IL Acknowledgment-Individual 1

State of Illinois, County of ____________________________ ss. I, the undersigned, a Notary Public in and for said County, in the State aforesaid, DO HEREBY CERTIFY that ___________________________________________________________________

___________________________________________________________________

personally known to me to be the same person _______________________ whose name ______________________ subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that __ h __ signed, sealed and delivered the said instrument as ________ free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.

IMPRESS SEAL HERE

Given under my hand and official seal, this _____ day of _______________, 20_____

Commission expires ____________________________ 20_____

______________________________________

NOTARY PUBLIC

This instrument was prepared by ________________________________________

_________________________ (Name and Address)

MAIL TO:

______________________________________

(Name)

______________________________________

(Address)

______________________________________

(City, State and Zip)

OR RECORDER'S OFFICE BOX NO. __________

SEND SUBSEQUENT TAX BILLS TO:

______________________________________

(Name)

______________________________________

(Address)

______________________________________

(City, State and Zip)