R96-69 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 oate THE FOLLOWING INFORMATION IS REQUIRED BY THE REAL ESTATE TRANSFER TAX LAW(35 Doc. No. 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 WILLFUI OMISSION OF IN- FORMATION IS A CLASS B MISDEMEANOR(35 ILCS 200/31-50). V01. I EXCEPT AS TO EXEMFf TRANSAGTIONS,THE COUNTY RECORDER IS PROHIBITED BY LAW FROM ACCEPTING ANY DEED OR TRANSFER OF BENEFICIAL INTEREST OF A LAND TRUST page (TRUST DOCUMEN�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 806 W. Elm St. Decatur Decatur City Street Cfry or Village Township Permanent Real Estate Index No. 04-12-10-328-023 Date of Deed /1997 (a Trust Daument� (Month/Yeary Enter Legal Description on Page 2 of this form. Type of Deed Warranty Deed NOTICE: The State of Illinois has enacted a Smoke Detector Act. �o�t�ustooa,menq Statutory PROPERTY CHARACTERISTICS SALE INFORMATION (The following questions must be answered.? Lot SiZe Approx. 45' X 85� 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 improvement on property 1. Is this a transfer between relatives or related parties? � � � Vatant land/lot 2. Is this a compulsory transaction in lieu of foreclosure. ❑ ResidenCe(Single family or duptex) divorce,court order,condemnation, probate, etc.? G � ❑ Mobile home(see note on page 2) 3. Was this a transfer in settlement of art installment contract G Apartment bldg. (6 units Or less) for deed initiated prior to the year of recording? � p u Commercial apartment(Over 6 units) If"Yes", enter contract year 1991 ❑ Store, offiCe, CommerCial bldg. SPECIAL NOTE:If contract year is the same as year of recording,answer this question "No" u 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 bldg5. •Trust Document which Refers to COLLATERAL ASSIGNMENT of Beneficial Interest of Trust ❑ Other (Specify) TERMS OF SALE Full Actual Consideration (Sale Price) . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g 18,200.00 Less amount of personal property included in purChase (Do not deduct value af beneficial interesi of a land trust.) 3 —0— Net consideration for real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 18.200.00 Less value of other real property transferred to seller as part of full consideration . . . . . . . . . . 3 —0— Less outstanding amount of mortgage to which the transferred reai property remains subject . . $ —0— Net taxable consideration subject to transfer tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Exem�t * CALCULATION OF TRANSFER TAX Amount of State of Illinois tax stamps ($.50 per $500 or part thereof of taxable consideration) . � Amount of county tax stamps ($.25 per $500 or part thereof of taxable consideration) . . . . . . . S Total Transfer Tax Colfected $ Use this space to descr�be any specia circumstances involving this transaction: * This transfer is ecempt under Paragraph b of the Real Estate Transfer Act, Chapter 35 ILCS 305/4. FINANCE QUESTIONS: �t 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 1 through 5 2. Did the seller' provide a mortgage in partial or full consideratio�? ❑ g� are answered ��NO��, 3. Did the seller• pay points to secure the buyer's' mortgage,including VA and FHA insured loans? p %I 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? ❑ gl on Pages 2 and 3. 5. Was the financing in a�y other manner unique or specifiwlly associated with the property being transferred,e.g., builder"buy down"of interest,etc.? p � " If this trensaction is a tronster of a beneficial interest of a land trust,substitute the word Assignor for Seller and Assignee for Buyer. PTAX-203(R-4/94) Page 1 of 4