R97-94 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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iltinois Department of Revenue For Use By County Recorder's Ottice , � County Local Government Services Bureau ' REAL ESTATE TRANSFER DECLARATION �ate THE FOILOWING INFORMATION IS REQUIRED 8Y THE REAL ESTATE TRANSFER TAX LAW(35 DOC. N0. ILCS 200l31•25). PAGES 1 THROUGH 3 ARE TO BE FILLED OUT BV THE SELLERS` AND BUYERS' OR THEIR AGENTS.ANY WILLFUL FALSIFICATION OR WILLFUL OMISSION OF IN- FORMATION IS A CLASS B MISDEMEANOR(35 ILCS 200l31-50). V01. EXCEPT AS TO EXEMPT TRANSACTIONS,THE COUNN RECORDER IS PROHIBITED 8Y LAW FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRUST pagg (TRUST DOCUMENn 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 675 W. Olive Decatur Decatur City Street City or Village Township Permanent Real Estate Index No. 04-12-10-135-013 Date of Deed /1997 Enter Legal Description on Page 2 of this form. (arTrustoaumenc� (Month/Year) NOTICE: The State of Illinois has enacted a Smoke Detector Act. Type of Deed Warranty Deed (orTrustDocument) Statutor PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.) Lot Size 45 x 148 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 Yes No Chetk type of improvement on propCtty 1. Is this a transfer between relatrves or related parties? ❑ � u VaCant land/lOt 2. Is this a compulsory transaction in lieu of foreclosure, T7 ResidenCe(Single family or duplex) divorce,court order,condemnation, probate,etc.? ❑ � ❑ Mobile home(see note on page 2) 3. Was this a trensfer in settlement of an installment contract ❑ Apartment bldg. (6 units or less) for deed initiated prior to the year of recording? � _ ❑ Commercial apartment (Over 6 units) if ��Yes",enter contract year O Store, offiCe, commercial bldg. SPECIAL NOTE:N contract year is the same as year of recording,answer this quest�on "No" � Industrial bldg. 4. Was the deed any of the following types: ❑ � ❑ 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 COLLATERAL ASSIGNMENT of Beneficial Interest of Trust � Other (Specify) TERMS OF SALE Full Actual Consideration (Sale Price) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,000.00 ' Less amount Of personal prOperty inCluded in purChase (Do not deduct value of beneficial interest of a land trust.) $ —0— , Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,000.00 Less value of other real property transferred to seller as part of full consideration . . . . . . . . . . $ —0— Less outstanding amount of mortgage to which the transferred real property remains subject . . $ —0— Net taxable consideration subject to transfer tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Exemnt CALCULATION OF TRANSFER TAX Amount of State of Illinois tax stamps ($.50 per $500 or part thereof of taxable consideration) . $ —0— Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . $ —0— Total Transfer Tax Collected $ —0— Use this space to descri e any special circumstances invo ving this 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 top of pages 2 and 3. Yes No If FINANCE QUESTIONS 1. Dces 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 consideratio�? ❑ � are answer�ed ��NO", 3. Did the seller' pay points to secure the buyer's" mortgage, including VA and FHA insured loans? ❑ � 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 seller's existing mortgage rate? ❑ � 011 P�CS 2 a�d 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.? ❑ � ' If this transaction is a transfer of a beneficial interest of a land trust,substitute the word Assignor for Seller and Assignee for Buyer. PTAX-203(R-4194) Page 1 of 4