Form I212 "Notarial Record - Residential Real Property Transactions" - Illinois

What Is Form I212?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2009;
  • The latest edition provided by the Illinois Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form I212 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

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Download Form I212 "Notarial Record - Residential Real Property Transactions" - Illinois

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Space Above Reserved for Employer or Cook County Recorder of Deeds
NOTARIAL RECORD — RESIDENTIAL REAL PROPERTY TRANSACTIONS
The undersigned grantor(s) hereby certifies(y) that the residential real property identified in this notarial record
PROPERTY
is residential real property as defined in the Illinois Notary Public Act.
____________________________________________________________
___________________________________________
Type or Name of Document of Conveyance
PIN Number of Residential Real Property
____________________________________________________________________________________________________________
Common Street Address of Residential Real Property
City
State
ZIP
___________________________
__________________
___________________________________________________
Date of Notarization
Notary Fee
Additional Comments
NOTARY
___________________________________________________
___________________________________________________
Notary Printed Name
Notary Phone Number
___________________________________________________
___________________________________________________
Notary Commission Expiration Date
Notary Signature
____________________________________________________________________________________________________________
Notary Residential Street Address
City
State
ZIP
____________________________________________________________________________________________________________
Notary’s Employer or Principal and Business Street Address
City
State
ZIP
GRANTOR #1
GRANTOR #2
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Printed Name
Grantor (Signer) #2 Printed Name
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Signature
Grantor (Signer) #2 Signature
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Residential Street Address
Grantor (Signer) #2 Residential Street Address
___________________________________________________
___________________________________________________
City
State
ZIP
City
State
ZIP
___________________________________
___________________________________
Right Thumbprint
Right Thumbprint
of Grantor/Signer #1
of Grantor/Signer #2
Grantor (Signer) #1 Means of Identification
Grantor (Signer) #2 Means of Identification
Top of thumb here
Top of thumb here
___________________________________
___________________________________
___________________________________
___________________________________
Description of Print if not Right Thumb
Description of Print if not Right Thumb
___________________________________
___________________________________
Additional Comments
Additional Comments
___________________________________
___________________________________
Printed by authority of the State of Illinois. May 2009 — 1 — I 212
Print
Reset
Space Above Reserved for Employer or Cook County Recorder of Deeds
NOTARIAL RECORD — RESIDENTIAL REAL PROPERTY TRANSACTIONS
The undersigned grantor(s) hereby certifies(y) that the residential real property identified in this notarial record
PROPERTY
is residential real property as defined in the Illinois Notary Public Act.
____________________________________________________________
___________________________________________
Type or Name of Document of Conveyance
PIN Number of Residential Real Property
____________________________________________________________________________________________________________
Common Street Address of Residential Real Property
City
State
ZIP
___________________________
__________________
___________________________________________________
Date of Notarization
Notary Fee
Additional Comments
NOTARY
___________________________________________________
___________________________________________________
Notary Printed Name
Notary Phone Number
___________________________________________________
___________________________________________________
Notary Commission Expiration Date
Notary Signature
____________________________________________________________________________________________________________
Notary Residential Street Address
City
State
ZIP
____________________________________________________________________________________________________________
Notary’s Employer or Principal and Business Street Address
City
State
ZIP
GRANTOR #1
GRANTOR #2
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Printed Name
Grantor (Signer) #2 Printed Name
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Signature
Grantor (Signer) #2 Signature
___________________________________________________
___________________________________________________
Grantor (Signer) #1 Residential Street Address
Grantor (Signer) #2 Residential Street Address
___________________________________________________
___________________________________________________
City
State
ZIP
City
State
ZIP
___________________________________
___________________________________
Right Thumbprint
Right Thumbprint
of Grantor/Signer #1
of Grantor/Signer #2
Grantor (Signer) #1 Means of Identification
Grantor (Signer) #2 Means of Identification
Top of thumb here
Top of thumb here
___________________________________
___________________________________
___________________________________
___________________________________
Description of Print if not Right Thumb
Description of Print if not Right Thumb
___________________________________
___________________________________
Additional Comments
Additional Comments
___________________________________
___________________________________
Printed by authority of the State of Illinois. May 2009 — 1 — I 212