LLA 2020-0002 Parcel B - AndalusiaDOC # 2020-0190220
05/01/2020 04:30 PM Fees: $120.00
Order No. Page 1 of 8
Recorded in Official Records
Escrow No. County of Riverside
Loan No. Peter Aldana
Assessor -County Clerk -Recorder
WHEN RECORDED MAIL TO:
City of La Quinta
**Thisclocument was electronically submitted
78-495 Calle Tampico to the County of Riverside for recording"
La Quinta, California, 92253
Receipted by: MARY #420
DOCUMENTARY TRANSFER TAX $..... ,}rrJ............................................. SPACE ABOVE THIS LINE FOR RECORDER'S
USE
...... Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale. Signature of Declarant or Agent
determining tax - Firm Name
APN'S: 764-200-091, 764-660-052
GRANT DEED
- LLA 2020-0002
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ANDALUSIA COUNTRY
CLUB, LLC, a Delaware limited liability company
hereby GRANT(S) to THOMAS L. BROWN and SANDRA L. BROWN, Trustee of THE THOMAS L. BROWN
AND SANDRA L. BROWN FAMILY TRUST, dated January 12, 2000
the real property in the City of La Quinta, County of Riverside, State of California, described as
that portion of land in Parcel "D" which is overlaid by the reconfigured shape of Parcel "B" pursuant to
LLA 2020-0002 approved by the City of La Quinta. The reconfigured parcels are described in Exhibits, -A and B
attached hereto and by this reference made a part hereof.
Note: This grant deed perfects the intent of Lot Line Adjustment 2020-0002 as approved by the City of
La Quinta.
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 CA,4IFORNIAII ) ANDALUSIA COUNTRY CLUB, LLC.
COUNTY OF1Ki Y 2f5Ne } AV® ware limited liability co any
On � rt 17 da(� before I`'(/1' l,,
me, —J-(Aa ni iA fry) A - G-0a a f iU afol ty ptu b l/ C , By: 10hi' r � S� J �7 J 1
personally appeared V rtr 6 , 7 2 V' S E
It's: /`��--�3' i• pl.Gs► t
Who proved to me on the basis of satisfactory evidence to be the person(g)
whose name(s) is/aXsubscribed to the within instrument and acknowledged
to me that he/sb6/tt ey executed the same in his/hor/their authorized
capacity(iO),and that by his/h&T/toir signature(6j on the instrument the
person(z), or the entity upon behalf of which the personA 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 anQ official seal.
Sighatur
MAIL T STATEMENTS TO:
APP OVED BY CITY OF LA QUINTA
Bryan McKinney, P.E., Ci ngineer
RCE 49418, Exp. 9-30-2020
.�� JUANITA M. A. GAMA
Notary Public - California
x s Riverside County
Commission # 2274810
My Comm. Expires Feb 7, 2023
Place Notary Seal Above
DOC #2020-0190220 Page 2 of 8
NOTARY 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 California )
County of Riverside )
On April 30, 2020 before me, MONIKA RADEVA, Notary Public,
personially appeared BRYAN McKINNEY who proved to me on the basis
of satisfactory evidence to be the personfsJ whose namefo is/afe
subscribed to the within instrument, and acknowledged to me that
he/sh-e/they executed the same in his/#�ei-r authorized
capacity{+e�, and that by his/her/the,r 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.
Signature:
` MONIKA RADEVA
Notary Public - California Z
:m Riverside County
Commission # 2168979
My Comm. Expires Oct 22, 2020
(notary seal)
DOCUMENT:
Grant Deed; Lot Line Adjustment (LLA 2020-0002)
APNs: 764-200-091 and 764-660-052
DOC #2020-0190220 Page 3 of 8
EXMIT "A"
LOT LINE ADJUSTMENT NO.2020-0002
PARCEL "A"
LOT 23 OF AMENDMENT NO.4 TRACT NO.31681-3, AS SHOWN BY MAP ON FILE IN BOOK
469 OF MAPS, AT PAGES 18 THROUGH 32, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY,
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA.
TOGETHER WITH THAT PORTION OF LOT "B" OF SAID AMENDMENT NO.4 TRACT NO.
31681-3, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWESTERY CORNER OF SAID LOT 23;
THENCE N270 42' 12"W ALONG THE NORTHERLY PROLONGATION OF THE WESTERLY LINE
OF SAID LOT 23, A DISTANCE OF 16.59 FEET;
THENCE N6070 28' 1 VE A DISTANCE OF 56.55 FEET TO A POINT ON THE NORTHERLY LINE
OF SAID LOT 23 AND THE BEGINNING OF A CURVE CONCAVE SOUTHEASTERLY, HAVING
A RADIUS OF 100.00 FEET, WITH A BEGINNING RADIAL BE OF N220 31' 49"W;
THENCE SOUTHWESTERLY ALONG SAID CURVE AND THE NORTHERLY LINE OF SAID
LOT 23, THROUGH A CENTRAL ANGLE OF 33° 24' 19", AN ARC LENGTH OF 58.30 FEET, TO
THE NORTHWESTERLY CORNER OF SAID LOT 23 AND THE POINT OF BEGINNING;
AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF. SAID "PARCEL "A" CONTAINS 12,655 SQUARE FEET MORE OR LESS.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER
MY DIRECTION BASED ON RECORD INFORMATION
zv 20
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CIVIC �Y
Page 1 of 4 Pages
DOC #2020-0190220 Page 4 of 8
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.21,020-0002
PARCEL "B"
LOT 24 OF AMENDMENT NO.4 TRACT NO.31681-3, AS SHOWN BY MAP ON FILE IN BOOK
469 OF MAPS, AT PAGES 18 THROUGH 32, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY,
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA.
TOGETHER. WITH THAT PORTION OF LOT "B" OF SAID AMENDMENT NO.4 TRACT NO.
31681-3, MORE PARTICULARLY DESCRIBED AS FOLLOWS„
BEGINNING AT THE NORTHWESTERY CORNER OF SAID LOT 24;
THENCE N220 50' 47"W ALONG THE NORTHERLY PROLONGATION OF THE WESTERLY LINE
OF SAID LOT 24, A DISTANCE OF 19.53 FEET;
THENCE N670 28' 11'E A DISTANCE OF 63.61 FEET TO A POINT ON THE NORTHERLY
PROLONGATION OF THE EASTERLY LINE OF SAID LOT 24;;
THENCE S27° 42' 12"E ALONG SAID LINE, A DISTANCE OF 16.59 FEET TO THE
NORTHEASTERLY CORNER OF SAID LOT 24 AND A POINT ON A NON —TANGENT CURVE
CONCAVE SOUTHEASTERY, HAVING A RADIUS OF 100.00 FEET, WITH A BEGINNING
RADIAL BEARING OF S550 56' 08"E;
THENCE SOUTHWESTERLY ALONG SAID CURVE AND THE NORTHERLY LINE OF SAID
LOT 24, THROUGH A CENTRAL ANGLE OF 0° 07' 41", AN ARC LENGTH OF 0.22 FEET TO THE
BEGINNING OF A REVERSE CURVE CONCAVE NORTHWESTERLY, HAVING A RADIUS OF
63.00 FEET;
THENCE SOUTHWESTERLY AND NORTHWESTERLY ALONG SAID CURVE AND THE
NORTHERLY LINE OF SAID LOT 24, THROUGH A CENTRAL ANGLE OF 61 ° 5 8' 31 ", AN ARC
LENGTH OF 68.14 FEET, TO THE NORTHWESTERLY CORNF'sR OF SAID LOT 24 AND THE
POINT OF ]BEGINNING;
AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF.SA.ID "PARCEL `B" CONTAINS 14,142 SQUARE FEET MORE OR LESS.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER
MY DIRECTION BASED ON RECORD INFORMATION
LVYDW.WATSON,RCE26662'DATE
Q�ypF ESS
9 ;o
O
c� No.26662
EXP. 3-31 20
PAGE 2 OF 4 PAGES
DOC #2020-0190220 Page 5 of 8
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.21020-0002
PARCEL "C"
LOT 25 OF AMENDMENT NO.4 TRACT NO.31681-3, AS SHOWN BY MAP ON FILE IN BOOK
469 OF MAPS, AT PAGES 18 THROUGH 32, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY,
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA.
TOGETHER WITH THAT PORTION OF LOT "B" OF SAID AMENDMENT NO.4 TRACT NO.
31681-3, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTE WESTERY CORNER OF SAID LOT 25;
THENCE N670 28' 11"E A DISTANCE OF 57.32 FEET TO A POINT ON THE NORTHERLY
PROLONGATION OF THE EASTERLY LINE OF SAID LOT 25;
THENCE S220 50' 47"E A DISTANCE OF 19.53 FEET TO THE NORTHEASTERLY CORNER OF
SAID LOT 25 AND A POINT ON A NON -TANGENT CURVE CONCAVE NORTHWESTERLY,
HAVING A RADIUS OF 63.00 FEET, WITH A BEGINNING RADIAL BEARING OF N05° 54' 42"E;
THENCE NORTHWESTERLY ALONG SAID CURVE AND THE NORTHERLY LINE OF SAID
LOT 25, THROUGH A CENTRAL ANGLE OF 3° 35' 26", AN ARC LENGTH OF 3.95 FEET TO THE
BEGINNING OF A REVERSE CURVE CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF
117.00 FEET;
THENCE CONTINUING ALONG THE NORTHERLY LINE OF SAID LOT 25, NORTHWESTERLY
AND SOUT]IWESTERLY ALONG SAID CURVE, THROUGH A CENTRAL ANGLE OF 28' 05' 35",
AN ARC LENGTH OF 57.37 FEET TO THE NORTHWESTERLY CORNER OF SAID LOT 25 AND
THE POINT OF BEGINNING;
AS SHOWN ON EXHIBIT `B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF.
SAID "PARCEL "C" CONTAINS 13,663 SQUARE FEET MORE OR LESS.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER
MY DIRECTION BASED ON RECORD INFORMATION
LL YD W. WATSON, RCE 26662 ATE
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No.26662
EXP.3-31-20�
,,-CIVIX.,
PAGE 3 OF 4 PAGES
DOC #2020-0190220 Page 6 of 8
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2020-0002
PARCEL"D"
LOT "D" OF AMENDMENT NO.4 TRACT NO.31681-3, AS SHOWN BY MAP ON FILE IN BOOK
469 OF MAPS; AT PAGES 18 THROUGH 32, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY,
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA.
EXCEPTING THEREFROM THAT PORTION OF LOT "D" OF SAID AMENDMENT NO.4
TRACT NO.31681-3, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWESTERY CORNER OF LOT 25 OF SAID TRACT;
THENCE N670 28' 11 "E A DISTANCE OF 177.48 FEET TO A POINT ON THE NORTHERLY LINE
OF LOT 23 OF SAID TRACT AND A CURVE CONCAVE SOUTHEASTERY, HAVING A RADIUS
OF 100.00 FEET, WITH A BEGINNING RADIAL BEARING OFN22° 31' 49"W;
THENCE SOUTHWESTERLY ALONG SAID CURVE AND THE NORTHERLY LINE OF LOT 23
AND LOT 24 OF SAID TRACT, THROUGH A CENTRAL ANGLE OF 33 ° 32' 00", AN ARC
LENGTH OF 58.52 FEET TO THE BEGINNING OF A REVERSE CURVE CONCAVE
NORTHWESTERLY, HAVING A RADIUS OF 63.00 FEET;
THENCE SOUTHWESTERLY AND NORTHWESTERLY ALONG SAID CURVE AND THE
NORTHERLY LINE OF LOT 24 AND LOT 25 OF SAID TRACT', THROUGH A CENTRAL ANGLE
OF 65° 33' 5'7", AN ARC LENGTH OF 72.09 FEET TO THE BEGINNING OF A REVERSE CURVE
CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 117.00 FEET;
THENCE NORTHWESTERLY AND SOUTHWESTERLY ALONG SAID CURVE AND THE
NORTHERLY LINE OF LOT 25 OF SAID TRACT, THROUGH A CENTRAL ANGLE OF 28° 05' 35",
AN ARC LENGTH OF 57.37 FEET TO THE NORTHWESTERLY CORNER OF SAID LOT 25 AND
THE POINT OF BEGINNING;
AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF. SAID "PARCEL "D" CONTAINS 26.90 ACRES MORE OR LESS.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER MY
MY DIRECTION BASED ON RECORD INFORMATION
G�GtJ �/��/zo2o
LLOYD W. `iNATSON, RCE 26662 15ATE
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4
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G No. 26662
EXP.3-3120 �
PAGE 4 OF 4 PAGES
DOC #2020-0190220 Page 7 of 8
B" F'AGE20F2PAGES
EXHIBIT' "
LOT LINE ADJUSTMENT NO.2020-0002
LOTS 23, 24, 25, AND "B" OF AMENDMENT NO. 4, TRACT NO.31681-3
0 60, 90' 120' 1130,
C110 N 17°30'391-W(RI
N 22031'49"W R -
SCALE: 1" = 60' \ AMENDED NCIA TRACT 31681-3
(IN FEET) PARCEL "'D" / \ \ MB 469/18-32
LOT "B"
30 WIDE WATER PIPELINE 26.90
EASEMENT OF USA REC. i ��1 �� / �b N
AS INST. NO.2005-0313110 ,5,°2$ 613.
G�
4121105, O.R. / N / gyp,\\- PARCEL "A"
21
/ P RCEL "C' C5 - _ C'G1 C8 cs° y�,o < Q 22
P.O.B. PARCEL "B" s�, 2 p�0 r'-
wo / l C6 I P.O.B. 2 \o� - �
/\ w:N,
,\N' \\off \`s° `Jr'° '4�0 C� �QQ cr
?► cr i N ,
26 2��0\Ga ;A 27
�, �s \off T
rnw < lJ� 6,�
tO �N 0 -
10' PUBLIC
UTILITY
EASEMENT
C8 PARCEL "A"
- 10' PUBLIC N 56°03'49"W -R P.O B.
UTILITY EASEMENT PRC Z �sa, PARCEL "A"
CURVE TABLE
CURVE
DELTA
RADIUS
LENGTH
TANGENT
Cl
4040'33"
287.00'
23.42'
11.72'
C2
1 °40'26"
1426.00'
41.65'
20.83'
C3
3' 13'27"
1426.00'
80.25'
40.13'
C4
3018'45"
1426.00'
82.44'
41.23'
C5
28005'35"
117.00'
5 i'.37'
29.27'
C6
3035'26"
63.00'
3.95'
1.97'
C7
61°58'31"
63.00'
68.14'
37.84'
C8
0°07'41"
100.00,
0.22'
0.11,
C9
33024'19"
100.00,
58.30'
30.01'
C10
5001,101,
100.00,
8.76'
4.38'
C11
33°32'00"'
100.00'
58.52'
30.13'
Cl2
65°33-57"'
63.00'
1 72.09'
40.57'
PARCEL "D" r, \%, LOT 23
LOT „B" / / o \od,
PARCEL "A" \L\
LOT 23DETAI\
SCALE: 1 -2'
LINE DATA
COURSE
BEARING
LENGTH
L1
N 22°50'47"\N
19.53'
L2
N 27°42'12" IN
16.59'
LEGEND
----- EXISTING LOT LINE TO BE ADJUSTED
EXISTING LOT LINE TO REMAIN
ADJUSTED LOT LINE',
euoTu
EXHIBIT „B„ PAGE 1 OF 2 PAGES
LOT LINE ADJUSTMENT NO.2020-0002
LOTS 23, 24, 25, AND "B" OF AMENDMENT NO.4, TRACT NO.31681-3
E
19
3B I20
39
\�..
33 TRACT 31681-2
MB 397/34-44 f° l
31
30jr
29 -
23
27 I 194
ON�, ~,\ 26 25 24 1 OT n ,�
F— Z 49 w �. 1 i`2
00 91
\ �� � 3 4 5 6 7 8 9
52
w� 63
14 53 11
I— w 5s
U J I "LOT'_c 1 0 g 4 12
r 43 PARCEL "D" 13
4241 LOT "B" 14
5 40 H
6 7 39 PARCEL "A" 15 O
811 SEE SHEET 2 16 59 38 37 PARCEL "B" 17
60616 63 36 34 SEE SHEET 218
PARCEL C"
45 Oj 33 SEE SHEET 2 19
6 32 31 20
67 30
— — — 68 9 262 24 29 23 22 21 195
6
70 1 28 27
72
73 `spy
119
6 16
74 16 16 LOT "H"
CENTER SECTION 75 15 158160161
LINE, SECTION 27 76
77 [u� 166 W
78 167
79 168 U)
80 tY W
169 O
�91 LOTT' TRACT 31681-3 o z
84 MB 469/18-32 170
148 171 O
85 86 147
88 87 11 146 172
90 89 �ONpP 11 145 173
no 91 11 144 174
0 400' 600' 600' 1200' 1600'
z
SCALE: 1" = 400' `�`� No. 26662
( IN FEET) * EXP. 3-31-22
sry C1v%
IVV W 4 ; DO v H U M Ull � R Y PREPARED UNDER THE SUPERVISION OF: �CP CAI,%
CIVIL ENGINEERING 0 LAND PLANNING
48-725 VERBENA ROAD
PALM DESERT. CA92260 LOYD W. WATSON DATE
PH: (760) 27&1553 P.E. 26662
EXP. 3/31 /22
+ -o ar ar' e�r�a
PETER ALDANA Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000
T 4E% Website: w%vw.rive rsideacr.com
~ 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. 764 --200 --091 I declare that the documentary transfer tax for this
Property Address: _T_r_art_31-681-3J nt R transaction is: $n
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTIONIS EXEMPT FROM DOCUMENTARY TRANSFER TAXBECAUSE: (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. X Section 11911
2. Section 11911
3. Section 11921.
4. Section 11922.
5. Section 11925.
Section 11926.
Section 11927.
Section 11930.
9. Section 8.
10. Section 9.
11. Other
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.
The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
The conveyance was given to secure a debt.
The conveyance is to a governmental entity or political subdivision.
The transfer is between individuals and a legal entity or partnership, or between
legal entities and does not change the proportional interests held.
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.
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.)
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.
The easement is gQl_perpetual, permanent, or for life.
The document is a lease for a term of jLU_than (35) years (including written options.)
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Ex [his 14th day of 20 ?0 at La (Juinta CA
City State
Signature of Affiaant ` I Printed ame of A11 ant
Andalusia Country Club,_LI G
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
76❑ 779 7227
Telephone Number of AffEant (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
BOE-502-A(P1) REV 13 (06-17)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by the transferee (buyer) prior to a transfer of subject
property, in accordance with section 480 3 of the Revenue and Taxation
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.
FOR ASSESSOR'S USE ONLY
FE
L
STREET AMR ESS OR PHYSICAL LOCATION OF. REAL PROPERTY
81880 Andalusia La Quinta, CA 92253
PETER ALDANA, COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK -RECORDER
PO BOX 751, RIVERSIDE, CA 92502-0751
(951) 955-0400 www.riversideacr.com
ASSESSOR'S PARCEL NUMBER
764 660 052
SELLERrrRANSFEROR
Andalusia Country Club, LLC
BUYER'S DAYTIME TELEPHONE NUMBER
( 760 ) 801 6071
BUYERS EMAILAMR ESS
thrown sierra acif#cwest.cam
❑YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO oar YEAS
or intended occupancy.
❑ YES 0 NO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran who was
compensated at 100% by the Department of Veterans Affairs?
MAIL PROPERTY TAX INFORMATION TO (NAME)
Thomas L Brown and Sandra L Brown, Trustees of the Thomas L Brown and Sandra L Brown Family Trust
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
P.O. Box 230564 Encinitas CA 92023
PART 1. TRANSFER INFORMATION Please complete all statements.
YES NO This section contains possible exclusions from reassessment for certain types of transfers
❑ ✓❑ 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 owned 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
❑ E 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:
❑ 0 H. The recorded document creates, terminates, or reconveys a lender's interest in the property.
❑ Z 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:
CI�/ I 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.
❑ V 2. to/from 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.
❑ 0 N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions
imposed by specified nonprofit corporations
E] * 0. This transfer is to the first purchaser of a new building containing an active solar energy system.
P. Other. This transfer is to straighten property line between golf course and residential lot.
* 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 13 (06-17)
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 [J 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 n Creation of a lease Assignment of a lease [] Termination of a lease Date lease began:
Original term In years (including written options): Remaining term In years (including written options):
[� Other Please explain: Lot Line Adjustment. No monies involved
C. Only a partial Interest in the property was transferred. YES DNO If YES, indicate the percentage transferred:
PART 3. PURCHASE PRICE AND TERMS OF SALE
A. Total purchase price
B, Cash down payment or value of trade or exchange excluding closing costs
C. First deed of trust @ % interest for years. Monthly payment'i,_
0 FHA (Discount Points) FI Cal -Vet EJ VA (Discount Points) Fixed rate r 1 Variable rate
Bank/savings & Loan/Credit Union r—, Loan carried by seller
Balloon payment b Due date:
D, Second deed of trust @ __% interest for years, Monthly payment S
L� Fixed rate L_ Variable rate LJ Bankisavings & Loan/Credit Union _ 1 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? I YES ; NO Outstanding balance 5
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
EJ Other. Please explain:
H. Please explain any special terns, 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 ❑ Co-op/Own-your-own Manufactured home
Multiple -family residence Number of units: Condominium Unimproved lot
Other. Description: (i.e-, (Imber, mineral, water rights, etc.) �] Timeshare Commercial/Industrial
Golf Course tand to becom psad-ofunImproved lot
B.[]YES []NO Personallbusiness 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 club memberships, etc. Attach list if avallable.
If YES, enter the value of the personalibusiness property: $___ Incentives $
C. DYES NO A manufactured home Is Included in the purchase price.
If YES, enter the value attributed to the manufactured home $
EIYES ® NO The manufactured home is subject to local property tax. If NO, enter decal number:
D.OYES RNO The property produces rental or other income.
If YES, the Income is from: l J Lease/rent 0 Contract Mineral rights D Other:
E. The condition of the property at the time of sale was: 'QGood DAverage Fair Poor
Please describe:
CERTIFICATION
l 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 and belief.
OFFICER
vnMt Ur 0UTtMIIRANsrtNtrrrENWNAL REAR ESENTATIVFICORPORATE OFFICER (PLEASE PRIW
Thomas L Brown and Sandra L Brown, Trustees of the Thomas L Br
DATE �/ Z3 _ 7 TELEPHONE
G G. ( 760 ) 801 6071
E MAIL A DDA EBS
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The Assessor's office may contact you for additional information regarding this transaction.