Certificate Of Exemption
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1
2CERTIFICATE OF EXEMPTION
101 Schaumburg Court, Schaumburg, IL 60193-1899
V
S
ILLAGE OF
CHAUMBURG
(Phone) 847.923.4546/4547 (Fax) 847.923.2474/2454
For office use only
Stamp #________________Date___________
Amount $_______________
Check #________________
List Check______________
Water Check_____________
Initials__________________
THE UNDERSIGNED______________________________________HEREBY STATES THAT THE DEED FROM
_________________________________________ ___ TO
DATED
IS EXEMPT FROM THE VILLAGE OF SCHAUMBURG REAL ESTATE TRANSFER
TAX AS FOLLOWS:
_____ (a)
Transactions involving property acquired by or from any governmental body, or any transaction involving
property acquired by and from a corporation, society, foundation, association or institution organized and
operated exclusively for charitable, religious or educational purposes.
_____ (b)
Transactions in which the deeds secure debt or other obligation.
_____ (c)
Transactions in which deeds, without additional consideration, confirm, correct, modify or supplement deeds
previously recorded.
_____ (d)
Transactions in which the actual consideration is less than $500.
_____ (e)
Transactions in which the deeds are tax deeds.
_____ (f)
Transactions in which the deeds are releases of property which is security for a debt or obligation.
_____ (g)
Transactions in which the deeds are pursuant to a court decree.
_____ (h)
Transactions made pursuant to mergers, consolidations or transfers or sales of substantially all of the assets of
a corporation pursuant to plans of reorganization.
_____ (i)
Transactions between subsidiary corporations and their parents for no consideration other than the cancellation
or surrender of the subsidiary's stock.
_____ (j)
Transactions wherein there is an actual exchange of real property except that the money difference or money's
worth paid from one or the other shall not be exempt from the tax.
_____ (k)
Transactions representing transfers subject to the imposition of a documentary stamp tax imposed by the U.S.
Government.
_____ (l)
Transactions which are a transfer by lease.
_____ (m)
Transactions where the seller/grantor has reached the age of 65.
______(n)
Transactions where the seller/grantor is the beneficiary of a land trust and has reached the age of 65.
Please provide proof of age (Example: Copy of driver’s license or state ID)
STATE FACTS SHOWING THE APPLICABILITY OF EXEMPTION TO DEED:
____________________________________________________________________________________
DESCRIPTION OF PROPERTY: Tax identification number, legal description and common address (required):
____________________________________________________________________________________
_____________________________________________________________________________________
DATE: ________________ SIGNATURE: ___________________________________________________
Note: A $10 fee and proper copies of documentation required. Examples: PTAX-203, Deed, ABI, Sales Contracts, and/
or proof of age, depending on your situation.
For mail request, please include a self-addressed stamped envelope. Mail request to:
Village of Schaumburg, Collections Division
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