PM 2014-531PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
CITY OF LA QUINTA
Attn: CITY CLERK DEPT
78-495 Calls Tampico
La Quinta, CA 92253 '
DOC # 2014-0214047
06/11/201411:26 AM Fees: $42.00
Page 1 of 5
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
"This document was electronically submitted
to the County of Riverside for recording"
Receipted by: CTOLOSSA
CERTIFICATE OF PARCEL MERGER NUMBER 2014-531
APN 764-660-033 and THE UNDERSIGNED GRANTOR(S) DECLARE(S)
APN 764-660-034 DOCUMENTARY TRANSFER TAX IS $.
CITY TAX IS $ '-a-
Bcomputed on full value of property conveyed, or
computed on full value less value of liens or
encumbrances remaining at time of sale,
Unincorporated area:EECity of La Quinta
USE ONLY
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
RECORDING REQUESTED BY
CITY OF LA QUINTA
THIS AREA FOR RECORDER'S USE ONLY
When recorded, return to:
CITY OF LA QUINTA
CITY CLERK
78-495 Calls Tampico
LA QUINTA, CA. 92253
CERTIFICATE OF PARCEL MERGER NO. 2014-531
RECORD OWNERS
EXISTING PARCELS (Assessor Parcel Numbers)
T. D. DESERT DEVELOPMENT, L.P.
764-660-033
T. D. DESERT DEVELOPMENT, L.P.
764-660-034
LEGAL DESCRIPTION OF MERGED PARCELS
See attached - Exhibit "A" and Exhibit "B"
SIGNATURES) OF RECORDED OWNER(S) (Mujst be Nota ed)
Pent Namarfrtb: /L e! S
naNre:
Pant NemwTdie:
y ire:
Prot Name/rab:
nature:
Pant Namerrft:
' nature:
This Certicate of Parcel erger reflects Parcel Merger No. 2014-531 as approved by the City of La Quinta.
Date:
W1;�imjt=hLynR'.*Jona
on, P ., Public Works Director/ City Engineer, R.C.E. No. 45843 /
NOTARY ACKNOWLEDGEMENT
STATE OF CALIFORNIA
COUNTY OF R a ✓P V Si GX. ) (�
On M oZ 1 . A l� 14- before me, L i n at a. L. i -mfe-11 t�o�-a rt P b h �
(Da) ,� r 1 (Name and rrtle o/olficer)
Q &Darks
personally appeared YV D t r)
(Name(s) of signer(s))
who proved to me on the basis of satisfactory eviden to be the personal whose name(4 is/we-subscribed to the
within instrument and acknowledged to me that he/sheAkey-executed the same in his/heg4heir authorized capacity6aW,
and that by his/heN signatureXon the instrument the personK or the entity upon behalf of which the person
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the Site of California that the foregoing paragraph is true and
correct.
LINDA L. NAIMLL
Commtesion • 2029705
WITN S my hand and qfficial seal jt Notary Public - California
t } Riverside County
Comm. Expires Jul 17.201
Nota Public
State of California
County of Riverside
On June 9, 2014, before me, SUSAN MAYSELS, Notary Public, personally
appeared TIMOTHY R. JONASSON who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to the
within instrument, and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the person,
or the entity upon behalf of which the person acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. SUSANIMAYSEIs
Commlwion i 2017258
�s' Notary Public •-CaMornie
Nivemide County
Signature MY Comm. Explies Aar 13 2017
(seal)
DOCUMENT:
CERTIFICATE OF PARCEL MERGER NO. 2014-531 re: APNs 764-660-033
and 764-660-034 — owner(s) T.D. Desert Development, L.P.
EXHIBIT "A"
PARCEL MERGER NO.2014-531
PARCEL A
LOTS 158 AND 159 OF AMENDED TRACT 31681-3, IN THE CITY OF LA QUINTA,
COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, FILED IN BOOK 431, PAGES 1
THROUGH 15, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA.
SEE EXHIBIT `B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF.
SAID MERGED PARCEL CONTAINS 22,592 SQUARE FEET MORE OR LESS.
SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS OF WAY OF
RECORD.
W. �
O W. WATSON, RCE 26662 AT
PAGE 1 OF I
74
78
78
77
78
78
EXHIBIT "B"
LOTS 158 AND 159 OF AMENDED TRACT 31681-3
MB 431/1-15 a
\ LOT 48" 28
30 20
I / -
LOT "P'
I � Z
I Z I
w PARCEL
122,692 SF
W I A I
'I
Q 167 158 I 1`�
I
I
I
24
27 /
LOT v
w
184
n" In
162
p 161
160
REMAINDER
/ •1 „W(R APN 764-660-034
APN 764-660-033
04- , "W
/ PCC
NOTE:
DATA SHOWN RECORD PER
AMENDED TRACT NO. 31681-3,
M.B. 431 / 1-15.
LEGEND:
EXISTING LOT LINE TO REMAIN
_ _ _ _ LOT LINE TO BE DELETED PER
THIS PARCEL MERGER
PARCEL MERGER BOUNDARY
SCALE: 1" a 100'
( IN FEET)
CURVE TABLE
CURVE
DELTA
RADIUS
LENGTH
TANGENT
C1
1"10'41"
2720.00
55.94
27.97
C2
1001'21"
3119.00
55.66
27.83
C3
8026'11"
300.00
44.17
22.13
C4
0.43'""
894.00
11.37
5.69
C5
1"10'59"
2720.00
56.16
28.08
NO.20
PREPARED BY:
No. 26682
E .331-16
P.E. 26662
EXP. 3131/16
k.l LARRY W. WARD Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
C ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
!4
WCb51LC: N'lti N'llVl'r5ldeacLCOm
" DOCUMENTARY TRANSFER TAX AFFIDAVIT
WARNING
ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART
OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5OF ORDINANCE 516 OF THE COUNTY
OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL NO. -74,q -- 61W -- D 3 3 1 declare that the documentary transfer tax for this
Property Address:61 &2Z /,t, dcl+Ylc C� t/Lr�(.)< transaction is: $
J2zc3
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECAUSE. (The
Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other".)
I. _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options).
2. _ Section 11911. The easement is not perpetual, permanent, or for life.
3. _ Section 11921. The instrument was given to secure a debt.
4. _ Section 11922. The conveyance is to a governmental entity or political subdivision.
5. _ Section 11925. The transfer is between individuals and a legal entity, or between legal entities,
and does not change the proportional interests held.
6. _ Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no
additional consideration was paid.
7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the
foreclosing beneficiary does not exceed the unpaid debt.
8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation.
9. _ Section 11930. The conveyance is an inter vivos gift* or a transfer by death.
*Please be aware that information stated on this document may be given to and used by governmental
agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift
tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be
required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service.
10. _ Section 11930. The conveyance is to the grantor's revocable living trust.
11. Other (Include explanation and authority) A4erf;it x 0Ir-5 ) S8�/S9� rIr/foO m �o
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Executed this Z611 day of t G.1 `' • < 20W at e, t04r •41" 6 -
Ciry [ State
Sign n�1-� Ian A Printed Name ofAffiiant ��I (J
- J- %�je f f 7�✓ e0 4�u j.N ow cJ" 8 S 7G C! �A3 L 04 fA ca (Z zc3
Name of Firm (if applicable) Address of Atliant (including City, State, and Zip Code)
to -7-11 1OO
Telephone Number of AOiant (including area code)
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
For Recorder's Use.
Affix PCOR Label Here
ACR 521 (Rev. 03/2012) Available in Alternative Formats
BOE-502-A (P1) REV. 12 (05-13)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
LARRY W. WARD, COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK -RECORDER
To be completed by the transferee (buyer) prior to a transfer of subject
PO Box 751, RIVERSIDE, CA 92502-0751
property, in accordance with section 480.3 of the Revenue and Taxation
(951) 955-6200 w Awrsideacr.00m
Code. A Preliminary Change of Ownership Report must be filed with each
conveyance in the County Recorder's office for the county where the
property is located.
NAME AND MAILING ADDRESS OF BUYERRRANSFEREE // /— •�
(Make necess����1 wCnecfionssr the pdn(W n/am� and mailing Odmrt )/j -7 f0 too ^ U 53
F.T. J. Vfyt C/{ 9PJ U P%. (((g+l L. (, , ASSESSOR'S PARCEL NUMBER
�
SELLERRR S.5 ICJ C1 P H tftt
Lcc 'C J(�L r «' T'Lz'i$ "7(0 -7-t7 I co I
BUYER'S DAYTIME TELEPHONE NUMBER
)n5e��ks�r<-1�Go1� Jf.t�a,w.+f
L J BUYER'S EMAIL DRESS
�� ��✓ StndG�yS1�t L, CQ. 42LS�
STREETADDRESS�OR PHYSICAL LOCATION OF REAL PROPERTY
rIOn
MAIL PROPERTY TAX INFORMATION TO (NAME) I/� q
1 S`7o �a c tio.tQr� �{ `C �fAt � (Z Z15-
3
ADDRESS CITY STATE LP CODE
[]YES % This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
or intended occupancy.
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of tranfers.
YES NO
❑ A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑ B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of
a partner, death of a partner, termination settlement, etc.).
❑ • C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
❑ • D. This transfer is the result of a cotenant's death. Date of death
❑ • E. This transaction is to replace a principal residence by a person 55 years of age or older.
Within the same county? ❑ YES ❑ NO
❑ • F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code
section 69.5. Within the same county? ❑ YES []NO
❑ G. This transaction is only a Correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage).
If YES, please explain:
❑ H. The recorded document creates, terminates, or reconveys a lender's interest in the property.
❑ I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest
(e.g., cosigner). If YES, please explain:
❑ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
K. This is a transfer of property:
❑ 1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of
❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner.
❑ 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which
names the other joint tenant(s) as beneficiaries when the creator/grantor/trustor dies.
❑ 3. tolfrom an irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner.
❑ L. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
❑ M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel
being transferred remain exactly the same after the transfer.
❑ N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑ • O. This transfer is to the first purchaser of a new building containing an active solar energy system.
Please refer to the instructions for Part 1.
Please provide any other Information that will help the Assessor understand the nature of the transfer.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
BOE-502-A (P2) REV. 12 (05-13)
PART 2.OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of transfer, if other than recording date:
B. Type of transfer:
Purchase ❑ Foreclosure Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-13)
Contract of sale. Date of contract: Inheritance. Date of death:
Sale/leaseback Creation of a tease Assignment of a tease D Termination of a lease. Date lease began:
Origginal term in yef�arrs (includingg written options): Remaining term in years (including written options):
Other. Please explain: 1'e r c e JL M P r�ei
C. Only a partial interest in the property was transferred. YES k<O If YES, indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.
A. Total purchase price pJ o Q✓ ti Ct�'kS
B. Cash down payment or value of trade or exchange excluding closing costs Amount $
C. First deed of trust @ _% interest for _ years. Monthly payment $ Amount $
❑ FHA (_Discount Points) Cat -Vet EJ VA C—Discount Points) F Fixed rate Variable rate
Bank/Savings & Loan/Credit Union Loan carried by seller
Balloon payment $ Due date:
D. Second deed of trust @ _% interest for. years. Monthly payment $ Amount $
Fixed rate Variable rate Bank/Savings & loan/Credit Union El Loan carried by seller
❑ Balloon payments Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? YES []NO Outstanding balance $
F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $
G. The property was purchased: []Through real estate broker. Broker name: Phone number:
Ll Direct from seller Ll From a family member -Relationship
Other. Please explain:
H. Please explain any special terms, seller concessions, broker/agent fees waived, financing, and any other information (e.g., buyer assumed the
existing loan balance) that would assist the Assessor in the valuation of your property.
PART 4. PROPERTY INFORMATION Check and complete as applicable
A. Type of property transferred
Single-family residence EJ Co-op/Own-your-own Manufactured home
Multiple-famiy residence. Number of units:_ Condominium Unimproved lot
Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare Commercial/industrial
B.❑YES �NO Personal/business property, or incentives, provided by seller to buyer are included in the purchase price. Examples of personal
property are furniture, farm equipment, machinery, etc. Examples of incentives are dub memberships, etc. Attach list if available.
If YES, enter the value of the personaVbusiness property:
C. ❑YES JJNO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
YES aNO The manufactured home is subject to local property tax. If NO, enter decal number:
D. YES 14NO The property produces rental or other income.
If YES, the income is from: Lease/rent Contract Mineral rights Other:
E. The condition of the property at the time of sale was:
Please describe:
Incentives $
iyi Good Average Fair Poor
CERTIFICATION
I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to
the best of my knowledge an belief.
SIGNATU E OF BUY SFEREE OR CORPORATE FFICER OAiE TELEPNONE
O Z4 l� (760P71 too l
OF
(L
may contact you for additional information regarding this transaction. 1`411A011q-401441,. w,y
�q Uk mIV.
Recorder
LARRY W. WARD P.O. sox 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
- = ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
t
wCb9re: N4V\4. rI4CT$IdeaCLeOm
DOCUMENTARY TRANSFER TAX AFFIDAVIT
WARNING
ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART
OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY
OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL NO.�I %j -- G -- c 3 I declare that the documentary transfer tax for this
Property Address:61 833 tdt 1,Ply C,4, tart transaction is: $
fzz;3
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECAUSE: (The
Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other".)
). _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options).
2. _ Section 11911. The easement is not perpetual, permanent, or for life.
3. _ Section 11921. The instrument was given to secure a debt.
4. _ Section 11922. The conveyance is to a governmental entity or political subdivision.
5. _ Section 11925. The transfer is between individuals and a legal entity, or between legal entities,
and does not change the proportional interests held.
6. _ Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no
additional consideration was paid.
7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the
foreclosing beneficiary does not exceed the unpaid debt.
8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation.
9. _ Section 11930. The conveyance is an inter vivos gift* or a transfer by death.
*Please be aware that information stated on this document may be given to and used by governmental
agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift
tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be
required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service.
10. _ Section 11930. The conveyance is to the grantor's revocable living trust.
11. X Other (Include explanation and authority) rM e / t •y j e I-s ) S't? / �9, �/G J m
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CCORRECT..lRREC
Executed this zG •''� day of Ae �� `' ^ 20 / Y/at (-r cell—, •( �
City State
Sign /�� ran Printed T m `.I Name of Affliant (/ ��
�• je r Vim A1Rt 'L �.J ( S -(O C* i ACi4 1 "-a xl = !.t 4,Q
Name of Firm (if applicable) �, Address of Afiant (including City, State, and Zip Code)
((o O '7-1-1 tOq I
Telephone Number of Af iiant (including area code)
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
For Recorder's Use.
Affix PCOR Label Here
ACR 521 (Rev. 0312012) Available in Alternative Formats
BOE-502-A (PI) REV. 12 (05-13)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
LARRY W. WARD, COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK - RECORDER
To be completed by the transferee (buyer) prior to a transfer of subject
PO BOX 751, RIVERSIDE. CA 92502-0751
property, in accordance with section 480.3 of the Revenue and Taxation
(951) 955-6200 www.riversidears.wm
Code. A Preliminary Change of Ownership Report must be filed with each
conveyance in the County Recorder's office for the county where the
property is located.
NAME AND MAILING ADDRESS OF BUYERfTRANSFEREE -71 ,)
(Make necessary ronecbonsLb th pm name anV VM Wdmss) I 0 7 lC/ r0 7
T. 0, Oes, r T 9e r�Pl)•h ct�I L, t9• 1 ASSESSOR'S PARCEL NUMBER
815?o ecr)s.>,trr4S ' 7D•DrSr1 f oe.e1Pa4ttat� L t°
jj A SELLERPTRANSFEROR
Lac 17J;�'++C[r CP, T-L-L i "Z&r-. -7-1 -r•f
1 oG'• 1
BUYER'S DAYTIME TELEPHONE NUMBER
t�Sn�Tf�sere�tc.(7o��Cc�tg�a.w.t-1
L t� J BUYER'S EMAIL PRESS
S► 63� AxJd0.SIq G, t(� ate. CA gz-zs�
STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
C-
MAIILLPROPERTY TAX INFORMATION T�OINAME)
ADDRESS CITY STATE LP CODE
[]YES NO This property is intended as my principal residence. If YES, please indicate the date of occupancy NO DAY YEAR
or intended occupancy.
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of tranfers.
YES NO
❑ A. This transfer is solely between spouses (addition or removal of spouse, death of a spouse, divorce settlement, etc.).
❑ B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of
a partner, death of a partner, termination settlement, etc.).
❑I 1-C- This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grendchiid(ren).
❑ ' D. This transfer is the result of a cotenant's death. Date of death
❑ ' E. This transaction is to replace a principal residence by a person 55 years of age or older.
Within the same county? ❑YES ❑ NO
❑ ' F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code
section 69.5. Within the same county? ❑ YES ❑ NO
❑ G. This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon mamage).
If YES, please explain:
❑ H. The recorded document creates. terminates, or reconveys a lender's interest in the property.
❑ I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest
(e.g., cosigner). If YES, please explain:
❑ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
K. This is a transfer of property:
❑ 1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of .
❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner.
❑ 2. to/from a trust that may be revoked by the creator/grantorrtrustor who is also a joint tenant, and which
names the other joint tenant(s) as beneficiaries when the creator/grantodtrustor dies.
❑ 3. toffrom an irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or ❑ grantor'sttrustor's spouse ❑ grantor'sttrustor's registered domestic partner.
❑ L. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
❑ M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel
being transferred remain exactly the same after the transfer.
❑ N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑ ' O. This transfer is to the first purchaser of a new building containing an active solar energy system.
' Please refer to the instructions for Part 1.
Please provide any other information that will help the Assessor understand the nature of the transfer.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
BOE-502-A (P2) REV. 12 (0513)
PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of transfer, if other than recording date:
B. Type of transfer:
❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B)
❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death:
❑ Sale/leaseback ❑ Creation of a lease ❑ Assignment of a lease ❑ Termination of a lease. Date lease began:
Origginal term in ye�a�ss (includir written options): _ Remaining term in years (including written options):
Other. Please explain: Y< r c t R ;ul P r'��c; _
C. Only a partial interest in the property was transferred. [_]YES V<O If YES, indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE
A. Total purchase price FJ o
B. Cash down payment or value of trade or exchange excluding closing costs
C. First deed of trust @ % interest for years. Monthly payment $
❑ FHA (_Discount Points) ❑ Cal -Vet ❑ VA (_Discount Points) ❑ Fixed rate ❑ Variable rate
❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment $ Due date:
D. Second deed of trust @ _% interest for_ years. Monthly payment $
❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
Check and complete as applicable.
Amount $
Amount $
Amount $
❑ Balloon payment $ Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? []YES []NO Outstanding balance $
F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $
G. The property was purchased: ❑Through real estate broker. Broker name: Phone number: ( )
❑ Direct from seller ❑ From a family member -Relationship
❑ Other. Please explain:
H. Please explain any special terms, seller concessions, brokerlagent fees waived, financing, and any other information (e.g., buyer assumed the
existing loan balance) that would assist the Assessor in the valuation of your property.
PART 4. PROPERTY INFORMATION Check and complete as applicable
A. Type of property transferred
❑ Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home
❑ Multiple -family residence. Number of units:_ ❑ Condominium Unimproved lot
❑ Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare CommerciaUlndustrial
B.[]YES %NO Personal/business property, or incentives, provided by seller to buyer are included in the purchase price. Examples of personal
property are furniture, farm equipment, machinery, etc. Examples of incentives are dub memberships, etc. Attach list if available.
If YES, enter the value of the persohallbusiness property: $ Incentives $
C. ❑YES JRNO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
❑YES 5111NO The manufactured home is subject to local property tax. If NO, enter decal number:
D. ❑YES �aNO The property produces rental or other income.
If YES, the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other:
E. The condition of the property at the time of sale was: KGood []Average❑ Fair [:]PoorPlease describe:
CERTIFICATION
I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to
the best of my knowledge anyJwLief
SIGNATU FEREE OR CORPORATE FFICER DATE TELEPHO1111. NE
E OF BUY S
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�ITheAssessor's office may contact you for additional information regarding this transaction. r4AAGIcic,_1r.14*, k --/