Declaration And Exemption Form - City Of Joliet

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CITY OF JOLIET
FOR OFFICE USE ONLY
REAL ESTATE TRANSFER TAX
DECLARATION AND EXEMPTION FORM
 DECLARATION
 EXEMPTION
This form must be filled out completely, signed by at least one of the Grantors and one of the Grantees and returned to the City Clerk’s
Office, 150 West Jefferson Street, Joliet, Illinois 60432, at the time the City of Joliet Real Estate Transfer Tax is paid or an exemption is
claimed. For additional information call (815) 724-3902, Monday-Friday, 8:00 a.m. to 4:30 p.m.
ADDRESS OF PROPERTY
:_____________________________________________________________________________
 WILL
 KENDALL
DATE OF DEED
COUNTY
:
_____/_____/_____
NEW
PIN
 Single Family
 Multi-Family (Duplex, Townhouse, Condo)
PREFIX
SECTION
BLOCK
PARCEL(LOT)
SUFFIX
TOWNSHIP
 Commercial
0
6
0
3
 Industrial
1
1
0
4
EXISTING
0
5
0
6
 Single Family
 Multi-Family (Duplex, Townhouse, Condo)
3
0
0
7
 Commercial
1
5
0
8
 Industrial
0
4
1
0
VACANT LOT(S)
1
0
1
1
RESIDENTIAL (less than 1 acre)
 Single Family
0
6
 Multi-Family (Duplex, Townhouse, Condo)
0
9
 RESIDENTIAL (1 acre or more)
 Commercial
KENDALL COUNTY
WILL COUNTY
 Industrial
PREFIX
TOWNSHIP
PREFIX
TOWNSHIP
PREFIX
TOWNSHIP
*NONE*
06 Na-Au-Say
06
03 Plainfield
15
08 New Lenox
*NONE*
09 Seward
11
04 Lockport
04
10 Channahon
05
06 Troy
10
11 Jackson
30
07 Joliet
NEW RESIDENTIAL REAL PROPERTY TRANSFER DISCLOSURE ORDINANCE
CHECK ONE
A SIGNED RESIDENTIAL TRANSFER INFORMATION AND DISCLOSURE FORM IS ATTACHED. The property being
transferred is “NEW RESIDENTIAL REAL PROPERTY. See reverse side for additional information.
A SIGNED RESIDENTIAL TRANSFER INFORMATION AND DISCLOSURE FORM IS NOT ATTACHED. The property being
transferred is not “NEW RESIDENTIAL PROPERTY”, or the seller is exempt from the Residential Real Property Transfer Disclosure
Ordinance, or the transfer is not subject to the City of Joliet Real Estate Transfer Tax. See reverse for additional information.
NOTE:
Only NEW Single Family Residences, Townhomes or Condo Units and New Vacant Residential Lots Constitute New
Residential Real Property. A Properly Completed New Residential Real Property Transfer Information and Disclosure Form
Must Be Attached to This Form to Obtain Transfer Tax Stamps.
$ ______________
Full Actual Consideration (include amount of mortgage and value of liabilities assumed)
$ ______________
Amount of Transfer Tax ($3.00 per $1,000 or fraction thereof of full actual consideration)
Exempt from Transfer Tax pursuant to Paragraph _______ of Section 28-255(b) of the City of Joliet Real Estate Transfer Tax Ordinance
GRANTOR/SELLER:__________________________________ ADDRESS:____________________________________
Signature (Seller or Agent):______________________________________________ DATE _______/_______/________
GRANTEE/BUYER:__________________________________ ADDRESS:____________________________________
Signature (Buyer or Agent):______________________________________________ DATE _______/_______/________
REVISED 1/29/13

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