R97-137 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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� Illinois Department of Re�•��ue F� ��u ey co��c,�R��:on� . County Local Governmerrt Services Bureau REAL ESTATE TRANSFER DECLARATION oate THE FOLIAWING INFORMATION IS REQUIRED BY THE REAL ESTATE TRANSFER TAX LAW(35 Da. No. ILCS 200/31-25). PAGES 1 THROUGH 3 ARE TO BE FILLED OUT BY THE SELLERS' AND BUYERS'OR THEIR AGENTS.ANY WILLFUL FALSIFICATION OR WILLFUL OMISSION OF IN- FORMATION IS A CLASS B MISDEMEANOR(35 ILCS 200/31-50). V01. EXCEPf AS TO EXEMPT TRANSACTIONS,THE COUNTY RECORDER IS PROHIBITED BY LAW FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRUST page (TRUST DOCUMEN�FOR RECORDATION UNLESS IT IS ACCOMPANIED BY THIS DECLARA- TION CONTAINING ALL OF THE INFORMATION REQUESTED HEREIN(35 ILCS 200/31•25). Rec'd. By: PROPERTY IDENTIFICATION Address of Property 1421 W. Decatur Decatur Decatur City Street City or Viilage T��p Permanent Real Estate Index No. 0 4-12—16—4 0 3—014 Date of Deed /9 7 Enter Legal Description on Page 2 of this form. (atnacoauma� (Montnnrear� NOTICE: The State of Illinois has enacted a Smoke Detector Act. TYPe of Deed Warranty (a Tnat Docunnrt) PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.) Lot Size NCITE:You do not have to complete the Finance Questions at the bottom of this page or the Fnance Schedule at the top of pages 2 and 3 of this form, if you answer any oi the folbwing questions"Yes". '��ge Yes No Chedc type of imprOvement on prpperty 1. Is this a transfer between relatives or related parties? ❑ � � Vacant land/lot 2. Is this a compulsory transaction in lieu of foreclosure, �' Residence(Single family or duplex) divorce,court order,condemnation,probate, etc.? ❑ � - Mobile home(See note on page 2) 3. Was this a transfer in settlement of an installment contrad = Apartment bldg. (6 units or less) for deed initiated prior to the year of recording? � ❑ � Commercial apartment(Over 6 units) It"Yes",enter contract year `— Store, OffiCe, CommerCial bldg. SPECIAL NOTE:If contract year is the same as year of recording,answ�er this question "No" - Industrial bldg. 4. Was the deed any of the following types: r,� � = Farm, land only •Sheriff's Deed •Judge's Deed •Quit Claim Deed •Conveyance of Less than full Interest = Farm, with bldg5. •Trust Document which Refers to COLLATERAL ASSIGNMENT of Beneficial Interest of Trust = Other (Specify) TERMS OF SALE Full Actual Consideration (Sale Price) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g $3 8 , 0 0 0 . 0 0 Less amount of personal property included in purchase (Do not dedud value of beneficwl interest of a land trust) $ — — Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $�R , n�n _n n Less value of other real property transferred to seller as part of full consideration . . . . . . . . . . $ —(1— Less outstanding amount of mortgage to which the transferred real property remains subject . . $ —0— Net taxable consideration subject to transfer tax . . . . . . . . . . . g Fxamr�t CALCULATION OF TRANSFER TAX Amount of State of Illinois tax stamps (�.50 per $500 or part thereof of ta�ble consideration) . $ F.xPmnt Amount of wunty tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . g F.xPmnt Total Transfer Tax Collected $ F.xemt�t ti�o+►,< < . a � r w w uca��uc o�ry ,�,,a, �,��ances inwrving tms transaction. This transfer is exempt under Paragraph b of the Real Estate Transfer Act, Chapter 35 ILCS 305/4 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 of the questions below are answered "Yes"the buyer•or buyer's' representative MUST complete the Finance Schedule on the Wp of pages 2 and 3. Yes No If FINANCE QUESTIONS 1. Dces property REMAIN SUBJECT to a mortgage such as an assumed mortgage? p � 1 through 5 2. Did the seller' provide a mortgage in partial or full consideration? p p{ are answered ��NO��, 3. Did the seller• pay points to secure the buyer's' mortgage,including VA and FHA insured loans? ❑ p{ �N��p�� 4. Did the seller's' mort • • Finance Schedule 6a6�make interest concessions to the buyer ,i.e.,offer a"blended" interest rate below market but greater than the seller's existing mortgage rata? p p� 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.? � IX ' If this tronsaction is a transfer of a beneficial interest of a land trust, substitute the word As�i�no►fa Ssller and Auipw fw Bu� PfAX-203(R-4l94) o.__ . _. .