R97-136 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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Illinois Department of Revenue For U�e By Courrty Retorders om� — i • � County I ' ` Local Government Services Bureau i REAL ESTATE TRANSFER DECLARATION � Date I THE FOLLOWING INFORMATION IS REQUIRED BY THE REAL ESTATE TRANSFER TAX UW(35 OOC. N0. 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 WI�LFUL OMISSION OF IN• FORMATION IS A CLASS B MISOEMEANOR(35 ILCS 200/31-50). VOI. i I EXCEPT AS TO EXEMPf TRANSACTIONS,THE COUNTY RECORDER IS PROHIBITED BY LAW j FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRUST pagg ' (fRU5T DOCUMEN�FOR RECORDATION UNLESS IT IS ACCOMPANIED BY THIS DECLARA- I TION CONTAINING ALL OF THE INFORMATION REQUESTED HEREIN(35 ILCS 200l31-25). i Rec'd. By: � PROPERTY IDENTIFICATION Address of Property 815 W. Elm Decatur Decatur Street City or Village Township Permanent Real Estate Index No. Date of Deed �97 Enter Legal Description on Page 2 of this form. (ar�ox„r,�er,q (Month/Year) NOTICE: The State of Illinois has enacted a Smoke Detector Act. Type of Deed CorpOrat ion c«rnac ox„r„enq PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.) Lot Size NOTE: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 Check type of improvemerrt on property Yes No 1. Is this a transfer between relatives or related parties? p $ � Vacant land/lot 2. Is this a campulsory transaction in lieu of foreclosure, � Residence (Single family or duplex) divorce,court order,condemnation, probate,etc.? p $ � Mobile home(see note on page 2) 3. Was this a tra�sfer in settlement of an installment contract C Apartment bldg. (6 units or less) for deed initiated prior to the year ol recw�din6? � � ❑ Commercial apartment(Over 6 units) If��Yes",enter co�tract year u StOre, offiCe, CommerCia� bldg. SPEC/AL NOTE:If contrad year is the same as year of recording,answer fhis question "No" ^ Industrial bldg. 4. Was the deed any of the following types: p $ G Farm, land only •Sheriff's Deed •Judge's Deed •Quit Claim Oeed •Con ❑ Farm, with bldgs. •Trust Daument which Refers to COLLATERAL ASSIGNMENT of Beneficial I terestuof Trus�� �� Other (Specify) TERMS OF SALE Full Actual Consideration (Sale Price) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ —0— less amount of personal property included in purChase (Do not deduct value of beneficial interest of a land trusi.) $ Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 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 . . . . . . . . . . . . . . . . . g —Q_ �Au,uLATION OF TRANSFER TAX , Amount of State of Illinois tax stamps($.50 per $500 or part thereof of taxable consideration) . g Exempt Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . $ Total Transfer Tax Collected $ se this space to escnbe any specia arcumstances invo ving t �s transaction: Exempt under the provisions of Paragraph B, Section 4, Real Estate Transfer Tax Act because this involves the conve ance of school Y district ro ert . P P Y FINANCE QUESTIONS: If the answer is"No"to all of the above Sale Information questions,ALL of the folbwing questions must be answered.If any of the questions below are answered"Yes"the buyer•or buyer's' represenWtive MUST complete the Finance Schedule on the top of pages 2 and 3. Yes Na If FINANCE QUESTIONS 1. Dces property REMAIN SUBJECf to a mortgage such as an assumed mortgage? 1 throu 5 ° _ � 2. Did the seller' provide a mortgage in partial or full consideration? y are answered ��NO�; 3. Did the seller• pay points to secure the buyer's' mortgage,including VA a�d FHA insured loans? ❑ DO NOT c�mplete = Finance Schedule 4. Did the se�ler's• mortgagee make interest concessions to the buyer',i.e..offer a"btended" interest rate below market but greater than the seller's existing matgage rate? C — on Pages 2 and 3. 5. Was the financing in any other manner unique or specrfically associated with the property y being transterred,e.g.,builder"buy down"of interest,etc.? � � ' If th�s transaction is a transfer of a beneficial interest of a land trust, substitute the word Assitnor for Seller and Aasi�nee tar Buye► PTAX•203(R-4194) Page 1 of 4