Lombard, IL · DuPage County
Land Trust Beneficial Interest Disclosure Form
This form discloses the beneficiaries and other holders of beneficial interests in a land trust, and is completed by the trustee when submitting the disclosure for property owned by the trust.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form identifies the land trust’s beneficial owners, their addresses, and each person’s percentage of ownership, for the property described in attached Exhibit A. The trustee completes the disclosure and swears that it lists all known beneficiaries or holders of a beneficial interest and that the information is true and correct. Use it when the Village requests a land trust beneficial interest disclosure for property owned of record by the trust.
Who needs it
A trustee of a land trust that owns property of record needs this form when the Village requests disclosure of the trust’s beneficiaries or other beneficial interest holders.
Why it needs a notary
The form includes a jurat stating “Subscribed and sworn to before me”; the trustee signs and swears to the truth of the disclosure before the notary.
How to get this notarized
- 1
Download the Form
Get the Village’s Land Trust Beneficial Interest Disclosure Form.
- 2
Complete the Disclosure
Enter the beneficiaries’ names, addresses, and ownership percentages, and attach Exhibit A describing the property.
- 3
Book an Online Notary
Arrange a remote notarization for the trustee’s sworn statement.
- 4
Sign on Video
The trustee signs and swears to the disclosure before the notary during the online session.
- 5
Submit to the Village
Submit the notarized form and Exhibit A to the Village as requested.
Preview the form
The blank PDF straight from Lombard. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the land trust disclosure?
- List each known beneficiary or other beneficial interest holder, their address, and ownership percentage. The trustee signs and swears to the completed disclosure before a notary.
- Do I need to attach Exhibit A?
- The form refers to Exhibit A as the attached description of the real property owned of record by the land trust. Include it with the disclosure.
- Can I notarize this form online?
- Illinois authorizes electronic and remote notarization by a commissioned online notary under the Illinois Notary Public Act (5 ILCS 312). Confirm with the city or village if unsure.
- Who signs the disclosure?
- The trustee completes the disclosure and signs the sworn statement confirming that its contents are true and correct.