Real Estate Transfer Declaration City of Peoria, Illinois

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REAL ESTATE TRANSFER DECLARATION

CITY OF PEORIA, ILLINOIS

Permanent Real Estate Index No.___________________________________________

Date of Deed___________________________________________________________

Address of Property______________________________________________________

Closing Date___________________________________________________________

Full consideration $________________ Amount of tax stamps


$2.50 per $1,000.00 or
Less amount of personal part there of taxable
Property included in consideration:
Purchase $_________________
$___________________
Net consideration
For real estate $_________________

We hereby declare the full actual consideration and above facts contained in this
declaration to be true and correct.

Name and Address of Seller/Grantor (Please Print)

Signature________________________________________________________________
Seller/Grantor or Agent

Name and Address of Buyer/Grantee (Please Print)

Signature________________________________________________________________
Buyer/Grantee or Agent

Please check one:

Property is/will be Owner Occupied

Property is/will be Non-Owner Occupied


If this box is checked, pursuant to Section 5-522(a) of the Code of the City of Peoria, the property
must be registered as 'Non-Owner Occupied' at the time of closing.

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