Question	Answer
Form Name	Mytax Illinois
Form Length	4 pages
Fillable?	Yes
Fillable fields	118
Avg. time to fill out	24 min 40 sec
Other names	illinois my dec, my dec, mydec ptax, mytax illinois gov mydec

Month	Year
5 Type of instrument (Mark with an “X.” ) :		_____ Warranty deed
____ Quit claim deed _____ Executor deed ____ Trustee deed
____ Beneﬁcial interest	_____ Other (specify):______________

	<![endif]>thisinwritenotDoarea. OfﬁceRecorder’sCountyuse.	County:
	<![endif]>thisinwritenotDoarea. OfﬁceRecorder’sCountyuse.	Date:
		Date:
		Doc. No.:
		Vol.:
		Page:
		Received by:

1 General/Alternative	$______________
2 Senior Citizens	$______________

11	Full actual consideration	11	$ ____________________
12a	Amount of personal property included in the purchase	12a	$ ____________________
12b	Was the value of a mobile home included on Line 12a?	12b	____ Yes ____ No
13	Subtract Line 12a from Line 11. This is the net consideration for real property.	13	$ ____________________

	as part of the full actual consideration on Line 11	14	$ ____________________
15	Outstanding mortgage amount to which the transferred real property remains subject	15	$ ____________________
16	If this transfer is exempt, use an “X” to identify the provision.	16	____b ____k ____m
17	Subtract Lines 14 and 15 from Line 13. This is the net consideration subject to transfer tax.	17	$ ____________________
18	Divide Line 17 by 500. Round the result to the next highest whole number (e.g., 61.002 rounds to 62).	18	____________________
19	Illinois tax stamps — multiply Line 18 by 0.50.	19	$ ____________________
20	County tax stamps — multiply Line 18 by 0.25.	20	$ ____________________
21	Add Lines 19 and 20. This is the total amount of transfer tax due.	21	$ ____________________

_________________________________________________________________________	______________________________________
Seller’s or trustee’s name	Seller’s trust number (if applicable - not an SSN or FEIN)

_________________________________________________________________________	______________________________________
Buyer’s or trustee’s name	Buyer’s trust number (if applicable - not an SSN or FEIN)

_________________________________________________________________________	(	)
	______________________________________
Preparer’s signature	Preparer’s daytime phone
_______________________________________________
Preparer’s e-mail address (if available)
Identify any required documents submitted with this form. (Mark with an “X.”) ____ Extended legal description			____Form PTAX-203-A
____ Itemized list of personal property			____Form PTAX-203-B

1	__ __ __		__ __ __	__ __ __	__ __ __ __	__ __	__ __	3	Year prior to sale ___ ___ ___ ___
	County		Township	Class	Cook-Minor	Code 1	Code 2	4	Does the sale involve a mobile home assessed as
								4	Does the sale involve a mobile home assessed as
2	Board of Review’s ﬁ nal assessed value for the assessment year								real estate?	___ Yes ___ No
	prior to the year of sale.							5	Comments
	Land		___ , ___ ___ ___		, ___ ___ ___ ,	___ ___ ___
	Buildings		___ , ___ ___ ___		, ___ ___ ___ ,	___ ___ ___
	Total	___ ___ , ___ ___ ___			, ___ ___ ___ ,	___ ___ ___

_________________________________________________________________________	______________________________________
Preparer’s and company’s name	Preparer’s ﬁ le number (if applicable)

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