LLA 2019-0005RECORDING REQUESTED BY
AND WHEN RECORDED MAIL DOCUMENT AND
TAX STATEMENT TO:
JON MCMILLEN
9548 Vista Aleta
Valley Center, CA 92082
TITLE ORDER NO.
ESCROW NO.
DOC # 2020-0230038
05/29/2020 05:00 PM Fees: $29.00
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: MARY #420
The undersigned grantor(s) declare(s) SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY
DOCUMENTARY TRANSFER TAX $
computed on full value of property conveye , or
computed on full value less liens and encumbrances remaining at time of sale.
APN: 774-125-002, 774-125-003, 774-125-004
GRANT DEED
LLA 2019-0005
FOR A VALUABLE CONSIDERATON, 'receipt of which is hereby acknowledged,
Jon McMillen, a Married Man as his sole and separate property
hereby GRANT(S) to f
Jon McMillen, a Unmarried Man
the real property in the City of La Quinta, County of Riverside, State of California, described as
Parcels "A" and "B" as described and shown on Exhibits "A" and "B" attached hereto and by reference made a part hereof.
NOTE: This grant deed implements the revised lot configuration to Lot Line Adjustment 2019-0005 as approved by the City of La
Quinta. This grant deed perfects the intent of Lot Line Adjustment -0005 as approved by the City of La Quinta.
DATED: !Fl Z ( 1rZ_d?_C_,>
AP OVED BY CITY OF LA QUINTA
Brya McKinney, PE, City En eer
RCE 49418, Exp 9-30-2020
By: JoaAKMillen,
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 ''\ ���� before me, ��� 1`��� V personally appeared
(here insert name and litle of the office
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are 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 undTr the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my
hand and official seal.
I,, MONIKA RADEVA
Notary Public - California
Signature (SEAL) Z Riverside County z
Z ' Commission # 2168979 r
MAIL TAX STATEME T AS DIRECTED ABOVE My Comm. Expires Oct 22, 2020
DOC #2020-0230038 Page 2 of 6
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 21, 2020 before me, MONIKA RADEVA , Notary Public,
personally appeared BRYAN MCKINNEY 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.
Signature
DOCUMENT:
MONIKA RADEVA
Notary Public - California
Riverside County
z Z
Commission # 2168979 n
My Comm. Expires Oct 22, 2020
(seal)
GRANT DEED LLA 2019-0005 re: APN 774-125-002, 774-125-003 and 774-
125-004 - owner(s): JON MCMILLEN
DOC #2020-0230038 Page 3 of 6
PAGE 1 OF 1
EXHIBIT "A"
LEGAL DESCRIPTION
LOT LINE ADJUSTMENT NO.2019-0005
PARCEL "A"
LOT 2 AND THE NORTH HALF OF LOT 3 IN BLOCK 228 OF UNIT NO. 22 OF SANTA '
CARMELITA AT VALE LA QUINTA, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE,
STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 20, PAGE 24 OF MAPS, RECORDS
OF RIVERSIDE COUNTY, STATE OF CALIFORNIA.
SAID PARCEL CONTAINS 0.17 ACRES (7,500 SQUARE FEET), MORE OR LESS, AS SHOWN ON
THE ATTACHED EXHIBIT "B" WHICH IS MADE A PART HEREOF BY THIS REFERENCE
HEREON.
SUBJECT TO ALL COVENANTS, RIGHTS, RIGHTS OF WAY AND EASEMENTS OF RECORD,
IF ANY.
L.S. 0532 o N
6q�. 6/ i0/21
�9TF o jo
OF C Av
9/30/19
COACHELLA VALLEY ENGINEERS 9/30/2019
TEL: (760) 360-4200 19136_620_PCLA_X
DOC #2020-0230038 Page 4 of 6
PAGE 1 OF 1
EXHIBIT "A"
LEGAL DESCRIPTION
LOT LINE ADJUSTMENT NO. 2019-0005
PARCEL "B"
LOTS 3 AND 4 IN BLOCK 228 OF UNIT NO.22 OF SANTA CARMELITA AT VALE LA QUINTA,
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS PER MAP
RECORDED IN BOOK 20, PAGE 24 OF MAPS, RECORDS OF RIVERSIDE COUNTY, STATE OF
CALIFORNIA.
EXCEPT THE NORTH HALF OF LOT 3 IN SAID BLOCK 228 OF UNIT NO.22 OF SANTA
CARMELITA AT VALE LA QUINTA, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE,
STATE OF CALIFORNIA.
SAID PARCEL CONTAINS 0.17 ACRES (7,500 SQUARE FEET), MORE OR LESS, AS SHOWN ON
THE ATTACHED EXHIBIT "B" WHICH IS MADE A PART HEREOF BY THIS REFERENCE
HEREON.
SUBJECT TO ALL COVENANTS, RIGHTS, RIGHTS OF WAY AND EASEMENTS OF RECORD,
IF ANY.
AWN D
Tel �L
ao
L.S. 6532
k
*%b. `
E)p. 6/30l /_�
OF \�
, A^A
9/30/19
COACHELLA VALLEY ENGINEERS 9/30/2019
TEL: (760) 360-4200 19136_620_PCLB_X
•l i f:r1k.rk n r1ci i xr m;&-1.T_z.3i01
U SCALE.' IN = 50'
M
EXHIBIT "B"
PLAT TO ACCOMPANY LEGAL DESCRIPTION
LOT LINEADJUSTMENTWO. 20/9-0005
C/L CALLE COLIMA
_ S89'58'00'E_ 540.00'
260.00'
280.00'
A.P.N.
30'
30'
774-125-001 5' -�
P. U. E ,
R/W
R/W
S89'58'00'E 100.00'
A.P.N.
2
774-124-026
0LOT
A.P.N. 7774 125-002
LOT LINE TO BE DELETED I
e`K 229
W
PARCEL
7,500 S.F., f
b
0
i
Q
!�
U')
NEW LOT LINE -
0
�P
A.P.N.
S89'58'00'E 100.00'
774-124-015
W
o0
0o
LOT 3
Z
o
A.P.N. 774-125-003
Q
o
z
o
PARCEL "B"
7,500 S.F., f
A.P.N.
I
LOT LINE TO BE DELETED
774-124 016
BLK V3 LOT 4
A.P.N. 774-125-004
N89'58'00'W 100.06
22 A.P.N. UNIT NO. OF
MELITA A.P.N.
774-124-017 SpNTAGARQ�INTA 774-125-005
AT VALE 20124
Mg•
50 - 0 25 50 100
( IN FEET )
1 inch = 50 ft.
[-- 5'
1 P.U.E.
A.P.N.
774-125-022
0
0
0
0
o
0
�I
0
APN
PAGE 1 OF 2
IR
1
^
a
774-125-013 rL3 OF
vN\1 NO'�ME�\�P
I SP\`\T P, 0 Qv\NT A
� ATE �B o125
A.P.N.
774-125-014 I I I h 1 A N D f __
1p
I J L.S. 6532 N
Exp. 6/30/21 X\
LOT LINE ADJUSTMENT - CITY OF LA QUINTA
Prepared by:
5i N A
CVE
Coachella Valley Engineers
77-933 Las Montanas Road, Suite 101
Palm Desert, CA 92211
Tel: (760) 360-4200 Fax: (760) 360-4204
19136 SEPTEMBER, 2019
NO. • DATE
Owners:
JON MCMILLEN
53521 EISENHOWER DRIVE
LA QUINTA, CA 92253
(760) 212-2322
THIS DOCUMENT WAS PREPARED
BY ME OR UNDER MY DIRECTION,
BASED ON RECORD INFORMATION.
DATE. 9/30/19
MARK A. TURNER L.S. 6532
EXP. DATE.• 06/30121
DOC #2020-0230038 Page 6 of 6
SCALE.- ' � = 50' EXHIBIT "B„ PAGE 2 OF 2
0
PLAT TO ACCOMPANY LEGAL DESCRIPTION
LOT LINE ADJUSTMENT NO. 2019-0005
LEGEND
— — — CENTERLINE
— — LOT LINES TO BE MOVED OR
DELETED PER THIS LOT LINE
ADJUSTMENT
LOT LINE
— — — EASEMENT LINE
O.R. OFFICIAL RECORDS
M.B. MAP BOOK
C/L CENTERLINE
BLK. BLOCK
A.P.N. ASSESSOR'S PARCEL NUMBER
P.U.E. PUBLIC UTILITY EASEMENT
R/W RIGHT OF WAY
PARCEL "A" AREA = 0.17 AC., f (7,500 S.F., f)
PARCEL "B" AREA = 0.17 AC., f (7,500 S.F., t)
NOTE
ALL BEARINGS AND DISTANCES SHOWN
ARE PER UNIT NO.'S 22 AND 23 OF SANTA
CARMELITA AT VALE LA QUINTA, FILED IN
MAP BOOK 20, PAGES 24 AND 25, O.R.
COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
LQ
2
1
CALLE DURANGO
1
6
11
12
12
7
0
CALLS CHIHUAHUA
Z
W
m
SITE
CALLS COLIMA
Q
I�I��/AND JU =
AVENIDA
11
12
HERRERA
12
7
O %,
14
13
CALLE CHILLON
13
18
J L.S. 6532 N
VICINITY
MAP
�_ Exp.6/30/21 �\`
0
SEC. 12, T.6S., R.6E. S.B.M.
-91F
.S.
O F CAS /ll
LOT LINE ADJUSTMENT - CITY OF LA QUINTA
Prepared by:
CVE
Coachella Valley Engineers
77-933 Las Montanas Road, Suite 101
Palm. Desert, CA 92211
Tel: (760) 360-4200 Fax: (760) 360-4204
19136, SEPTEMBER, 2019
Owners:
JON MCMILLEN
53521 EISENHOWER DRIVE
LA QUINTA, CA 92253
(760) 212-2322
THIS DOCUMENT WAS PREPARED
BY ME OR UNDER MY DIRECTION,
BASED ON, RECORD INFORMATION.
DATE: 9130119
MARK A. TURNER L. S. 6532
EXP. DATE: 06/30121
191 J6_ 620_X
NO.
DATE
PETER ALDANA Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
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.
714 - t ZS-dozy 774-125-oo3
ASSESSOR'S PARCEL NO. �iq� -- 125' -- ooA I declare that the documentary transfer tax for this
Property Address: _N/A A 2Y1\do, Ve_Xoaqo., Lo. "A CA transaction is: $ d
92.253
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. fT1ie
Sections listed below are taken from the Revenue and Taxation Code witlz 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 of 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 ap.Lperpetual, permanent, or for life.
10. Section 9.
The document is a lease for a term of jgILthan (3 5) years (including written options.)
11. Other
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CCORRECT.-EC
Executedthis�w
dayof /�y1'`1 12026 at JA QV/N1^ C—/"',
City State
,�. .3 ON
Si of Affiant Printed Name of Affiant
4 3577_1 F 1S EN +A0 w E 12e
Name of Firm (if applicable) Address of Affiant including Ci State, and Zip Code)
VA. Qvii rJ A , 'a, 4Z2-6,3
Telephone Number of giant (including area code)
For Recorder's Use:
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
Affix PCOR Label Here
ZZ
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 iiled with
each conveyance in the County Recorder's office for the county
where the property is located.
FOR ASSESSOR'S USE ONLY
r
S3S2t E cSFNHowEiZ J>RAVE
LA Chu INTA, 1 C-A. at LLT3
LAvtxi.dc,. \12�cO. La
PETER ALDANA, COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK -RECORDER
PO BOX 751, RIVERSIDE, CA 92502-0751
(951) 955-0400 www.riversideacr.com
774-1 ZS- ov Z 1 7 74 - I Z S- CO3
7-1A -125- 00A
ASSESSOR'S PARCEL NUMBER
SELLER/TRANSFEROR
7(py- 212—Z322-
BUYER'S DAYTIME TELEPHONE NUMBER
) .�0N w\cM I LI- at�1 � C�MAI I. • COhl,
J BUYER'S EMAILADDRESS
I KCC I AUUKCJJ UK YKTJII.AL LUUAI IUN UY KtAL YKUVtK IT A�> ��� .J I f� t\ ) \ I
u �H� Ct�' of >LA caul>.r'rA , c-� ct�Ta<<wi, 'T c
r YES J NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
1 or intended occupancy. _
❑ YES [ i O 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 TA,,X yyNFOR11^��TION TO (NAME)
�Od1 )� t 1\e.n
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY ` STATE ZIP CODE
53521 E ►sehlnot�er 'b � Jt l.r), &t.U\,ntca i 01 i.'25 3
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
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
❑ 2* 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
❑ 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:
❑ Z H. The recorded document creates, terminates, or reconveys a lender's interest in the property.
❑ 2r 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.
❑ Ili' 2. to/from an irrevocable trust for the benefit of the
.�J ❑ 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.
❑ O. This transfer is to the first purchaser of a new building containing an active solar energy system.
Z ❑ P. Other. This transfer is to -_,V_ r41'T D. L�l L-(iJ F PDJ u5TM9N 1 A_p CaViiCT MARii Al-
* Please refer to the instructions for Part 1. '5TA"CU5 -
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 ❑ 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:
Original term in years (including written options): Remaining term in years (including written options):
Other. Please explain: [.c 1 L1 Aj i2. ��LTjt MN i t- ra (BIZ 11,4E Snsgy i
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 C7
B. Cash down payment or value of trade or exchange excluding closing costs Amount $ 0
C. First deed of trust @ % interest for years. Monthly payment $ Amount $ 0
'❑ FHA (_Discount Points) ' ❑ Cal -Vet E]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 $ Amount $ l J
❑ Fixed rate ❑ 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 /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-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 ❑ 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 club memberships, etc. Attach list if available.
If YES, enter he value of the personal/business property: $
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:
Incentives $
E. The condition of the property at the time of sale was: Good ❑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.
SIGN URE OF BUYERITRANSFEREE OR CORPORATE OFFICER DATE
BUYER/TRANSFEREE/PERSONAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE
-�DN NMC-M I,
TELEPHONE
(7W) ZIZ 7,322—
EMAIL ADDRESS
coo.
The Assessor's office may contact you for additional information regarding this transaction.