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. <br /> FINANCE SCHEDULE — DO NOT complete this schedule if FINANCE QUESTIONS 1 through 5 on Page 1 are all answered "No". <br />�� I TERM IV V VI <br /> II III <br />� Amount of Term To Interest Type of Points Paid by SELLER° <br /> Amortization To Obtain Financin <br />� Principal Balloon or Rate Interest g <br /> i �$,S� Period Renegotiation (�) Rate DO NOT SHOW POINTS PAID BY BUYER' <br />! (Years Remaining) Years % $'s <br /> i A. XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXXX XXXXXX XXXXXXXXX <br /> i B. XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXX XXXXX XXXXXX XXXXXXXXX <br /> C. XXXXXX ' XXXXXXXXX F <br /> F <br /> f D. � <br />� c <br /> E � <br /> A <br /> F. � <br /> u <br />� G s <br /> E <br /> H. o <br />� N <br />� � L <br /> Y <br />� 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 the sale <br />� price. <br />� <br /> Cash transaction. No financing necessary. <br /> f <br />� <br /> BUYER*: <br /> 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- <br /> tion required in ihis dedaration shall be guilty of a Class 8 Misdemeanor.) <br /> Buyer or Name of person filling out the Finance Schedule for the buyer. JO�].Tl W. Couter � �',��� <br />� Please Print �]° �Signa ure <br />� Address One Civic Center Plaza, Decatur, IL 62523 Teephone 217/424-2807 <br /> (If}rou prefer the Department crontact the lending institution if further financ�ng inlormation is required,also provide the institution's name,add2ss,and telephone number below.) <br /> Name of Lending Institution Address Telephone <br /> BUYER* & SELLER*: <br /> The buyer*and seller' hereby declare the full actual consideration and above facts contained in this declaration(excluding the Finance Schedule)to be true and <br /> correct.(NOTE:Any person who willfully falsifies or omits any information required in Yhis declaration shall be guilty of a C/ass B Misdemeanor.) <br />� City of Decatur, Illinois One Civic Center Plaza Decatur, IL 62523 <br /> Name and Current Residence of Seller* (Please Print) <br /> Name and Address of Trustee if this is a transfer of beneficial interest of a land trust. Trust Number <br /> ; <br /> Signature: <br /> Seller' r Agent <br /> Peter D. Vercellino 2808 N. 22nd Street Decatur IL 62526 <br /> Name and Current Residence of Buyer* (Please Print) <br /> Signature: <br /> Buyer*or Agent <br /> Peter D. Vercellino, 2808 N. 22nd Street, Decatur, IL 62526 <br /> Mail tax bill to: <br /> Name Street City <br /> PREPARER�`: <br /> Chapter 120, Paragraph 1003, IL Rev. Statutes,requires the following information to be completed: <br /> Name of person filling out the real estate transfer declaration for the buyer* and se�ler': JOYlri W. Couter <br /> Please Print <br /> Address One Civic Center Plaza, Decatur, IL 62523 Telephone 217/424-2807 _ <br /> THIS BOX FOR USE BY DEPARTMENT OF REVENUE ONLY: <br /> Initial Date <br /> ` If this transfer is an assignment of a beneficial interest of a land trust read Assigrror for Seller and Auignee for Buyer. <br /> PTAB-203(R-12185) Page 3 <br />