R97-80 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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Illinois Department of Revenue For Use By County Recorder's office . . • county Local Governmer�t Services Bureau REAL ESTATE TRANSFER DECLARATION oate THE FOLLOWING INFORMATION IS REQUIRED BY THE REAL ESiATE TRANSFER TAX LAW(35 DOC. 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 WILLFUL OMISSION OF IN- FORMATION IS A CLASS B MISDEMEANOR(35 IICS 200/31•50). V01. EXCEPT AS TO EXEMPT TRANSACTIONS,THE COUNTY RECORDER IS PROHIBITED BY LAW FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRU5T page ' (TRUST DOCUMENT)FOR RECORDATION UNLESS IT IS ACCOMPANIED 6Y THIS DECLARA- TION CONTAINING ALL OF THE INFORMATION REQUESTED HEREIN(35 ILCS 200/31-25). Rec'd. By: PROPERTY IDENTIFICATION Address of Property 2371 E. Clay St. Decatur Decatur City Street City or Village Township Permanent Real Estate Index No. 04-12-13-408-004 Date of Deed /1997 Enter Legal Description on Page 2 of this form. larn,�oaument� (Month/Year) Type of Deed Warranty Deed NOTICE: The State of Illinois has enacted a Smoke Detector Act. fatNs�ooa,me�,t� Statutory � PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.) Lot Size50 x 125 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 y� � ' CheCk type of improvement on propel'ty 1. Is this a transfer between relatives or related Darties? ❑ � ❑VaCant landllot 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 contract ❑Apartment bldg. (6 units Or less) for deed initiated p►ior to the year of recording? ❑ � ❑Commercial apartment(Over 6 units) If"Yes",enter contract year ❑Store, office, Commel'Cial bldg. SPEC/AL NOTE.•I/contract year is the same as y�ear of recording,answer this question"No" � Industl'ial bldg. 4. Was the deed any of the following types: O � ❑ Farm, land only •Sheriff's Deed •Jud e's Deed • uit Claim Deed •Con g Q veyance 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25.000.00 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25.000.00 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ E�EMPT CALCULATION OF TRANSFER TAX Amount ot State of Illinois tax stamps ($.50 per $500 or part thereof of taxable consideration) . $ EXEMPT Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . $ EXEMPT Total Transfer Tax Collected $ EXEMPT se this space to descnbe any speaa circumstances invo ving t is 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 abwe 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 consideration? p � are answered ��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 �@S 2 a11d 3. 5. Was the financing in any other manner unique or specifiwlly associated with the property being transferred,e.g.,builder"buy down"of interest,etc.? p � •'If this transaction is a transfer of a beneficial interest of a land trust, substitute the word Assignor for Seller and Assignee fa Buyer. PTAX-203(R-4/94) Page 1 of 4