance Schedule interest rate below market but greater than the selter's existing mortgage rate? ❑ k� on Pages 2 and 3. 5. Was the financing in any other manner unique or specifically associated with the property being transferred, e.g., builder"buy down"of interest,etc.? O Xl ' If this transaction is a transfer of a beneficial interest of a land trust, substitute the word Assignor fa Seller and Aasignee fo�Buyer. PTAX-203(R-10/91) page.1 of 4 I L-492-0027