Plat Act Affidavit

State of lllinols ) County of Coles) being duly swom on oath, state that I reside at And further states that: (please check the approprlate box) A. I I That the attached deed is not in violailon of 765 ILCS 205/1a, in that the sale or exchange is of an entire tracl of land not being a part of a larger tracl of lard; or B. I I That the attached deed is not in violailon of zos appropriate number.) lLcs 205/1b for one of the following reasons: (please circle the \ 1. The division or subdlvision of land into parcels or tracts of 5 acres or more in size which does not involve any new streets or easements of access; 2. The divislon of lots or blocks 3. 4. of less than 1 streets or easements of access; ""6 in any recorded subdivision which does not involve any new The sale or exchange of parcels of land between owneni of adJoining and contiguous land; The conveyancs of parcels of land or interests therein for use as a right of way for rallroads or olher publlc utility facilities and other plpe llnes which does not involve any new streets or easemonts of access; of land owned by a railroad or other publlc utility which does not involve any new streets or easements of access: 5. The conveyanco 6. 7. The conveyance of land for hlghway 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; Conveyances made to correct descriplions in prior conveyances; 8, The sale or exchange 9. of parcels or tracts of land following the division into no more than 2 parls of a particular parcel or tract of land existing on July 17, 1959, and not involving any new streets or easemnts of access; The sale of a singte lot of less than 5 acres from a larger tract when a survey is made by an lllinois Registered Land Surveyor, provided, lhat this exemption shall not apply to the sale of any subsequent lols from the same larger tracl of land, as determined by the dimensions and configuration of the larger tract on Oclober 1, 1973, and provided also that this exemption does not invalidate any local requirements applicable to the suMivision of land; AFFIANT further states that this affidavit is made for the purpose of inducing the Recorder of Deeds of Coles County, tllinois to accept the attached deed for recording, and that all local requirements applicable to the subdivision of land are met by the attached deed and the tract described therein. Subscribed and Sworn to before me this of Signature of Affiant Notary Public --day 20 American LegalNet, Inc. www.FormsWorkFlow.com