Do not write in this area. This space is reserved for the County Recorders Office use. PTAX-203-NR County: Illinois Real Estate Transfer Tax Payment Document (non recorded transfers) Date: This document is recorded for the purpose of affixing Real Estate Doc. No.: Transfer Tax stamps that were purchased for the following transferring document under provisions of Public Act 93-1099. Vol.: Property information ____________________________________________________ Page: Street address of property (or 911 address, if available) ____________________________________________________ Received by: City or villageZIP Township Parcel identifying number ________________________________________________________________________ __________________ ________________________________________________________________________ __________________________________________ Legal description___________________________________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________ _____________________________ ___________ ________________________________________________________________________ ________________________________________ Date of transferring document: ____ ____ / ____ ____ ____ ____ Month Year Type of transferring document: _________________________________ ____________________________________________________ Signature _____________________________________________________________________________________ ___________________________ Seller, Buyer, Agent, or Preparer Date Preparer Information (Please print.) ________________________________________________________________________ ________________________________________ Preparers and companys name Preparers file number (if applicable) ________________________________________________________________________ ________________________________________ Street address City State ZIP________________________________________________________________________ _______________________ ________________Preparers signature Preparers daytime phone _______________________________________________ Preparers e-mail address (if available) Transfer Tax Net consideration subject to transfer tax $ ______________________Illinois Tax $ ______________________County Tax $ ______________________Total amount of transfer tax due $ ______________________Affix Revenue stamps here If stamps are not affixed, please state the exemption provision under 35 ILCS 200/31-45 (see Page 2). _________________ _________ _____ This form is authorized in accordance with 35 ILCS 200/31-1 et seq. Disclosure of this information PTAX-203-NR (R-6/05) is REQUIRED. This form has been approv ed by the Forms Management Center.IL-492-4443 Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com >>>> 2 PTAX-203-NR The following transactions are exempt from the transfer tax under 35 ILCS 200/31-45. (a) Deeds representing real estate transfers made before January 1, 1968, but recorded after that date and trust documents executed before January 1, 1986, but recorded after that date. (b) Deeds to or trust documents relating to (1) property acquired by any governmental body or from any governmental body, (2) property or interests transferred between governmental bodies, or (3) property acquired by or from any corporation, society, association, foundation or institution organized and operated exclusively for charitable, religious or educational purposes. However, deeds or trust do cuments, other than those in which the Administrator of Veterans Affairs of the United States is the grantee pursuant to a foreclosure proceeding, shall not be exempt from filing the declaration. (c) Deeds or trust documents that secure debt or other obligation. (d) Deeds or trust documents that, without additional consideration, confirm, correct, modify, or supplement a deed or trust document previously recorded. (e) Deeds or trust documents where the actual consideration is less than $100. (f) Tax deeds. (g) Deeds or trust documents that release property that is security for a debt or other obligation. (h) Deeds of partition. (i) Deeds or trust documents made pursuant to mergers, consolidations or transfers or sales of substantially all of the assets of corporations under plans of reorganization under the Federal Internal Revenue Code (26 USC 368) or Title 11 of the Federal Bankruptcy Act. (j) Deeds or trust documents made by a subsidiary corporation to its parent corporation for no consideration other than the cancellation or surrender of the subsidiarys stock. (k) Deeds when there is an actual exchange of real estate and trust documents when there is an actual exchange of beneficial interests, except that that money difference or moneys worth paid from one to the other is not exempt from the tax. These deeds or trust docu- ments, however, shall not be exempt from filing the declaration. (l) Deeds issued to a holder of a mortgage, as defined in Section 15-103 (now Section 15-1207) of the Code of Civil Procedure, purs uant to a mortgage foreclosure proceeding or pursuant to a transfer in lieu of foreclosure. (m)A deed or trust document related to the purchase of a principal residence by a participant in the program authorized by the Home Ownership Made Easy Act, except that those deeds and trust documents shall not be exempt from filing the declaration. Page 2 of 2 PTAX-203-NR (R-6/05) American LegalNet, Inc. www.USCourtForms.com