LLA 2020-0002 Parcel D - AndalusiaOrder No.
Escrow No.
Loan No.
WHEN RECORDED MAIL TO:
City of La Quinta
78-495 Calle Tampico
La Quinta, California, 92253
DOC # 2020-0190232
05/01 /2020 05:00 PM Fees: $280.00
Page 1 of 8
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: MARIA VICTORIA #411
DOCUMENTARY TRANSFER TAX $ .....0.......................................... 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, 764-660-051, 764-660-052; 764-660-053
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 ANDALUSIA COUNTRY CLUB LLC, a Delaware limited liability company
the real property in the City of La Quinta, County of Riverside, State of California, described as
Parcel "D" pursuant to LLA 2020-0002 approved by the City of La Quinta. The reconfigured parcel is 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),IFORNIA ) ANDALUSIA COUNTRY CLUB, LLC,
COUNTY OF KI V e (S I ) a are limited liability company
On 1_7 .)aefore / P-W, AC•� �
me, raar,� f� FT -A. f�-a4.,-,Of 00+0L"y P(Jb(ic , By: P4
personally appeared Pk\ I Q Fes' S I r Tr L
It's: / t--e-x aei a c-.
Who proved to me on the basis of satisfactory evidence to be the person(g)
whose name(s) is/aye subscribed to the within instrument and acknowledged
to me that he/sW/t4ey executed the same in his/Fier/tbeir authorized
capacity(i ),and that by his/pedtbeir signature(sy on the instrument the
person(r 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
MAIL TAX TATEMENTS TO:
AP OVED BY CITY OF LA QUINTA
Brydff McKinney, P.E., City Engineer
RCE 49418, Exp. 9-30-2020
JUANITA M. A. GAMA
a
Notary Public - California
Riverside County
+o
My
Commission N 2274810
Comm. Expires Feb 7, 2023
Place Notary Seal Above
DOC #2020-0190232 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,
personally appeared BRYAN McKINNEY who proved to me on the basis
of satisfactory evidence to be the personM whose namef-a) isfa�e
subscribed to the within instrument, and acknowledged to me that
he/she/they executed the same in his/4eiytheimf authorized
capacityffes , and that by his/#eot#eif signatureM on the instrument
the personfs-�,- or the entity upon behalf of which the personfo 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
i -: Riverside County D
Z Commission # 2168979
My Comm. Expires Oct 22, 2020
(notary seal)
DOCUMENT:
Grant Deed; Lot Line Adjustment (LLA 2020-0002)
APNs: 764-200-091, 764-660-051, 764-660-052, and 764-660-053
DOC #2020-0190232 Page 3 of 8
EXHIBIT "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 N670 28' 11"E 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 BEARING 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 EXIIIBIT `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
�7/ 2a ZO
L W. WATSON, RCE 26662 A
QROFESS/
-i
°
J 2 z
m
No.26662
EXP.3-31-20
Page 1 of 4 Pages
DOC #2020-0190232 Page 4 of 8
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2020-0002
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' I 1"E A DISTANCE OF 63.61 FEET TO A POINT ON THE NORTHERLY
PROLONGATION OF THE EASTERLY LINE OF SAID LOT 24;
THENCE S270 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 00 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 610 5 8' 31 ", AN ARC
LENGTH OF 68.14 FEET, TO THE NORTHWESTERLY CORNER OF SAID LOT 24 AND THE
POINT OF BEGINNING;
AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF.SAID "PARCEL `B" CONTAINS 14,142 SQUARE FEET MORE OR LESS.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER
MY DIRECTION BASED ON RECORD INFORMATION
L YD W. WATSON, RCE 26662 DATE
z
No.26662
C �.3-3f-2Dclvl\�
PAGE 2 OF 4 PAGES
DOC #2020-0190232 Page 5 of 8
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2020-0002
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 NORTHWESTERY 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 SOUTHWESTERLY 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
pp,OF ESS /Q
No.2ss62
AX EXP. 3-31-20civi
PAGE 3 OF 4 PAGES
DOC #2020-0190232 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 OF N22° 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 330 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 650 33' 57", 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�GcJ �, o
LLOYD W. WATSON, RCE 26662 ATE
OW No.26662
FJCP. 3-3120 �Y
Civi
PAGE 4 OF 4 PAGES
DOC #2020-0190232 Page 7 of 8
PAGE 2 OF 2 PAGES
EXH 1131T „B„
LOT LINE ADJUSTMENT NO.2020-0002
LOTS 23, 24, 25, AND "B" OF AMENDMENT NO.4, TRACT NO.31681-3
0 60, 90' 120' 180'
C10 N 17°30'39'MR1
N 22°31'49"WKR --- -
SCALE: 1" = 60' �� \ AMENDED N0.4 TRACT 31681-3
(IN FEET) PARCEL "D" / \ \ MB 469/18-32
LOT"B" / \ ------
APN 764-200-091 /
30' WIDE WATER PIPELINE 26.90 AC / � �$ - 5/
EASEMENT
INST. NO.2 05 0313110 6�°2$� 636j <c,/ Z AS&VI\
4/21/05, O.R. / N / gyp.\\- A PARCEL
� "" 21
C8 m y�•0' �'0 22
P.O.B. / / PARCEL "B" `r6: 29 O
\o ��
C6 I P.O.B.
va
Lp
vk
CA
26 ~ �, �2'P'� \��� Boa• \ems \\��
0 w000 G \N \ ��
27 zL 0_1 �t<I� �� .0.
0'- �o�? \ % �J/2
10' PUBLIC C / G4UTILITY
EASEMENT
c$
lP / PARCEL "A"
/ TILITY IC PRC°03'49"WAR N P.O.B.
EASEMENT 2 P.O.B.
PARCEL "A"
CURVE TABLE
CURVE
DELTA
RADIUS
LENGTH
TANGENT
C1
4040'33"
287.00'
23.42'
11.72'
C2
1 °40'26"
1426.00'
41.65'
20.83'
C3
3013'27"
1426.00'
80.25'
40.13'
C4
3018'45"
1426.00'
82.44'
41.23'
C5
28005'35"
117.00'
57.37'
29.27'
C6
3035'26"
63.00'
3.95'
1.97'
C7
61 °58'31"
63.00'
68.14'
37.84'
C8
0007'41"
100.00,
0.22'
0.11,
C9
33024'19"
100.00,
58.30'
30.01'
C10
5001'10"
100.00,
8.76'
4.38'
C11
33032'00"
100.00'
58.52'
30.13'
C12
65033'57"
63.00'
72.09'
40.57'
PARCEL "D" / �, \srn LOT 23
LOT "B" / / o \od,
/ f PARCEL "A"
LOT 23
DETAIL \\
SCALE: 1 "=2'
LINE DATA
COURSE
BEARING
LENGTH
L1
N 22050'47"W
1.9.53'
L2
N 27042'12"W
16.59'
LEGEND
-----EXISTING LOT LINE TO BE ADJUSTED
EXISTING LOT LINE TO REMAIN
ADJUSTED LOT LINE
DOC #2020-0190232 Page 8 of 8
EXHIBIT „B„ PAGE 1 OF 2 PAGES
LOT LINE ADJUSTMENT NO.22020-0002
LOTS 23, 24, 25, AND "B" OF AMENDMENT NO.4, TRACT NO.31681-3
400' 600' 800' 1200' 1600,
SCALE: 1" = 400' °w
No. 26662
( IN FEET) * EXP. 3-31-22
y� CrV►V
W 4 oO l�J ° llU PREPAR/ED/UNDER THE SUPERVISION OF: � �L%�
CIVIL ENGINEERING • LAND PLANNING .GYM-G!/�
4F48 725 VERBENA ROAD � LOYD W. WATSON D
PALM DESERT, CA 92260
PH: (760) 275.1553 P.E. 26662
EXP. 3/31 /22
tea, s OF Rip,
PETER ALDANA P.O. Recorder
orde �s I
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
►�W.ASSESSOR-COUNTY CLERK -RECORDER (951)486-7000
Website: www.riversideaer.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: Tract 31681-3 1 nt R 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 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.
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 notperpetual, permanent, or for life.
10. Section 9.
The document is a lease for, a term of IMLthan (35) years (including written options.)
11. Other
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Exec this 14th day ofAnril 20ZQ_ at La Otionta CA
/ • /G City State
Signature of Affiant Printed ame of Affiant
Andalusia Country Club, LLC 81570 Carboneras La Ouinta, CA A2253
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
For Recorder's Use:
760 772 7227
Telephone Number of Affiant (including area code)
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
Affix PCOR Label Here
ACR 521 (Rev. 11/2014) Available in Alternate Formats
OF R I V
PETER ALDANA Recorder
code B751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
y D ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
s
Website: www.riversideacr.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: Tract*11681-3 1 Ot R transaction is: $n
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSA CTIONIS EXEMPT FROM DOCUMENTARY TRANSFER TAXBECA USE. (The
Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 whiclr 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.
6. Section 11926.
7. Section 11927
8. 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 ngLperpetual, permanent, or for life.
The document is a lease for, a term of Ethan (35) years (including written options.)
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Exec this 14th day of April 20_2D _ at_La Ouinta CA
• /G S City State
Signature of Affiant `Jl'7 Printed Name of Affiant
Andalusia Country Club. I LC $1570 Carhoneras La O tints CA 9225.
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
_760 772 7227
Telephone Number of Affiant (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 PETER ALDANA, 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) 955-0400 www.riversideacr.com
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
F
ASSESSOR'S PARCEL NUMBER
764 660 051
SELLERrrRANSFEROR
Andalusia Country Club, LLC
BUYER'S DAYTIME TELEPHONE NUMBER
( 831 ) 840 6456
L J BUYER'S EMAILADDRESS
knkowalkowski@gmail.com
STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
81900 Andalusia La Quinta, CA 92253
❑ YES 0 NO This property is intended as my principal residence. If YES, please indicate the date of occupancy Mo DAY YEAR
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)
Kevin N. Kowalkowski
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
1 Mesa Way Watsonville CA 95076
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
❑ 0 A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.):
❑ F,(] B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of
a partner, death of a partner, termination settlement etc.).
❑ 0*F.
❑ Z G.
This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
This transfer is the result of a cotenant's death. Date of death
This transaction is to replace a principal residence owned by a person 55 years of age or older.
Within the same county? ❑ YES ❑ NO
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
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:
U U H. The recorded document creates, terminates, or reconveys a lender's interest in the property.
❑ F,(] 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:
❑ n 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.
❑ Z 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.
❑ 0 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, or restrictions
imposed by specified nonprofit corporations.
❑ * O. 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
9015-502-A (P3) REV. 13 (M17
PART 2.OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of tranmter, 0 other than recording date,
B. Type of transfer:
❑ Purchase IJ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger. Stock, or partnership acquisition (Form BOE-100.8)
❑ Contract of safe- Data of coMred ❑ Inheritance. Date of death.
❑ Salelleaseback ❑ Creation of a lease ❑ Assignment of a Issas ❑ Termination of a lease. Data lease began: -�
Original term in years CulcJudinq written options): _ r Remaining term in yearn (lnckroYnfl written oph ors):
Other. Please explain: Lot Line Adtustment No monies involved
C. Only a partial interest in the property was transferred, ❑YES ❑ NO If YES, indicate the percentage transferral: .,•_ 9b
PART 3. PURCHASE PRICE AND TERMS OF SALE Ch91 and complete as applicable. A. Total purchase price ;
B. Cash down payment or value of trade or exchange excluding dosing costs Amount S
C. First deed of trust 96 Interest for years. Monthly payment i Amount S
❑ FHA (._Discount poufs) ❑ Cat -Vet ❑ VA (,,,_oia=m Points) t ] Fixed rate variawe rate
[] BaWSavings & LoardCredit Union ❑ Loan carried by seller
❑ Balloon payment i Due data:
D. Second deed of trust Q °,5 interest for years. Monthly payment S. Amount S
❑ Fixed rate iJ \&debts rate ❑ BanWavings & Loan/Credit Union Loan carded by sailer
❑ Balloon payment S Due date
E. W36 an improvement Bond or other public financing assumed by the buyer? ❑YES U NO Outstanding balance $
F Amount if any, of real estate comndasbn•fen paid by the buyer which are not included in the purchase price S
G. The property was purchased ❑Through real estate broker. Broker name: Phone number: { )
Direct from esker ❑ From a family Member -Relationship.....
Other. Please explain:
H. Please explain any special terms, seller concessions, brokedagent fees watered, 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 ❑ C"PIOwn-your-own ❑ Manufactured home
❑ Multiple -family residence. Number of units: , Condominium
❑ ❑Unimproved lot
Q Other. Description; (i.e., timber, mineral, water rights, etc.) ❑ Timeshare
Ooif Course lend to b$ Q..,. part of unimpl%i ,ed rot ❑ CommerefalAndusfriai
B. ❑ YES ❑ NO Personallbustness property, or incentives, provided by seller to buyer are Included in the purchase price. Examples of personal
property are furniture. farm equipment, machinery, eta Examples of Incentives are club memberships, eta Attach fist if available.
If YES, enter the value of the peraonailbusiness property: $ Incentives s
C. ❑YES ❑ NO A manufactured home Is Included in the purchase price,
If YES, enter the value attributed to the manufactured home: $
❑YES NO The manufactured home is subject to local property tax. If NO, enter decal number.
D. ❑YES ❑ NO 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 safe was: Qaood
Please describe:
[:]Average []Fair ❑Poor
CERTIFICATION
l certify (or dedam) that the fcregolrlg and aB i wmatiarr hereon, indudag any accompanying statements or documents, is true and correct (athe best of my knowledge and belief
TELEPHONE
' p' a e. I�" 4t23�_�0%e ( 631) 8406456
Kevin N Kowaikowski
may contact you for additional information regarding this transaction.
Oa�-i OF R i v,
PETER ALDANA R P.O. corder
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
o ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
Website: www.riversideacr.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: Tract
3 1681-3 Lest R transaction is: $0
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 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.
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 gQLperpetual, permanent, or for life.
10. Section 9.
The document is a lease for a term of jULthan (35) years (including written options.)
11. Other
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Eris �IZ,� 20 20 at La Oulnta CA
/ ,_ City State
/ Phillip K Smith
Signature of Affiant ` Printed Name of Affiant
Anrial tcia .ountry CI tb, I I C 81570 Carboneras La Ouinta, CA 92253
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
760 772 7227
Telephone Number of Affiant (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
r
L
STREET ADDRESS 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
SELLER/TRANSFEROR
Andalusia Country Club, LLC
BUYER'S DAYTIME TELEPHONE NUMBER
( 760 ) 801 6071
BUYER'S EMAILADDRESS
❑ YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
or intended occupancy.
❑ YES ❑✓ 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 F'NurEN I Y IAA INFURMATION 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 I 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.
❑ ❑✓ * C.
❑ ✓❑ * D.
❑ Z*E.
❑*F.
❑ G.
C
This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of
a partner, death of a partner, termination settlement etc.).
This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
This transfer is the result of a cotenant's death. Date of death
This transaction is to replace a principal residence owned by a person 55 years of age or older.
Within the same county? ❑ YES ❑ NO
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
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:
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:
❑
n 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.
❑
Z
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.
❑
0 *
O. 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.
f,.
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 ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisltion (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: _
Original term In years (including written options): Remaining term in years (including wriften options): _
FZ Other Please explain: Lot Line Adiustment. No monies involved _
C. Only a partial Interest in the property was transferred. YES ❑ NO If YES, indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE � � Check and complete as applicable.
A. Total purchase price $
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) ❑ Cal -Vet ❑ VA Discount Points) ❑ Fixed rate I I Variable rate
❑ BanldSavings & Loan/Credit Union I I Loan carried by seller
❑ Balloon payment $ Due date:
D. Second deed of trust @ % Interest for years. Monthly payment $ Amount $
❑ Fixed rate L Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment $ Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? ❑YES (_J 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: nThrough real estate broker. Broker name: , Phone number:
❑ Direct from seller L! 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 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
Golf Course land to become part of unimproved 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 available.
If YES, enter the value of the personaltbusiness property: $ Incentives $
C. QYES ❑ NO A manufactured home Is Included in the purchase price.
It YES, enter the value attributed to the manufactured home: $
DYES ® NO The manufactured home is subject to local property tax. If NO, enter decal number:
D. []YES NO 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: 'OGood ❑Average []Fair ❑Poor
Please 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 and belief.
® J/�•��f%- I `7�/�J/ZOZCO I(�760) 801 6071
Thomas L Brown and Sandra L Brown, Trustees of the Thomas L Br I IAG04e z —
The Assessor's office may contact you for additional information regarding this transaction.
y OF RlyeRsi
PETER IALDANA P O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
+►� _.q ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
Website: www.riversideacccom
CL 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: Tract 31681-g 1 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 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. X 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 not perpetual, permanent, or for life.
10. Section 9. The document is a lease for a term of jULthan (35) years (including written options.)
11. Other (Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Exe d this 14th day ofAprll . 20_� at1a Oulntn GA
A&. City State
Signature of Affiant _ Printed Name of Affiant
Andalusia Country Club, I I G 81570 Carboneras a O iinta, .A 92253
Name of Finn (if applicable) Address of Affiant (including City, State, and Zip Code)
760 772 7227
Telephone Number of Affiant (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.
FORASSESSOR'S USE ONLY
L
DRESS OR PHYSICAL
81860 Andalusia La Quinta, CA 92253
J
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
764 660 053
SELLER/TRANSFEROR
Andalusia Country Club, LLC
BUYER'S DAYTIME TELEPHONE NUMBER
( 760 ) 408 0106
BUYER'S EMAILADDRESS
nsparks@rancholaquinta.com
❑ YES 0 NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
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)
Sunrise LQ, LLC
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
81570 Carboneras La Quinta I CA 92253
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 or removal 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
❑ a * 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
❑ Q * F. This transaction is to replace a principal residence b a person who is severely disabled as defined by Revenue and Taxation Code
section 69.5. Within the same county? ❑ YES y❑ NO
❑ Z 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 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, or restrictions
imposed by specified nonprofit corporations.
❑ * O. This transfer is to the first purchaser of a new building containing an active solar energy system.
✓❑ ❑ R 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
GOE-502-A (P2) REV. 15 (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 ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B)
❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death:
❑ Selelleaseback ❑ Creation of a lease ❑ Assignment of a tease ❑ Termination of a lease. Date lease began:
Original term in years (including written options): Remaining term in years (including written options):
Other. Please explain: _LaLLine AdiUstment.monies involved,
C. Only a partial interest In the property was transferred. ❑YES ❑ NO if YES. Indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.
A. Total purchase price Is
B. Cash down payment or value of trade or exchange excluding closing costs Amount $
C. First deed of trust Q % interest for years, Monthly payment $ Amount $
❑ FHA L—Discount Polnts) ❑ Csl-Vet ❑ VA L—Dismunt Points) ❑ Fixed rate ❑ Variable rate
❑ Bank/Savings ri Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment $ Due date:
D. Second deed of trust 0 % Interest for years. Monthly payment $ Amount $
❑ Fixed rate ❑ Variable rate ❑ BanklSavings $ Loan/Credit Union ❑ Loan carried by seller
❑ 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, 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-OplOwn-your-own ❑ Manufactured home
[]'Multiple -family residence. Number of units: ❑ Condominium ❑ Unimproved lot
Other. Description: (i.e., timber, mineral. water rights, etc.) Timeshare
❑ ❑ CommerdaUlndustriel
Golf Course land to become part of unimproved lot
B, ❑YES ❑ NO Personalibusiness 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 available.
If YES, enter the value of the personallbusiness property: $ Incentives $
C. ]YES []NO A manufactured home is included in the purchase price,
If YES, enter the value attributed to the manufactured home: $
❑YES NO The manufactured home is subject to local property lax_ If NO, enter decal number.
D. ❑YES ❑ NO The property produces rental or other Income.
It YES, the income is from: ❑ Lease/rent ❑ Contract []'Mineral rights ❑ Other.
E. The condition of the property at the time of sale was: QGood []Average []Fair ❑Poor
Please 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 and belief.
- - ...�� reLEaHoNE
Sunrise LQ, LLC - Phillip K Smith President nsparks vandalusiacc
The Assessor's office may contact you for additional Information regarding this transaction.