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HomeMy WebLinkAboutRESOLUTION - 44-24 - 8/13/2024 - LAKE COSMAN CULVERT RECONSTRUCT, ELK GROVE ESTATES HOMEOWNERS ASSOCIATION-PARCEL 0002RESOLUTION NO.44-24 A RESOLUTION APPROVING THE ACQUISITION OF A TEMPORARY EASEMENT AND A PERMANENT EASEMENT TO RECONSTRUCT THE LAKE COSMAN CULVERTS BETWEEN THE VILLAGE OF ELK GROVE VILLAGE AND THE ELK GROVE ESTATES HOMEOWNERS' ASSOCIATION AND PAYMENT TO THE PROPERTY OWNER IN THE AMOUNT OF $9,600 FROM THE CAPITAL PROJECTS FUND (LEICESTER ROAD AND WELLINGTON AVENUE -PARCEL NUMBER 0002) NOW, THEREFORE, BE IT RESOLVED by the Mayor and Board of Trustees of the Village of Elk Grove Village, Counties of Cook and DuPage, State of Illinois, as follows: Section 1: That the Mayor be and is hereby authorized to sign the attached documents marked: PERMANENT EASEMENT AND TEMPORARY CONSTRUCTION EASEMENT a copy of which is attached hereto and made a part hereof as if fully set forth and the Village Clerk is authorized to attest said document upon the signature of the Mayor. Section 2: That this Resolution shall be in full force and effect from and after its passage and approval according to law. VOTE: AYES: 6 NAYS: 0 ABSENT: 0 PASSED this 131h day of August 2024 APPROVED this 131h day of August 2024 APPROVED: Mayor Craig B. Johnson Village of Elk Grove Village ATTEST: Loretta M. Murphy, Village Clerk Owner: Elk Grove Estates Homeowners' Association Route: Leicester Rd and Wellington Ave Section: Leicester Road and Wellington Avenue County: Cook Project No.: 19-00070-00-BR Job No.: R-90-005-22 Parcel No.: 0002 PE & TE P.I.N. No.: 08-32-101-005 PERMANENT EASEMENT (Not -for -Profit Corporation) Elk Grove Estates Homeowners' Association, a corporation organized and existing under and by virtue of the laws of the State of Illinois and duly authorized to do business under the Statutes of the State of Illinois, (Grantor), for and in consideration of Three Thousand Dollars ($3,000.00), receipt of which is hereby acknowledged and pursuant to the authority given by the Board of Directors of said Not -for -Profit Corporation, hereby represents that Grantor owns the fee simple title to and grants and conveys to Village of Elk Grove Village, (Grantee), a permanent easement for the purpose of roadway purposes and for other highway purposes, on, over and through the following described real estate: See attached legal description. Address: 700 Wellington Avenue, Elk Grove Village, Illinois 60007 situated in the County of Cook, State of Illinois. The above -described real estate and improvements located thereon are herein referred to as the "premises." Grantor shall have and retains all rights to use and occupy the premises and access to Grantor's remaining property, except as herein � expressly granted; provided, however, Grantor's use and occupation of the premises may not interfere with Grantee's use of the premises for the purposes herein described. Grantor, without limiting the interest above granted and conveyed, acknowledges that upon payment of the agreed consideration, all claims arising out of the above acquisition have been settled, including without limitation, any diminution in value to any remaining property of the Grantor caused by opening, improving, and using the premises for highway purposes. This acknowledgment does not waive any claim for trespass or negligence against the Grantee or Grantee's agents which may cause damage to Grantor's remaining property. This grant shall constitute a covenant, which runs with the land, and shall be binding upon the legal representatives, successors and assigns of Grantor. Page 1 of 2 (Rev. 11/11) Dated this ! �' day of _) n 20 Llli Elk Grove Estates Homeowners' Association By: _ _ y_Z) Z Signature Stephan Magenta, President ATTEST: go Signature Carol Roth, Secretary State of ss County of This instrument was acknowledged before me on ! { 20 ,� f�� by Stephan Magenta, as President and Carol Roth, as Secretary of Elk Grove Estates Homeowners' Association. (SEAL) AQ( AFYA GEROVOY NOTARY OFFICIAL SEAL STATE c�a Notary Public - State of Illinois XUNo,s My Commission Expires P1s•• tc"", 2025 Not' j Public My Commission Expires,'.-� This instrument was prepared by: J. Steve Santacruz, Santacruz Land Acquisitions, 222 Northfield Road, Suite 201, Northfield, IL 60093 and after recording, mail this instrument to: Santacruz Land Acquisitions 222 Northfield Rd, St 201, Northfield, IL 60093 Page 2 of 2 (Rev. 11/11) Route: Wellington Avenue Section: 19-00070-00-BR Job No.: R-90-005-22 County: Cook Parcel: 0002PE Sta. 501 +10.90 to Sta. 502+40.90 I ndex No.: 08-32-101-005 That part of Lot 2 in Elk Grove Estates Lake Lot — Parcel "A", being a subdivision in the Southwest quarter of Section 29 and the Northwest quarter of Section 32, Township 41 North, Range 11 East of the Third Principal Meridian, according to the plat thereof recorded December 31, 1971 as Document 21763920, in Cook County, Illinois, bearings and distances based on the Illinois State Plane Coordinate System, East Zone, NAD83 (2011 Adjustment), with a combined factor of 0.999975, described as follows: Commencing at the Northwest corner of said Lot 2; thence on an Illinois Coordinate System NAD 83 (2011) East Zone bearing of South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 77.02 feet to the point of beginning; thence continuing South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 130.00 feet; thence South 05 degrees 11 minutes 12 seconds West, a distance of 20.00 feet; thence North 84 degrees 56 minutes 07 seconds West, a distance of 130.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 20.00 feet to the point of beginning, in Cook County, Illinois. Said parcel containing 0.060 Acres, more or less. Owner: Elk Grove Estates Homeowners' Association Route: Leicester Rd and Wellington Ave Section: Leicester Road and Wellington Avenue County: Cook Project No.: 19-00070-00-BR Job No.: R-90-005-22 Parcel No.: 0002 PE & TE P.I.N. No.: 08-32-101-005 TEMPORARY CONSTRUCTION EASEMENT (Not -for -Profit Corporation) Elk Grove Estates Homeowners' Association, a corporation organized and existing under and by virtue of the laws of the State of Illinois and duly authorized to do business under the Statutes of the State of Illinois, (Grantor), for and in consideration of Six Thousand Six Hundred Dollars ($6,600.00), receipt of which is hereby acknowledged, and pursuant to the authority given by the Board of Directors of said Not -for -Profit Corporation, hereby represents that Grantor owns the fee simple title to and grants and conveys to Village of Elk Grove Village, (Grantee), a temporary construction easement for the purpose of roadway construction and other highway purposes, on, over, and through the following described real estate: See attached legal description. Address: 700 Wellington Avenue, Elk Grove Village, Illinois 60007 situated in the County of Cook, State of Illinois. The above -described real estate and improvements located thereon are herein referred to as the "premises." The right, easement and privilege granted herein shall terminate Five years from the execution of this document, or on the completion of the proposed project, whichever is the sooner. Grantor shall have and retain all rights to use and occupy the premises and access to Grantor's remaining property, except as herein expressly granted; provided, however, that Grantor's use and occupation of the premise may not interfere with Grantee's use of the premises for the purposes herein described. Grantor, without limiting the interest above granted and conveyed, acknowledges that upon payment of the agreed consideration, all claims arising out of the above acquisition have been settled, including without limitation, any diminution in value to any remaining property of the Grantor caused by the opening, improving and using the premises for highway purposes. This acknowledgment does not waive any claim for trespass or negligence against the Grantee or Grantee's agents which may cause damage to the Grantor's remaining property. This grant shall constitute a covenant, which runs with the land, and shall be binding upon the legal representatives, successors and assigns of Grantor. Page 1 of 2 (Rev. 11/11) Dated this day of `: 202i} Elk Grove Estates Homeowners' Association - Li Signature Stephan Magenta, President ATTEST: 0 Signature Carol Roth, Secretary State of f ) ss County of ) ty This instrument was acknowledged before me on �?�F�l' �'F , _ 20`by e., Stephan Magenta, as President and Carol Roth, as Secretary of Elk Grove Estates Homeowners' Association. (SEAL) AGAFYA GEROVOY It OFFICIAL SEAL Notary Public - State of Illinois My Commission Expires flax 12, 2C2� f Notary Public My Commission Expires: r r - C This instrument was prepared by: J. Steve Santacruz, Santacruz Land Acquisitions, 222 Northfield Road, Suite 201, Northfield, IL 60093 and after recording, mail this instrument to.- Santacruz Land Acquisitions 222 Northfield Rd, St 201, Northfield, IL 60093 Page 2 of 2 (Rev. 11/11) Route: Wellington Avenue Section: 19-00070-00-BR ,fob No.: R-90-005-22 County: Cook Parcel: 0002TE Sta. 500+80.90 to Sta. 502+70.90 Index No.: 08-32-101-005 That part of Lot 2 in Elk Grove Estates Lake Lot — Parcel uA", being a subdivision in the Southwest quarter of Section 29 and the Northwest quarter of Section 32, Township 41 North, Range 11 East of the Third Principal Meridian, according to the plat thereof recorded December 31, 1971 as Document 21763920, in Cook County, Illinois, bearings and distances based on the Illinois State Plane Coordinate System, East Zone, NAD83 (2011 Adjustment), with a combined factor of 0.999975, described as follows: Commencing at the Northwest corner of said Lot 2; thence on an Illinois Coordinate System NAD 83 (2011) East Zone bearing of South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 47.02 feet to the point of beginning; thence South 05 degrees 11 minutes 12 seconds West, a distance of 50.00 feet; thence South 84 degrees 56 minutes 07 seconds East, a distance of 190.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 50.00 feet to a point on the North line of said Lot 2; thence North 84 degrees 56 minutes 07 seconds West along the North line of said Lot 2, a distance of 30.00 feet; thence South 05 degrees 11 minutes 12 seconds West, a distance of 20.00 feet; thence North 84 degrees 56 minutes 07 seconds West, a distance of 130.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 20.00 feet to a point on the North line of said Lot 2; thence North 84 degrees 56 minutes 07 seconds West along the North line of said Lot 2, a distance of 30.00 feet to the point of beginning, in Cook County, Illinois. Said parcel containing 0.158 Acres, more or less. c d e f 9 h 1 _ k X Declaration ID: 20240701654560 Status: Declaration Submitted State/County Stamp: Not Issued MyDec Document No.: Not Recorded PTAX-203 Illinois Real Estate Transfer Declaration Step 1: Identify the property and sale information. 1 700 WELLINGTON AVENUE Street address of property (or 911 address, if available) ELK GROVE VILLAGE 60007-0000 City or village ZIP Elk Grove 2 Enter the total number of parcels to be transferred. 1 3 Enter the primary parcel identifying number and lot size or acreage 08-32-101-005-0000 0.060 Acres Yes Primary PIN Lot size or Unit Split acreage Parcel 4 Date of instrument: 7/16/2024 ate 5 Type of instrument (Mark with an 'X"): Warranty deed Quit claim deed Executor deed Trustee deed X Beneficial interest Other (specify): 6 Yes X No Will the property be the buyer's principal residence? 7 Yes X No Was the property advertised for sale? (i.e., media, sign, newspaper, realtor) 8 Identify the property's current and intended primary use. Current Intended a X Land/lot only b Residence (single-family, condominium, townhome, or duplex Mobile home residence Apartment building (6 units or less) No. of units: Apartment building (over 6 units) No. of units: Office Retail establishment Commercial building (specify): Industrial building Farm Other (specify): RIGHT OF WAY 9 Identify any significant physical changes in the property since January 1 of the previous year and enter the date of the change. Date of significant change: Date Demolition/damage Additions Major remodeling New construction Other (specify). 10 Identify only the items that apply to this sale. a Fullfillment of installment contract year contract initiated : b Sale between related individuals or corporate affiliates c Transfer of less than 100 percent interest d Court -ordered sale e Sale in lieu of foreclosure f Condemnation g Short sale h Bank REO (real estate owned) i Auction sale j Seller/buyer is a relocation company k X Seller/buyer is a financial institution or government agency I Buyer is a real estate investment trust m Buyer is a pension fund n Buyer is an adjacent property owner o Buyer is exercising an option to purchase p Trade of property (simultaneous) q Sale -leaseback r Other (specify): s Homestead exemptions on most recent tax bill: 1 General/Alternative 0.00 2 Senior Citizens 0.00 3 Senior Citizens Assessment Freeze 0.00 Step 3: Enter the legal description from the deed. Enter the legal description from the deed. THAT PART OF LOT 2 IN ELK GROVE ESTATES LAKE LOT — PARCEL "A", BEING A SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 29 AND THE NORTHWEST QUARTER OF SECTION 32, TOWNSHIP 41 NORTH, RANGE 11 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED DECEMBER 31, 1971 AS DOCUMENT 21763920, IN COOK COUNTY, ILLINOIS, BEARINGS AND DISTANCES BASED ON THE ILLINOIS STATE PLANE COORDINATE SYSTEM, EAST ZONE, NAD83 (2011 ADJUSTMENT), WITH A COMBINED FACTOR OF 0.999975, DESCRIBED AS FOLLOWS: Declaration ID: 20240701654560 Status: Declaration Submitted State/County Stamp: Not Issued MyDec Document No.: Not Recorded COMMENCING AT THE NORTHWEST CORNER OF SAID LOT 2; THENCE ON AN ILLINOIS COORDINATE SYSTEM NAD 83 (2011) EAST ZONE BEARING OF SOUTH 84 DEGREES 56 MINUTES 07 SECONDS EAST ALONG THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 77.02 FEET TO THE POINT OF BEGINNING; THENCE CONTINUING SOUTH 84 DEGREES 56 MINUTES 07 SECONDS EAST ALONG THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 130.00 FEET; THENCE SOUTH 05 DEGREES 11 MINUTES 12 SECONDS WEST, A DISTANCE OF 20.00 FEET; THENCE NORTH 84 DEGREES 56 MINUTES 07 SECONDS WEST, A DISTANCE OF 130.00 FEET; THENCE NORTH 05 DEGREES 11 MINUTES 12 SECONDS EAST, A DISTANCE OF 20.00 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS. SAID PARCEL CONTAINING 0.060 ACRES, MORE OR LESS. Step 4: Complete the requested information. The buyer and seller (or their agents) hereby verify that to the best of their knowledge and belief, the full actual consideration and facts stated in this declaration are true and correct. If this transaction involves any real estate located in Cook County, the buyer and seller (or their agents) hereby verify that to the best of their knowledge, the name of the buyer shown on the deed or assignment of beneficial interest in a land trust is either a natural person, an Illinois corporation or foreign corporation authorized to do business or acquire and hold title to real estate in Illinois, a partnership authorized to do business or acquire and hold title to real estate in Illinois, or other entity recognized as a person and authorized to do business or acquire and hold title to real estate under the laws of the State of Illinois. Any person who willfully falsifies or omits any information required in this declaration shall be gullty of a Class B misdemeanor for the first offense and a Class A misdemeanor for subsequent offenses. Any person who knowingly submits a false statement concerning the identity of a grantee shall be guilty of a Class C misdemeanor for the first offense and of a Class A misdemeanor for subsequent offenses. Seller Information ELK GROVE ESTATES HOMEOWNERS' ASSOCIATION Seller's or trustee's name Seller's trust number (if applicable - not an SSN or F IN) 805 LEICESTER RD APT 106 ELK GROVE VILLAGE IL 60007-3386 Street address (after sae i y a� ile — ZIP 630-417-0901 USA Seller's a ime phone Phone extension Country Under penalties of perjury, I state that I have examined the information contained on this document, and, to the best of my knowledge, it is true, correct, and complete. Buyer Information VILLAGE OF ELK GROVE VILLAGE B! Dyer's or trustee's name Buyer's trust number (if applicable - not an SSN or EIN) 450 E DEVON AVE ELK GROVE VILLAGE IL 60007-4637 Street address (after sae city 5tate ZIP 847-734-8800 Buyer's daytime phone Phone extension USA Country Under penalties of perjury, I state that I have examined the information contained on this document, and, to the best of my knowledge, it is true, correct, and complete. Mail tax bill to: VILLAGE OF ELK GROVE VILLAGE 450 E DEVON AVE ELK GROVE VILLAGE Name or company Street address City USA Preparer Information Country J STEVE SANTACRUZ - SANTACRUZ LAND ACQUISITIONS IL 60007-4637 toe ZIP Preparer and company namePreparer's file number (if applicable) Escrow number (if applicable) 222 NORTHFIELD RD STE 201 Street address jsteve@santacruz-associates.com Preparer's email address (if available) NORTHFIELD IL 60093-3347 City State ZIP 847-251-5800 USA Preparer's daytime phone Phone extensio Country 0 Under penalties of perjury, I state that I have examined the information contained on this document, and, to the best of my knowledge, it Declaration ID: 20240701654560 MyDecStatus Declaration Submitted State/County Stamp: Not Issued Document No.: Not Recorded {... b PTAX-203-B y Illinois Real Estate Transfer Declaration Supplemental Form B }eo , (Beneficial interest transfers - do not use for deeds or trust documents) Step 1:Identify the property 1 Enter the property's street address, city or village, and township from Line 1 on Form PTAX-203. 700 WELLINGTON AVENUE ELK GROVE VILLAGE Elk Grove Street address of property (or 911 address, if available) City or village Township 2 Enter the parcel identifying number from Line 3a on Form PTAX-203. Parcel Identifier: 08-32-101-005-0000 3 Mark the interest transferred. Ground lease (go to Step 2) Controlling interest in real estate entity (go to Step 3) Co-op unit (go to Step 4) X Other (specify): Easements (go to Step 4) Step 2: Ground lease information 4 Does the ground lease provide for a term of 30 or more years including any expired portion and all options to renew or extend? Yes No 5 Does the lessee have an interest in any improvements on the parcel? Yes No 6 Enter the beginning and ending dates of the initial lease term. Lease term: to 7 Briefly describe any extension or renewal options. Step 3: Real estate entity information (Attach additional sheet if needed.) 8 Mark type of transfer Single transfer Series of related transfers (Skip Lines 9a and 9b if single transfer.) 9a Enter the date and the percent of interest transferred. Mark if the state transfer tax has been paid for any prior transfer. Date transferred % 0 Prior Payment Yes No Date transferred % 0 Prior Payment Yes No Date transferred % 0 Prior Payment Yes No Date transferred % 0 Prior Payment Yes No Aggregate percent transferred % 0 9b Enter the amount of transfer taxes paid for all prior transfers of any interests included on Line 9a. 0.00 10a Is the real estate entity liable for corporate franchise taxes as a result of this transfer? Yes No 10b Enter the amount of corporate franchise tax paid (excluding fees, interest, and penalties). 0.00 10c Identify corporate franchise tax return information. Corporate Name File No. BCA Form No. Date paid Step 4:Calculate the amount of transfer tax due. (hound Lines 11a through 15 to the next highest whole dollar.) 11a Full actual consideration 3,000.00 1lb Does Line 1la include a contingent payment for any interest on which state transfer taxes have been paid? Yes X No 12a Amount of personal property included in the purchase. 0.00 12b Was the value of a mobile home included on Lines 11 a and 12a? Yes X No 13 Subtract Line 12a from Line 11a 3,000.00 14 Amount for other real property transferred to the seller (in a simultaneous exchange) as part of the 0.00 full actual consideration on Line 1la. 15 Outstanding mortgage amount to which the transferred real property remains subject 0.00 16 If this transfer is exempt, identify the provision. X b —k _m Declaration ID: 20240701654560 MyDecStatus Declaration Submitted State/County Stamp: Not Issued Document No.: Not Recorded 17 Subtract Lines 14 and 15 from Line 13 0.00 18 Illinois tax — $.50 per $500 of value or fraction thereof on Line 17. 0.00 19 County tax. 0.00 20 Amount of transfer taxes paid (amount from Line 9b). 0.00 21 Amount of corporate franchise tax paid (amount from Line 10b) 0.00 22 Add Lines 18 and 19, then subtract Lines 20 and 21. Total amount of transfer tax due. 0.00 Declaration ID: 20240701654560 MyDecStatus: Declaration Submitted State/County Stamp: Not Issued Document No.: Not Recorded City Stamp: PROPERTY IDENTIFICATION: Address of Property COOK COUNTY Real Estate Transfer Declaration 700 WELLINGTON AVENUE ELK GROVE VILLAGE Street or Rural Route City Permanent Real Estate Index No. 08-32-101-005-0000 Date of Deed 7/16/2024 TYPE OF PROPERTY: Township Elk Grove Type of Deed Beneficial interest INTEREST TRANSFERRED: Single Family Commercial Fee title Condo, co-op Industrial Beneficial interest in a land trust 4 or more units (residential) o Vacant Land Lessee interest in a ground lease Mixed use (commer. & resid.) ❑ Other (select description) LEGAL DESCRIPTION: Sec. 32 Twp. Elk Grove Range 11 THAT PART OF LOT 2 IN ELK GROVE ESTATES LAKE LOT — PARCEL "A", BEING A SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 29 AND THE NORTHWEST QUARTER OF SECTION 32, TOWNSHIP 41 NORTH, RANGE 11 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED DECEMBER 31, 1971 AS DOCUMENT 21763920, IN COOK COUNTY, ILLINOIS, BEARINGS AND DISTANCES BASED ON THE ILLINOIS STATE PLANE COORDINATE SYSTEM, EAST ZONE, NAD83 (2011 ADJUSTMENT), WITH A COMBINED FACTOR OF 0.999975, DESCRIBED AS FOLLOWS: THENCE ON AN ILLINOIS COORDINATE SYSTEM NAD 83 (2011) EAST ZONE BEARING OF SOUTH 84 DEGREES 56 MINUTES 07 SECONDS EAST ALONG THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 77.02 FEET TO THE POINT OF BEGINNING; THENCE CONTINUING SOUTH 84 DEGREES 56 MINUTES 07 SECONDS EAST ALONG THE NORTH LINE OF SAID LOT 2, A DISTANCE OF 130.00 FEET; THENCE SOUTH 05 DEGREES 11 MINUTES 12 SECONDS WEST, A DISTANCE OF 20.00 FEET; THENCE NORTH 84 DEGREES 56 MINUTES 07 SECONDS WEST, A DISTANCE OF 130.00 FEET; THENCE NORTH 05 DEGREES 11 MINUTES 12 SECONDS EAST, A DISTANCE OF 20.00 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS. SAID PARCEL CONTAINING 0.060 ACRES, MORE OR LESS. 60007-0000 ZIP El Controlling interest in real estate entity (ord. Sec. 2) X� Other (select description) COMPUTATION OF TAX: Full actual consideration 3,000.00 Less amount of personal property included in purchase 0.00 Net consideration for real estate 3,000.00 Less amount of mortgage to which property remains subject 0.00 Net taxable consideration 3,000.00 Amount of tax stamps ($.25 per $500 or part thereof) 0.00 ATTESTATION OF PARTIES: we hereby declare the full actual consideration and above facts contained in the declaration to be true and correct. ELK GROVE ESTATES HOMEOWNERS' 805 LEICESTER RD APT 106 ELK GROVE VILLAGE 60007-3386 Declaration ID: 20240701654560 MyDecStatus: Declaration Submitted State/County Stamp: Not Issued Document No.: Not Recorded City Stamp: ASSOCIATION Name and Address of Seller Street or Rural Route City ZIP Code VILLAGE OF ELK GROVE VILLAGE 450 E DEVON AVE ELK GROVE VILLAGE 600074637 Name and Address of Buyer Street or Rural Route City ZIP Code Buyer has a different mailing address for tax documents. VILLAGE OF ELK GROVE VILLAGE me or company 450 E DEVON AVE ELK GROVE IL 60007-4637 VILLAGE Street address City State ZIP Code Exempt Transfers (Select the Appropriate Exemption) Exempt transfers are subject to the requirement contained in subsection 7(c) of this ordinance. 7(c) "No transfer shall be exempt from the tax imposed by this ordinance unless the declaration describes the facts supporting the exemption and is accompanied by such supporting documentation as the Recorder may reasonably require." Transfer is not exempt. A. Transfers of real property made prior to May 21, 1979, where the deed was recorded after that date or assignments of beneficial interest in real property dated prior to August 1, 1985, where the assignment was delivered on or after August 1, 1985; 0 B. Transfers involving real property acquired by or from any governmental body or acquired by any corporation, society, association, foundation, or institution organized and operated exclusively for charitable, religious, or educational purposes or acquired by any international organization not subject to local taxes under applicable law; FEIN of entity holding IRS Tax Exempt Status EM Note: Prepare to present proof of IRS tax exempt status, if requested, at time of recording. C. Transfers in which the deed, assignment, or other instrument of transfer secures debt or other obligation; D. Transfers in which the deed, assignment, or other instrument of transfer, without additional consideration, confirms, corrects, modifies, or supplements a deed, assignment, or other instrument of transfer previously recorded or delivered; E. Transfers in which the transfer price is less than $100.00: ❑ F. Transfers in which the deed is a tax deed; G. Transfers in which the deed, assignment, or other instrument of transfer releases property which secures debt or other obligations; H. Transfers in which the deed is a deed of partition; provided, however, that if a party receives a share greater than its undivided interest in the real property, then such party shall be liable for tax computed upon any consideration paid for the excess; I. Transfers between a subsidiary corporation and its parent or between subsidiary corporations of a common parent either pursuant to a plan of merger or consolidation or pursuant to an agreement providing for the sale of substantially all of the seller's assets; j. Transfers from a subsidiary corporation to its parent for no consideration other than the cancellation or surrender of the subsidiary's stock and transfers from a parent corporation to its subsidiary for no consideration other than the issuance or delivery to the parent of the subsidiary's stock; K. Transfers made pursuant to a confirmed plan of reorganization as provided under section 1146 (c) of Chapter 11 of the U.S. Bankruptcy Code of 1978, as amended; Provide bankruptcy court docket number: Deeds representing transfers subject to the imposition of a documentary stamp tax imposed by the government of the United Declaration ID: 20240701654560 MyDecStatus: Declaration Submitted State/County Stamp: Not Issued Document No.: Not Recorded City Stamp: L. States, except that such deeds shall not be exempt from filling the declaration; and F] M. Transfers in which the deed or other instrument of transfer is issued to the mortgagee or secured creditor pursuant to a mortgage or security interest foreclosure proceeding or sale or pursuant to a transfer in lieu of foreclosure. PLAT ACT AFFIDAVIT State of Illinois SS. County of f „being duly sworn on oath, states that 6— resides at w -' i- ; _; , a, t ; ',-' That the attached deed is not in violation of 765 ILCS 205/1 for one of the following reasons: ' 1. Said Act is not applicable as the grantors own no adjoining property to the premises described in said deed; -OR- the conveyance fails in one of the following exemptions as shown by Amended Act which became effective July 17, 1959. 2. The division or subdivision of the land into parcels or tracts of five acres or more in size which does not involve any new streets or easements of access. 3. The divisions of lots or blocks of less than one acre in any recorded subdivision which does not involve any new streets or easements of access. 4. The sale or exchange or parcels of land between owners of adjoining and contiguous land. 5. The conveyance of parcels of land or interests therein for use as right of way fro railroads or other public utility facilities, which does not involve any new streets or easements of access. The conveyance of land owned by a railroad or other public utility which does not involve any new streets or easements of access. 7. The conveyance of land for highway or other public purposes or grants or conveyances relating to the dedication of land for public use or instruments relating to the vacation of land impressed with a public use. 8. Conveyances made to correct descriptions in prior conveyances. 9. The sale or exchange of parcels or tracts of land existing on the date of the amendatory Act into no more than two parts and not involving any new streets or easements of access. 10. The sale of a single lot of less than 5.0 acres from a larger tract when a survey is made by an Illinois registered surveyor; provided, that this exemption shall not apply to the sale of any subsequent lots from the same larger tract of land, as deter- mined by the dimensions and configuration of the larger tract on October 1, 1973, and provided also that this exemption does not invalidate any local requirements applicable to the subdivision of land. Amended by P.A. 80-318, 1 eff. October 1, 1977. CIRCLE THE NUMBER ABOVE WHICH IS APPLICABLE TO THE ATTACHED DEED. Affiant further state that makes this affidavit for the purpose of inducing the Clerk's Office of Cook County Illinois, to accept the attached deed for recording. P. SUBSCRIBED and SWORN to before me f. DYLAN SANTACRUZ S': ',f':r.-d NOTARY OFFICIAL SEAL this A day of r fi 20� Notary Public - State of Illin K'�rvos` My Commission Expires rr A ust 06, 2025 Village of Elk Grove Village Receipt of Conveyance Documents and Disbursement Statement Owner: Elk Grove Estates Homeowners' Association Job No.: R-90-005-22 Parcel No.: 0002 PE & TE The Village of Elk Grove Village ("Village") (Grantee) acknowledges Receipt of the following: (check all that apply) ❑ Warranty or Trustee's Deed covering acres ® Permanent Easement covering 0.060 acres ® Temporary Easement covering 0.158 acres all located in Cook County, Illinois as right of way for Leicester Rd and Wellington Ave, dated+' l' 20 ,�� 1, , executed by the undersigned Grantors. Grantor and Grantee agree as follows: 1. The payment of the sum of Nine Thousand Six Hundred and no/100 Dollars ($9,600.00) to Grantor as total consideration for the easement by Grantee is subject to Grantee's approval of title and documentation. 2. All improvements located, wholly or partially, on the parcel shall become the property of the Grantee, unless provided as follows: NONE. 3. Possession and right to use the property occur when Grantee delivers payment to Grantor, in person or to the address stated herein, in the amount of the above stated consideration, unless provided herein. Grantor shall have the sole responsibility and obligation to protect, preserve and maintain the parcel and improvements thereon until delivery of possession to Grantee. 4. Grantor directs Grantee to disburse the above stated consideration by warrant or by separate warrants as follows: Name* TIN/FEIN/SSN** Address Amount Elk Grove Estates C/O Association One Homeowners' 617 Industrial Drive SE $9,600,00 Association Lonsdale, MN 55046 *If multiple names, on the same warrant, list first and circle the name of the person or entity whose FlN/FHN/55N is entered above. If lien holder is to be paid by warrant, use Grantor's TIN or SSN with their name listed first and lien holder second. The first payee must match the TIN used. **Attach a current W-9 form for each TIN/FEIN/SSN. Page 1 of 2 LA 4112A Template (Rev. 0219/16) 5. NON -FOREIGN CERTIFICATION — FIRPTA. Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of a U.S. real property interest must withhold tax if the transferor is a foreign person. For purposes of this paragraph, 'Transferee" shall mean "Grantee„ � and "Transferor' shall mean "Grantor". To inform the Grantee that withholding of tax is not required upon the disposition of a U.S. real property interest by Grantor, the Grantor hereby certifies the following: a. Transferor is the owner of the real property being conveyed; b. Transferor is not a foreign person (as such term is defined in the Internal Revenue Code and Income Tax Regulations); and c. Transferor's U.S. Taxpayer Identification Number and address set forth above are true and correct. Transferor understands that this certification may be disclosed to the Internal Revenue Service by Transferee and that any false statement contained herein could be punished by fine, imprisonment orb�o�tl�, 1, ii✓J" } Initial 6. Illinois law (15 ILCS 405/10.05 to 405/10.05b) requires the State of Illinois Comptroller to deduct from any State of Illinois warrants or payments the amount of any outstanding account or claim in favor of the State of Illinois and any amount necessary to satisfy past due child support or delinquent student loan and financial aid obligations on any loan guaranteed by the Illinois Student Assistance Commission. This Receipt of Conveyance Documents and Disbursement Statement is the entire and exclusive agreement between the parties and supersede any written or oral understanding, promise or agreement, directly or indirectly related to the conveyance of parcel and improvements. The parties agree that any changes to this Receipt may only be made in writing and signed by the parties. Date: 201 Grantor: Elk Grove Estates Homeowners' Association .l, Signature Stephan Magenta,,Pfesident Date: ��t�eSr/rS 20-2V, Grantee: The Villag of EIIyGro Village for Villaphof Elk Grove Page 2 of 2 LA 4112A Template (Rev. 02/9/16) Village of Elk Grove Village Owner: Elk Grove Estates Homeowners' Association Address: 700 Wellington Avenue, Elk Grove Village, Illinois 60007 Route: Leicester Rd and Wellington Ave Section: Leicester Road and Wellington Avenue County: Cook Project: Job No. R-90-005-22 Parcel No. 0002 PE & TE P.I.N. No. 08-32-101-005 State of f1 ) ss. f d' County of I, Stephan Magenta, President, being first duly sworn upon oath states as follows: 1. Affiant has personal knowledge of the facts averred herein. Affidavit of Title 2. ® There are no parties other than Grantor in possession of any portion of the premises described in the attached Exhibit "A" through easement, lease, oral or written, or otherwise, whether or not of record. ❑ There are no parties other than Grantor and the parties listed below in possession of any portion of the premises described in the attached Exhibit "A" through easement, lease, oral or written, or otherwise, whether or not of record: SEE ATTACHED EXHIBIT "A" 3. This affidavit is made to provide factual representation as a basis for Village of Elk Grove Village to accept a document of conveyance for the premises described in said conveyance, the premises being a portion of or all of the above described premises, from the record owners thereof. 4. The affiant has no knowledge of any driveway agreements, encroachments, overlaps, or boundary line disputes involving the premises to be conveyed. 5. The said premises described in Exhibit "A" are: (Check One) ❑ Vacant and unimproved ❑ Agricultural and unimproved ® Improved and (A) There have been no improvements made or contracted for on the premises within six (6) months immediately preceding the date of the affidavit, out of which a claim for a mechanics' lien could accrue or has accrued, and (B) To the best of my knowledge all improvements now on the premises comply with all local building and zoning ordinances. Page 1 of 3 LA 4111A (Rev. 11107/11) 6. There are no chattel mortgages, conditional sales contracts or financing statements existing on or in connection with the premises to be conveyed which are not shown by the public records. 7. There are no taxes or special assessments which are not shown as existing liens by the public records involving the premises described in Exhibit A. 8. Per 50 ILCS 105/3.1, the identities of all owners and beneficiaries having an interest in the premise to be conveyed are as follows (check applicable box(es) and complete information requested): ❑ Individual. Individual owner of the property is: ® Nonprofit Organization. There is no individual or other organization receiving distributable income from the organization. ❑ Public Organization, including units of local government. There is no individual or other organization receiving distributable income from the organization. ❑ Publicly -Traded Corporation. There is no readily known shareholder having more than 7-1/2% of the total distribution income of the corporation. ❑ Corporation, Partnership, Limited Liability Company. Those entitled to receive more than 7- 1 /2% of the total distributable income of said entity are as follows: Name Address *1. 2. 3. 4. ❑ Land Trust or Declaration of Trust. The identity of each beneficiary of Grantor Trust is as follows: Name Address *1. 2. _ 3. 4. * IF THE INITIAL DISCLOSURES SHOW INTERESTS HELD BY ANOTHER CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY, OR TRUST, THEN FURTHER DISCLOSURES SHOULD BE PROVIDED UNTIL THE NAMES OF INDIVIDUALS OWNING THE INTEREST IN THE ENTITY ARE DISCLOSED. Page 2 of 3 LA 4111A (Rev. 11/07/11) Dated this day of —12 Stephan Magenta, President State of \ss. County of ) This instrument was acknowledged before meon —,2,0 by Stephan Magenta. (SEAL) OFFICAL SEAL My CommisWn Expires I My Commission Expires: NOTE, THIS AFFIDAVIT MAY BEEXECUTED AND ACKNOWLEDGED OhJBEHALF OFTHE RECORD OVVNER(S)BYANY ONE OFTHE RECORD OWNERS, OFFICERS, MANAGERS, PARTNERS, {JRTRUSTEES HAVING KNOWLEDGE (]FTHE FACTS |NTHIS AFFIDAVIT. Page acfo LAw11 A(Rev 11m7n1) Date: 10/02/2023 WTC File Number. BWE-2021 CO-20933.0 Order: ELKGR 181136 Parcel: 0002 PE & TE A.L.T.A. COMMITMENT FORM -Schedule A Continued - LOT 2 IN ELK GROVE ESTATE LAKES LOT PARCEL A, BEING A SUBDIVISION OF THE SOUTHWEST 1/4 OF SECTION 29, AND THE NORTHWEST 1/4 OF SECTION 32, TOWNSHIP 41 NORTH, RANGE 11, EAST OF THE THIRD PRINCIPAL MERIDIAN IN COOK COUNTY, ILLINOIS, ACCORDING TO THE PLAT THEREOF RECORDED ON DECEMBER 31, 1971 AS DOCUMENT NO. 21763920 IN THE OFFICE OF THE RECORDER OF DEEDS OF COOK COUNTY, ILLINOIS. PERMANENT TAX NUMBER(S): 08-32-101-005 ISSUED BY: Wheatland Title Company 105 W. Veterans Parkway Yorkville, Illinois 60560 Agent for: Fidelity National Title Insurance Company Owner: Elk Grove Estates Homeowners' Association Route: Leicester Rd and Wellington Ave Section: Leicester Road and Wellington Avenue County: Cook Project No.: 19-00070-00-BR Job No.: R-90-005-22 Parcel No.: 0002 PE & TE P.I.N. No.: 08-32-101-005 CERTIFIED RESOLUTION (Homeowners'Association-Corporation) I, Carol Roth, Secretary of Elk Grove Estates Homeowners' Association, an Illinois not - for -profit corporation duly authorized to do business in the State of Illinois, do hereby certify that: 1. The following is a true and correct copy of a resolution adopted by the Board of Directors/Managers of said corporation uorum of its directors/managers being present at a meeting held on the day of r��I� 20 , and The resolution has not been amended or revoked and is in full force and effect. Regolved that at a meeting of the condominium unit owners held on the day of 20", in accordance with the terms of the condominium declaration, 0 a unit owners approved a resolution authorizing the sale of the homeowners' association's interest in the following described real estate ("Real Estate") Cook County, Illinois to the Village of Elk Grove Village ("Village") for highway purposes for the sum of Nine Thousand Six Hundred and no/100 Dollars ($9,600.00): See attached legal description. Further resolved that Stephan Magenta, President, and Carol Roth, Secretary of the homeowners association whose signatures appear below are hereby authorized and directed to sell the homeowners' association's interest in the real estate to IDOT in accordance with the above -referenced resolution and they are authorized and directed to execute and deliver such instruments as may be necessary or convenient to consummate such sale. I certify that the following offices are now held by the following individuals whose genuine signatures appear above their respective names and titles: Page 1 of 2 (Rev. 11/11) Signature of President Stephan Magenta Dated this day of Elk Grove Estates Homeowners' Association Signature of Secretary Carol Roth State of /ss County of ) This instrument was acknowledgedbefore maon by CmnJ| Roth. as Secretary ofElk Grove Estates Homeowners' Association. Route: Wellington Avenue Section: 19-00070-00-BR Job No.: R-90-005-22 County: Cook Parcel: 0002PE Sta. 501+10.90 to Sta. 502+40.90 Index No.: 08-32-101-005 That part of Lot 2 in Elk Grove Estates Lake Lot — Parcel "A", being a subdivision in the Southwest quarter of Section 29 and the Northwest quarter of Section 32, Township 41 North, Range 11 East of the Third Principal Meridian, according to the plat thereof recorded December 31, 1971 as Document 21763920, in Cook County, Illinois, bearings and distances based on the Illinois State Plane Coordinate System, East Zone, NAD83 (2011 Adjustment), with a combined factor of 0.999975, described as follows: Commencing at the Northwest corner of said Lot 2; thence on an Illinois Coordinate System NAD 83 (2011) East Zone bearing of South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 77.02 feet to the point of beginning; thence continuing South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 130.00 feet; thence South 05 degrees 11 minutes 12 seconds West, a distance of 20.00 feet; thence North 84 degrees 56 minutes 07 seconds West, a distance of 130.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 20.00 feet to the point of beginning, in Cook County, Illinois. Said parcel containing 0.060 Acres, more or less. Route: Wellington Avenue Section: 19-00070-00-BR Job No.: R-90-005-22 County: Cook Parcel: 0002TE Sta. 500+80.90 to Sta. 502+70.90 Index No.: 08-32-101-005 That part of Lot 2 in Elk Grove Estates Lake Lot — Parcel "A", being a subdivision in the Southwest quarter of Section 29 and the Northwest quarter of Section 32, Township 41 North, Range 11 East of the Third Principal Meridian, according to the plat thereof recorded December 31, 1971 as Document 21763920, in Cook County, Illinois, bearings and distances based on the Illinois State Plane Coordinate System, East Zone, NAD83 (2011 Adjustment), with a combined factor of 0.999975, described as follows: Commencing at the Northwest corner of said Lot 2; thence on an Illinois Coordinate System NAD 83 (2011) East Zone bearing of South 84 degrees 56 minutes 07 seconds East along the North line of said Lot 2, a distance of 47.02 feet to the point of beginning; thence South 05 degrees 11 minutes 12 seconds West, a distance of 50.00 feet; thence South 84 degrees 56 minutes 07 seconds East, a distance of 190.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 50.00 feet to a point on the North line of said Lot 2; thence North 84 degrees 56 minutes 07 seconds West along the North line of said Lot 2, a distance of 30.00 feet; thence South 05 degrees 11 minutes 12 seconds West, a distance of 20.00 feet; thence North 84 degrees 56 minutes 07 seconds West, a distance of 130.00 feet; thence North 05 degrees 11 minutes 12 seconds East, a distance of 20.00 feet to a point on the North line of said Lot 2; thence North 84 degrees 56 minutes 07 seconds West along the North line of said Lot 2, a distance of 30.00 feet to the point of beginning, in Cook County, Illinois. Said parcel containing 0.158 Acres, more or less.