Real Estate Transfer Declaration Form Page 7
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8CITY OF HARVEY
15320 BROADWAY AVENUE
HARVEY, IL 60426
INFORMATION FOR TRANSFER STAMPS
DATE: ___________________________
OWNER/SELLER NAME:
__________________________________________________________
ADDRESS:
__________________________________________________________
BUYER’S NAME:
__________________________________________________________
ADDRESS:
__________________________________________________________
PROPERTY ADDRESS:
__________________________________________________________
□
□
YES
NO
OWNER OCCUPIED:
□
SINGLE-FAMILY
TYPE OF PROPERTY:
□
MULTI-FAMILY __________ (list # of units)
□
COMMERCIAL
□
INDUSTRIAL
□
RENTAL ______________________ (list type)
This section to be completed by City of Harvey.
□
□
POINT-OF-SALE
RENTAL
TYPE OF INSPECTION:
DATE OF INSPECTION:
___________________
COST $____________
INSPECTOR’S NAME:
__________________________________________________________
□
□
YES
NO
PROPERTY SOLD AS-IS:
If yes, list building permit # ______________________
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City of Harvey Transfer Stamp Requirements-9/06
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