(A) Owner’s certificate.
OWNER’S CERTIFICATE
765 ILCS 205/2 states that the plat must be completed, a statement from a Registered Land Surveyor attached and acknowledged by the owner of the land, or his attorney duly authorized, in the same manner as deeds of land are required to be acknowledged;
(A) The plat must contain a signature certificate with original signatures of the landowner or a representative of the owner.
(B) If the property is owned under a Trust, the Trust Officer’s signature and seal of the bank (if available) must be included on the plat.
(C) The signature of the owner(s) must be acknowledged by a Notary Public and a legible seal for the Notary stamped on the plat.
Certificate of Ownership
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
This is to certify that ___________________________________________________________
is/are the owner(s) of the land described herein and as such owner(s) has caused the same to be surveyed, subdivided and platted into lots, streets and easements as shown on said plat, for the uses and purposes therein set forth as allowed and provided by statute, the subdivision is to be herein after be known as “__________________________________________________________________________”
The streets and roadways as shown shall hereby be dedicated to the public for the uses and purposes pertaining thereto.
By:_________________________________
Owner(s)
By:_________________________________
Owner(s)
(B) Notary’s certificate.
NOTARY’S CERTIFICATE
Notary Certificate
I, ___________________________________________, a notary public in and for the said County
of Franklin, the State of Illinois, do hereby certify that, ______________________________________
are personally known to me to be the same persons whose names are subscribed on the foregoing plat, appeared before me this date in person and acknowledged that they signed and sealed the said plat as their free and voluntary act for the uses and purposes therein set forth.
Given under my hand and notary seal this ______day of ______, 20 ______
________________________________
Notary Public
(C) School district certificate.
SCHOOL DISTRICT CERTIFICATE
Public Act 90-286 (765 ILCS 205/1.005) requires when an owner is required to file a plat pursuant to Section 1 of the Plat Act, the owner shall submit simultaneously with the subdivision plat a notarized statement indicating to the best of the owner’s knowledge, the school district in which each tract, parcel, lot or block lies. The school district certificate should be placed on the plat.
School District Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
I (We), ______________________________________________________________________________„
hereby certify that the real property as described by the legal description herein, lies within the ____________________________________Unit _______________________________________
school district and the ___________________________________________________college district.
________________________________________ _____________________________________
Owner Owner
(D) County certificate.
COUNTY CERTIFICATES
If county approval is required (based upon the description included in the Surveyor’s Certificate) the Franklin County Plat Officer must sign and seal the plat.
If the plat includes a County Highway, the Franklin County Engineer must sign and seal the plat.
The County Clerk must certify that there are not delinquent or current property taxes due or outstanding special assessments. The certificate must be signed and sealed by the County Clerk.
If the plat will not be serviced by a public sewer system and private sewage systems will be installed, the plat must bear a certificate from the Franklin-Williamson Bi-County Health Department that the plat is in accordance with all applicable regulations of the Illinois Department of Health.
Franklin County Board Chairman Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
At a regular meeting of the County Board of Franklin County, Illinois held on the ____________ day of __________20 ____________, the foregoing plat was presented to and approved by the County Board Chairman.
____________________________________
Chairman
(E) Plat officer certificate.
Plat Officer Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
This is to certify that, as the authorized representative of the Franklin County Board, I have reviewed this plat on their behalf and have found it to be in compliance with the Franklin County Subdivision Chapter and all other applicable county requirements.
Dated this ___________day of ________________, 20 ________________.
____________________________________
Franklin County Plat Officer
(F) County Engineer’s certificate.
County Engineer’s Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
I, _______________________, Franklin County Engineer, have reviewed this plat of subdivision. This is to certify that all improvements, as required under the Franklin County Subdivision Chapter and all other applicable county requirements as required, have been installed and approved, or in lieu of such construction, a security instrument in an amount sufficient of cover the cost of said improvements, has been filed with the Highway Department.
Dated this _____________day of _______________, 20 ________________.
______________________________
County Engineer
(G) County Clerk tax certificate.
County Clerk Tax Certificate
STATE OF ILLINOIS )
)ss.
COUNTY OF FRANKLIN )
I, ____________________, County Clerk and Recorder of Franklin County, Illinois, do hereby certify that there are no delinquent general taxes, no unpaid current taxes or special assessments, no unpaid forfeited taxes and no redeemable tax sales against any of the land included in the plat. I further certify that I have received all statutory fees in connection with the plat.
Given under my name and seal of the County Clerk at Benton, Illinois on this __________day of ________ 20 ____________.
_____________________________
Franklin County Clerk
(H) County Clerk approval certificate.
County Clerk Approval Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
I, _______________, County Clerk and Recorder of Franklin County, Illinois, and keeper of the seal of said county and the tax records thereof, do hereby certify that on the __________ day of _______________, 20 ______________, at a regular meeting, the County Board did accept and approve the foregoing plat. In witness whereof, I have set my hand and official seal of Franklin County, Illinois.
__________________________
Franklin County Clerk
(I) Health Department certificate.
Health Department Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
This is to certify that the plat for the tract of land described in the foregoing certificates has been reviewed by the Franklin-Williamson Bi-County Health Administrator and has/has not been found adequate for the use of individual septic systems. A central sewage treatment package will/will not be required.
Dated this ______________day of _______________, 20 __________________________
________________________________
Franklin-Williamson Bi-County
Health Administrator
(J) Professional Engineer’s drainage certificate.
Professional Engineer’s Drainage Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
I (We), ______________________________________________________, owners of the land subdivided herein, and __________________________________, Illinois Professional Engineer No. __________, do hereby certify that, to the best of our knowledge and belief, the construction of any part of said subdivision will not change the drainage of surface waters in such a manner as to cause damage to adjoining properties or, that if such surface water drainage will be changed, reasonable provision has been made for the collection and diversion of such surface waters into public areas or drains that the subdivider has a right to use and that such surface waters will be planned for in accordance with generally accepted engineering practices so as to reduce the likelihood of damage to the adjoining property because of the construction of the subdivision.
Dated this ______________________________day of ___________________, 20 _________________
_________________________
Illinois Professional Engineer
Lic. No.__________________
__________________________
Owner or Attorney
(K) Illinois Department of Transportation certificate.
ILLINOIS DEPARTMENT OF TRANSPORTATION CERTIFICATE
The subdivision plat shall have an additional certificate of acceptance signed by a representative of the Illinois Department of Transportation when the only direct access to the subdivision is from a state highway or roadway.
Illinois Department of Transportation Roadway Access Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
This plat has been approved by the Illinois Department of Transportation with respect to roadway access pursuant to 765 ILCS 205/2. However, a highway permit for access is required of the owner of the property prior to construction within State rights-of-way. A plat that meets requirements contained in the Department’s “Policy on Permits for Access Driveways to State Highways” will be required by the Department.
Dated this __________________day of _________________, 20 _____________________________
_________________________________
District Engineer
(L) Annexation certificate.
Annexation Certificate
STATE OF ILLINOIS )
) ss.
COUNTY OF FRANKLIN )
This is to certify that the land herein described was annexed into the municipal limits of ______________________________by Ordinance Number _________________. Said annexation Ordinance was filed in the County Clerk’s Office of Franklin County, Illinois in Miscellaneous Record Book, ___________Page ___________on the ___________day of __________, 20 ________________.
________________________________
Illinois Professional Land Surveyor
(M) Surveyor’s certificates.
SURVEYOR’S CERTIFICATES
1. Located Within Corporate Limits (Requires Municipal Approval)
I, ______________________________, Illinois Professional Land Surveyor No. __________________ do hereby certify that at the request of _____________________________, I have surveyed _________________________and subdivided it into lots, to be known as ________________________
___________________________________________________________________________________
I further certify that this plat is located within an incorporated city that has adopted a city plan and is exercising the special powers authorized by Division 12 of Article II of the Illinois Municipal Code.
I further certify that no part of this subdivision is located in the special flood hazard area identified for the City of ___________________by the Federal Emergency Management Agency and none of the lots platted hereon are within a surface drain or watercourse serving a tributary area of 640 acres or more.
I further certify that to the best of my knowledge and belief this is a true and correct survey as platted hereon.
In witness thereof, I have hereunto set my hand and affixed my Illinois Professional Land Surveyor’s seal at ___________________________________, Illinois, this ____________day of 20 ___________
_____________________________
Illinois Professional Land Surveyor
2. Located Outside Corporate Limits, But Within 1.5 Mile Limit of a Municipality Which Has A Comprehensive Plan and Is Exercising Its Powers (Requires Municipal and County Approval)
I, ______________________________, Illinois Professional Land Surveyor No. __________________ do hereby certify that at the request of _____________________________, I have surveyed _________________________and subdivided it into lots, to be known as ________________________
___________________________________________________________________________________
I further certify that this plat is not located within an incorporated city, but is within 1.5 miles of the corporate limits of the County of Franklin that has adopted a city plan and is exercising the special powers authorized by Division 12 of Article II of the Illinois Municipal Code.
I further certify that no part of this subdivision is located in the special flood hazard area identified for the County of Franklin by the Federal Emergency Management Agency and none of the lots platted hereon are within a surface drain or watercourse serving a tributary area of 640 acres or more.
I further certify that to the best of my knowledge and belief this is a true and correct survey as platted hereon.
In witness thereof, I have hereunto set my hand and affixed my Illinois Professional Land Surveyor’s seal at __________________________, Illinois, this ___________ Day of ___________, 20 _________
_________________________________
Illinois Professional Land Surveyor
3. Located Outside Corporate Limits, But Within 1.5 Mile Limit of a Municipality Which Has A Comprehensive Plan But Is Not Exercising Its Powers (Requires County Approval)
I, ______________________________, Illinois Professional Land Surveyor No. __________________ do hereby certify that at the request of _____________________________, I have surveyed _________________________and subdivided it into lots, to be known as ________________________
___________________________________________________________________________________
I further certify that this plat is not located within an incorporated city, but is within 1.5 miles of the corporate limits of the City of Franklin that has adopted a city plan but is not exercising the special powers authorized by Division 12 of Article II of the Illinois Municipal Code.
I further certify that no part of this subdivision is located in the special flood hazard area identified for the County of Franklin by the Federal Emergency Management Agency and none of the lots platted hereon are within a surface drain or watercourse serving a tributary area of 640 acres or more.
I further certify that to the best of my knowledge and belief this is a true and correct survey as platted hereon.
In witness thereof, I have hereunto set my hand and affixed my Illinois Professional Land Surveyor’s seal at _______________, Illinois, this ______________ day of ___________, 20 _________________
_____________________________
Illinois Professional Land Surveyor
4. Located Outside Corporate Limits and Outside 1.5 Mile Limit of a Municipality Which Has A Comprehensive Plan (Requires County Approval)
I, ______________________________, Illinois Professional Land Surveyor No. __________________ do hereby certify that at the request of _____________________________, I have surveyed _________________________and subdivided it into lots, to be known as ________________________
___________________________________________________________________________________
I further certify that this plat is not located within 1.5 miles of the corporate limits of any city or village that has adopted a city plan.
I further certify that no part of this subdivision is located in the special flood hazard area identified for the County of Franklin by the Federal Emergency Management Agency and none of the lots platted hereon are within a surface drain or watercourse serving a tributary area of 640 acres or more.
I further certify that to the best of my knowledge and belief this is a true and correct survey as platted hereon.
In witness thereof, I have hereunto set my hand and affixed my Illinois Professional Land Surveyor’s seal at ___________________, Illinois, this ___________ day of ____________, 20 ______________
_____________________________
Illinois Professional Surveyor
(N) Schedule of review.
(O) Affidavit of compliance with Illinois Plat Act requirements.
AFFIDAVIT OF COMPLIANCE WITH ILLINOIS PLAT ACT REQUIREMENTS
PARCEL NUMBER: ________________________________________________________________
The Grantor(s) or the Grantor(s)’ authorized representative, transferring an interest in real property described in the accompanying deed, state the following:
_______ A. NOT A DIVISION OF LAND (requiring no change of parcel boundary lines)
If A is checked above, the County Clerk will proceed with recording the deed after the review of the Plat Officer and no further questions apply. Please sign below.
_______ B. A DIVISION OF LAND (requiring a change of parcel boundary lines) meeting one of these exceptions:
___ 1. The division or subdivision of land into parcels or tracts of two (2) acres or more in size not involving new streets or easements with a minimum of two (2) acres residue provided the division creates no less than 125 feet of road frontage any new or remaining tracts.
___ 2. The division of lots or blocks of less than one (1) acre in any recorded subdivision which does not involve any new streets or easements of access.
___ 3. The sale or exchange of parcels of land between owners of an adjoining and contiguous land.
___ 4. The conveyance of land for use as a right of way for public utilities and other pipelines not involving new streets or easements of access.
___ 5. The conveyance of land for highway or other public purpose or relating to the dedication of land or for vacation of land subject to public use.
___ 6. Conveyances made to correct descriptions in prior conveyances.
___ 7. The sale or exchange of parcels or tracts of land following the division into no more than two (2) parts of a particular parcel of land existing on July 17, 1959 and not involving any new streets or easements or access.
___ 8. The conveyance of land owned by a railroad or other public utility not involving any new streets or easements access.
___ 9. The division and distribution of land pursuant to law or court order.
___ 10. The sale of a lot of less than two (2) acres from a larger tract when a survey is made by a registered land surveyor, provided the division creates no less than 125 feet of road frontage on any new or remaining tracts.
_______ C. A DIVISION OF LAND (a change of parcel boundary lines) not meeting one of the above exceptions.
In accordance with Section 1a of the Illinois Plat Act 765 ILCS 205/1(a)), all divisions under five (5) acres must be surveyed and a subdivision plat prepared by a professional land surveyor licensed in the state of Illinois. Accordance with Illinois Law (225 ILCS 330/5 Sec C) all legal descriptions for land divisions must be prepared by a registered Professional Land Surveyor.
Who prepared this legal description? _______________Illinois License Number_____________________
Phone_________________________
Does this division of land fall within the jurisdiction of another city or municipality? ____ No ____ Yes
If yes, which jurisdiction?_______________________________________________________________
Under the penalties of perjury I swear that the statements contained here are true and correct.
Seller Name ______________________________________________ DATE______________________
Seller Signature ___________________________________________ PHONE_____________________