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PTAX-203
Illinois Real Estate
County:
Transfer Declaration
Date:
Please read the instructions before completing this form.
This form can be completed electronically at tax.illinois.gov/retd.
Doc. No.:
Step 1: Identify the property and sale information.
Vol.:
1
____________________________________________________
Street address of property (or 911 address, if available)
Page:
____________________________________________________
City or village
ZIP
Received by:
____________________________________________________
Township
9
Identify any signifi cant physical changes in the property since
2
Write the total number of parcels to be transferred. ___________
January 1 of the previous year and write the date of the change.
3
Write the parcel identifying numbers and lot sizes or acreage.
Date of signifi cant change: ____ ____ / ____ ____ ____ ____
Property index number (PIN)
Lot size or acreage
Month
Year
(Mark with an “X.”)
a _____________________________
___________________
____ Demolition/damage ____ Additions ____ Major remodeling
b _____________________________
___________________
____ New construction
____ Other
: ________________
(specify)
c _____________________________
___________________
10
Identify only the items that apply to this sale.
(Mark with an “X.”)
d _____________________________
___________________
a ____ Fulfi llment of installment contract —
Write additional property index numbers, lot sizes or acreage in
year contract initiated : ___ ____ ____ ____
Step 3.
b ____ Sale between related individuals or corporate affi liates
4
Date of instrument: ____ ____ / ____ ____ ____ ____
c ____ Transfer of less than 100 percent interest
Month
Year
d ____ Court-ordered sale
5
Type of instrument
:
_____ Warranty deed
(Mark with an “X.” )
e ____ Sale in lieu of foreclosure
____ Quit claim deed _____ Executor deed ____ Trustee deed
f ____ Condemnation
____ Benefi cial interest _____ Other
:______________
(specify)
g ____ Short sale
6
____ Yes ____ No
Will the property be the buyer’s principal residence?
h ____ Bank REO (real estate owned)
7
____ Yes ____ No Was the property advertised for sale?
i ____ Auction sale
(i.e., media, sign, newspaper, realtor)
j ____ Seller/buyer is a relocation company
8
Identify the property’s current and intended primary use.
k ____ Seller/buyer is a fi nancial institution or government agency
only one item per column
Current Intended
(Mark
with an “X.”)
l ____ Buyer is a real estate investment trust
a ____
____ Land/lot only
m ____ Buyer is a pension fund
b ____
____ Residence
(single-family, condominium, townhome, or duplex)
n ____ Buyer is an adjacent property owner
c ____
____ Mobile home residence
o ____ Buyer is exercising an option to purchase
d ____
____ Apartment building
_______
(6 units or less) No. of units:
p ____ Trade of property (simultaneous)
e ____
____ Apartment building
_______
(over 6 units)
No. of units:
q ____ Sale-leaseback
f ____
____ Offi ce
r ____ Other
: __________________________________
(specify)
g ____
____ Retail establishment
__________________________________________________
h ____
____ Commercial building
: _________________
(specify)
s ____ Homestead exemptions on most recent tax bill:
i ____
____ Industrial building
1 General/Alternative
$______________
j ____
____ Farm
2 Senior Citizens
$______________
k ____
____ Other
____________________________
__
(specify):
3 Senior Citizens Assessment Freeze $______________
Step 2: Calculate the amount of transfer tax due.
Note: Round Lines 11 through 18 to the next highest whole dollar. If the amount on Line 11 is over $1 million and the property’s current use on Line 8
above is marked “e,” “f,” “g,” “h,” “i,” or “k,” complete Form PTAX-203-A, Illinois Real Estate Transfer Declaration Supplemental Form A. If you are record-
ing a benefi cial interest transfer, do not complete this step. Complete Form PTAX-203-B, Illinois Real Estate Transfer Declaration Supplemental Form B.
11
11
Full actual consideration
$ ____________________
12a
12a
Amount of personal property included in the purchase
$ ____________________
12b
12b
Was the value of a mobile home included on Line 12a?
____ Yes ____ No
13
13
Subtract Line 12a from Line 11. This is the net consideration for real property.
$ ____________________
14
Amount for other real property transferred to the seller (in a simultaneous exchange)
14
as part of the full actual consideration on Line 11
$ ____________________
15
15
Outstanding mortgage amount to which the transferred real property remains subject
$ ____________________
16
16
If this transfer is exempt, use an “X” to identify the provision.
____b
____k
____m
17
17
Subtract Lines 14 and 15 from Line 13. This is the net consideration subject to transfer tax.
$ ____________________
18
18
Divide Line 17 by 500. Round the result to the next highest whole number
.
____________________
(e.g., 61.002 rounds to 62)
19
19
Illinois tax stamps — multiply Line 18 by 0.50.
$ ____________________
20
20
County tax stamps — multiply Line 18 by 0.25.
$ ____________________
21
21
Add Lines 19 and 20. This is the total amount of transfer tax due.
$ ____________________
This form is authorized in accordance with 35 ILCS 200/31-1 et seq. Disclosure of this information
is REQUIRED. This form has been approved by the Forms Management Center.
IL-492-0227
PTAX-203 (R-10/10)
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