R96-70 AUTHORIZING FINAL CONVEYANCE OF HOMESTEAD PROPERTY

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Illinois Department of Revenue For use By County Recorder's Office , ' County Local Government Services Bureau REAL ESTATE TRANSFER DECLARATION �ate THE FOLLOWING INFORMATION IS REQUIRED BY THE REAL ESTATE TRANSFER TAX LAW(35 DOt. N0. ILCS 200/31-25). PAGES 1 THROUGH 3 ARE TO BE FILLED OUT BY THE SEILERS' AND BUYERS'OR THEIR AGENTS.ANY WILLFUL FALSIFICATION OR WILLFUL OMISSION OF IN- FORMATION IS A CLASS B MISDEMEANOR(35 ILCS 200/31-50). Vol. EXCEPT AS TO EXEMPT TRANSACiIONS,THE COUNTY RECORDER IS PROHIBITED BY LAW FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTERE5T OF A LAND TRUST pagg (TRUST OOCUMENn FOR RECORDATION UNLESS IT IS ACCOMPANIED 8Y THIS DECLARA- TION CONTAINING ALL OF THE INFORMATION REQUESTED HEREIN(35 ILCS 200/31-25). Rec'd. By: PROPERTY IDENTIFICATION Address of Property 740 S. Webster D . atLr Decatur Street City or Village Township Permanent Real Estate Index No. 04-12-14-380-021 Date of Deed 6/96 Enter Legal Description on Page 2 of this form. (aTNstoo�,menq (�onth�vear) NOTICE: The State of Illinois has enacted a Smoke Detector Act. Type of Deed W D (or Trust Dotument) 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 Yes No CheCk type of impr'ovemeM on property 1. Is this a transfer between relatives or related parties? ❑ �,f ❑Vacant land/lot 2. Is this a compulsory trensaction 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 ot an installment contract O Apartment bldg. (6 units Or less) for deed initiated prio►to the year of recording? p �,[ �Commercial apartment(Over 6 units) If"Yes",enter contract year ❑ Store, offiCe, cOmmerCial bldg. SPEC/AL NOTE.•If contract year is the same as year of recording,answer fhis puesfion "No" ❑ InduStriel bldg. 4. Was the deed any of the following types: rJ �[ ❑ Fdrm, land only •Sheriff's Deed •Judge's Deed •Quit Claim Deed •Conveyance of Less than full Interest 0 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g 25,000.00 Less amount of personal property included in purchase (Do not deduct value of beneficial interest of a land trust.) $ —�— Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g 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 . . $ —�— Net taxable consideration subject to transfer tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25 ,000.00 CALCULATION OF TRANSFER TAX Amount of State of Illinois tax stamps ($.50 per $500 or part thereof of taxable consideration) . $ �5X%Q�► Exempt Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . $ x1�X�� Exempt Total Transfer Tax Collected $ X��: Exempt se t is space to escribe any special 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 above Sale Information questions,ALL of the following questions must be answered.It 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 SUB.IECT to a mortgage such as an assumed mortgage? ❑ ❑ 1 through 5 2. Did the seller' provide a mortgage in partial or full consideration? ❑ ❑ are answered `�NO'�, 3. Did the seller" pay points to secure the buyer's`mortgage, including VA and FHA insured Ioans? ❑ ❑ � N��p�� 4. Did the seller's' mortgagee make interest concessions to the buyer', i.e.,offer a "blended" Finance Schedule interest rete below market but greater than the seller's existing mortgage rote? D ❑ 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.? ❑ p " 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•4l94) Page 1 of 4