PM 2015-0002PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
CITY OF LA QUINTA
Attn: CITY CLERK DEPT
78-495 Calle Tampico
La Quinta, CA 92253
DOC # 2015-0229447
06/01/2015 04:39 PM Fees: $30.00
Page 1 of 6
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
"This document was electronically submitted
to the County of Riverside for recording—
Receipted by: ALGONZAL
SPACE ABOVE FOR RECORDER'S USE ONLY
CERTIFICATE OF PARCEL MERGER 2015-0002
APN 777-160-003 and THE UNDERSIGNED GRANTORS) DECLARE(S)
APN 777-160-004 DOCUMENTARY TRANSFER TAX IS $
CITY TAX IS $ 0
computed on full value of property conveyed, or
computed on full value less value of liens or
encumbrances remalnin at time of sale,
]Unincorporated area: X City of La Quinta
THIS AREA FOR
RECORDERS
USE -ONLY
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
RECORDING REQUESTED BY
CITY OF LA QUINTA
When recorded, return to:
CITY OF LA QUINTA
CITY CLERK
78-495 Calle Tampico
LA QUINTA, CA. 92253
THIS AREA FOR RECORDER'S USE ONLY
CERTIFICATE OF PARCEL MERGER NO. 2015- 0002
RECORD OWNERS
EXISTING PARCELS (Assessor Parcel Numbers)
Terry J. Kelly and Lucinda Kelly
777-160-003
Terry J. Kelly and Lucinda Kelly
777-160-004
LEGAL DESCRIPTION OF MERGED PARCELS
See attached - Exhibit "A'
SIGNATURE(S) OF RECORDED OWNER(S) ust be otarizea)
PiintName/rwe. Terry J. Kelly
Signature:
PrintNamemue. Lucinda Kelly
Si nature:
Print Name/Titfe:
Signature:
Print Name/rdle:
Signature:
This Certificate of Parce Merger reflects Parcel Merger No. 2015- 0002 as approved by the City of La Quinta.
Timothy R. Jonasson, P.E.
City Engineer Date: J Z o 157
NOTARY ACKNOWLEDGEMENT
VIFC614A
STATE OF )
COUNTY OF )
On me, ,
�efore
(Date) Name and Title of officer)
personally appeared
(Name(s) ofsigner(s))
who proved to me on the basis of satisfacto evidence a the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that h h ey executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instru the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY der the laws of the S of California that the foregoing paragraph is true and
correct.
WITNESS my hand and offici eal
t4otary Public
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of is 0 R -:�jO N
County of
?n-�"Aj wln�'
personally appeared
who proved to me on the basis0f satisfactory evl nce to be the person(s) whose names) ' re
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) 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.
Sig
(Seal)
OFFICIAL STAMP
LINDA D. TEMPLETON ALLEN
NOTARY PUBLIC - OREGON
I N
COMMISSION NO.933997
MY COMMISSION EXPIRES NOVEMBER 16, 2018
A notary public or other officer completing this certificate verifies only the
identity of the individual who signed the document, to which this certificate
is attached, and not the truthfulness, accuracy, or validity of that document
State of California
County of Riverside
On May 20, 2015 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. `SU AWVAYSELs."
Commissibri.* 417258:
-Notary,hbiic --California z
Riverside CSunty
Signature M corim: Expires A r 13; 2017•.
if
(seal)
DOCUMENT:
CERTIFICATE OF PARCEL MERGER 2015-0002 re: APNs 777-160-003 and
777-160-004 — owner(s): Terry J. Kelly and Lucinda Kelly.
EXHIBIT "A"
PARCEL MERGER NO. 2015-CLgo :z
PARCEL "A"
LOTS 161 AND 162, AMENDED TRACT 29884-2, IN THE CITY OF LA QUINTA,
COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP RECORDED 1N
BOOK 327 OF MAPS, PAGES 56 THROUGH 88, INCLUSIVE, RECORDS OF
RIVERSIDE COUNTY, CALIFORNIA.
SAID MERGED PARCEL CONTAINING 25,680 SQ. FT., (0.59 ACRES)
MORE OR LESS.
ATTACHED HERETO AND MADE A PART OF THIS LEGAL DESCRIPTION, IS A PLAT
LABELED EXHIBIT "B".
SUBJECT TO ALL COVENANTS, RIGHTS, RIGHTS OF WAYS AND EASEMENTS OF
RECORD, IF ANY.
* No. 4075
pSri CF
JAAMES D. FEIRO L.S. 4075
DATED:
EXHIBIT "BIf
GRAPHIC SCALE
60 0 30 60 120 240
( IN FEET )
1 inch = 60 ft.
LOT V (GOLF COURSE)
C1
ZI
i
PpR� pISO•
Z5,6 5 I phi
Z�
-. rn
p
LOT 161
AMENDED TR. 29894-2
LOT 162 MB 327156-88
=�
!�
rnl o
z
AMENDED TR. 29894-2 I APN. 777-160-003
MB 327156-88
APN. 777-160-004
�
_ I
— z�
—�-- 72—VIA�--_
ZI
LU
PESSARO .
CURVE TABLE
Nn nFl TA RANI L4 1 FNGTN
C1
I 10'17'30"
952.00'
1 171.00'
C2
1 12'14'48"
802.00'
1 171.42'
Lot Line to be Deleted per
this Parcel Merger
Parcel Merger Boundary
I PARCEL MERGER NO. 2015-ooc> �- 1
Prepared By.
FEIRO ENGINEERING, INC.
P. 0. BOX 12980
PALM DESERT, CA. 92255
is
.S D. FEIRO DATE
4075
o�
r�
OF Rlt�,RS'Or LARRY W. WARD Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
Website: www.riversideacr.com
°` °LYE` 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. 777 I declare that the documentary transfer tax for this
Property Address: 80-774 & FIO-758 VIA RES,SAARp transaction is: $0
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTIONIS EXEMPT FROMDOCUMENTARY TRANSFER TAX BECAUSE. (The
Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are taken
from Riverside County Ordinance 516). Please check one or explain in "Other':
1. Section 11911. The consideration or value of the property, exclusive of any liens and encumbrances is
$100.00 or less and there is no additional consideration received by the grantor.
2. Section 11911. The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
3. Section 11921. The conveyance 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 partnership, or between
legal entities and does not change the proportional interests held.
6. Section 11926. The conveyance is to a grantee who is the foreclosing beneficiary and the consideration paid by
the foreclosing beneficiary does not exceed the unpaid debt.
7. Section 11927. The conveyance relates to a dissolution of marriage or legal separation.
(A spouse must sign a written recital in order to claim this exemption. This form may be used for that purpose)
8. 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.
9. Section 8. The easement is MULperpetual, permanent, or for life.
10. Section 9. The document is a lease for a term of Ethan (35) years (including written options.)
11. _X_Other (Include explanation and legal authority) pAR . M R R 9015-000
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Executed this 20T I day of May 2015_ at Palm Desert, CA
ACity State
CP2'wt 1 �.e r� Lucille N_ Feiro, Corporate Secretary
Signatide of Affiant Printed Name of Affiant
Feiro Fngineerina_ Inc_ P_ O_ Box 12980 Palm Desert, CA 92255
Name of Firm (if applicab e) Address of Affiant (including City, State, and Zip Code)
(760)346-8015
Telephone Number of Afflant (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. 11/2014) Available in Alternate Formats