R96-158 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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°FINAR�CE SCHEDULE — DO NOT complete this schedule if FINANCE QUESTIONS 1 through 5 on Page 1 are all answered "No". I TERM IV V VI II III Amount of Term To Interest Type of Points Paid by SELLER' Principal Amortization galloon or Rate Interest To Obtain Financing Period DO NC1T SHOW POINTS PAID BY BUYER' �$S� (Years Remaining) Renegotiation (%) Rate $S (Years) % A. XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXXX XXXXXX XXXXXXXXX B. XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXXX XXXXXX XXXXXXXXX C• XXXXXX XXXXXXXXX F F D. � c E. �I A F. `I u G. S E H. o N I. � r J.Use this space to explain replies in Finance Schedule if necessary and to explain any characteristics of the financing of this transaction that may have impacted ihe sale i price. i i I BUYER*: I hereby declare the Finance Schedule on Pages 2 and 3 of this declaration to be true and correct.(NOTE:Any person who willfully fa/sifies or omits any informa- tion required in this declaration shall be guilty of a C/ass B Misdemeanor.) Buyer or Name of person filling out the Finance Schedule for the buyer: Please Print Signature I Address Telephone( ) — (Il yvu prefer the Department contact the lending institution if further linancing inlormation is required,also provide the institution's name,address,and telephone number below.) . . ,. ( ) — Name of Lending Institution Address Telephone , BUYER* & SELLER*: ' The buyer' and seller* hereby declare the full adual consideration and abrn,e facts contained in this declaration(excluding the Fnance Schedule)to be true and correct. If this , transactan irnolves arry real estate located in Cook Courity,the seller' or his agent hereby cer[ifies that to the best of his knowledge,and the buyer' or his agent hereby certifies that,the name of the buyer' shown on the deed a assignment of beneficial interest in a land trust is either a natural person,an Ilhnas corporatbn or foreign ' caporation authorized to do business or acquire and hold title to real estate in Illinas,a partnership authorized to do business a acquire and hokJ title to 2al estate in � Illirais,a other entity reoognized as a person and authorized to do business or acqwre and hold title to real estate under the laws of the State of Illinois.(NOTE.•Any person who wilHulty falsilies or omits any informatan uired in this dedaratan shal!be guilty of a Class B Misdemeanor.My person who knowingly subm8s a talse statemenf aoncerning the rdeniity of a grantee sha//be gu�of a Class C Misdemeana�for the finY offense and of a Gass A Misdemeanor for subsequent offenses.) The City of Decatur, Illinois, #1 Gary K. Anderson Plaza, Decatur, IL Name and Current Residence of Seller' (Please Print) Name and Add of Trust rf nsfer icial interest of a land trust. Trust Number Signatu2: r' or Ag t Tim idener and Cathy Sidener, 1119 W. Forest St. , Decatur, IL 62522 Name and Current Residence of Buyer' (Please Prirrt) Signature: Buyer` or Agent Niail tax bill to: Name St2et City PREPARER: Sectan 31-25 of the Property Tax Code(35 ILfS 200131-25)2quires the folbwing information to be completed: Name of person fil�ing out the real estate transfer declaration for the buyer` and selier': R1Char'd L. Heavner, Heavner-Handegan Please Print & S C O t t �d� P.O. Box 835 , Decatur, IL 62525 Telephone�21� > 422-1717 THIS BOX FOR USE BY DEPARTMENT OF REVENUE ONLY: Initial Date PfAX-203(R�/94) ' If this transfer is an assignment of a beneficial interest of a land trust, substitute the Nard AssiBar(a Seller and Assignee for Buyec Page 3 of 4