LLA 2021-0005 Parcel B - Madison ClubDOC # 2021-0318032
05/24/2021 05:00 PM Fees: $114.00
Page 1 of 6
RECORDING REQUESTED BY: Recorded in Official Records
County of Riverside
Peter Aldana
MAIL TAX STATEMENTS AND Assessor -County Clerk -Recorder
WHEN RECORDED MAIL TO:
Come Back One Year LLC "This document was electronically submitted
to the County of Riverside for recording —
Gal Asher, Manager Receipted by: TONI #642
53432 Ross Ave
La Quinta, CA 92253
APN: 779-380-005 TRA, 020-205 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE
QUITCLAIM DEED
LLA 2021 - 0005
THE UNDERSIGNED GRANTOR(S) DECLARE(S): DOCUMENTARY TRANSFER TAX IS $0.00
Computed on full value of property conveyed, or
Computed on full value legs liens and encumbrances remaining at time of sale.
Unincorporated area _X_, City of _La Quinta
For valuable consideration, receipt of which is hereby acknowledged,
Come Back One Year LLC a California limited liability company,
hereby QUITCLAIW(S) to
Come Back One Year LLC a California limited liability company,
the following real property in the City of La Quinta, County of Riverside, State of California:
Parcel "B" of Lot Line Adjustment 2021-0005 approved by the City of La Quinta, as described on Exhibit "A"
and depicted on Exhibit "B", attached hereto and by this reference, made a part hereof.
NOTE: This Quitclaim Deed perfects the intent of Lot Line Adjustment 2021-0005 as approved by the City of
La Quinta.
Come Back One Year, LLC
a Cali rnia I'mited liability comp y
S 11 3-I
GAAAer, Manager D ted
Approved by the City of La Quinta
B an VV. McKinn .E. Dated
Public Works Director / City Engineer,
RCE No. 49418
MAIL TAX STATEMENTS AS DIRECTED ABOVE
DOC #2021-0318032 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 20, 2021 before me, NICHOLE ROMANE , 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. *my
NICHOLEROMANE
Notary Public • CaliforniaRiverside CountyCommission k 2312710
Signature Comm. Expires Nov 16, 2023
(seal)
DOCUMENT:
QUITCLAIM DEED LOT LINE ADJUSTMENT 2021-0005 re: APN 779-380-005 -
owner(s): COME BACK ONE YEAR, LLC
DOC #2021-0318032 Page 3 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
COUNTY OF ) SS.
On M44,1 before me, �bGL �l • ��it�i� Notary Public, personally
appeared ,
who proved to me on t e asis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and ac nowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and
correct.
WITNESS my han
y �t or ry LISA J. BARRErr
Notary Public - California
Z Riverside County r:
Commission # 2319710
My Comm. Expires Feb 21, 2024
A notary pubftC 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
) SS.
COUNTY OF )
On
before me,
Notary Public, personally
appeared
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 under the laws of the State of California that the foregoing paragraph is true and
correct.
WITNESS my hand and official seal.
Signatu
DOC #2021-0318032 Page 4 of 6
EXHIBIT "A"
LOT LINE ADJUSTMENT NO. 2021-0005.
LEGAL DESCRIPTION
PARCEL "A" (ADJUSTED LOT 8, TRACT NO. 33076-1)
LOT 8 OF TRACT NO.33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE
OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGES 57 THROUGH 79 OF
MAPS :IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY OF RIVERSIDE,
EXCEPTING THEREFROM THE SOUTHERLY 6.00 FEET OF SAID LOT 8.
THE ABOVE DESCRIBED PARCEL "A" CONTAINS 34,689.58 S.F. OR 0.796 AC., MORE OR LESS.
FOR GRAPHICAL PURPOSES SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS
REFERENCE MADE A PART HEREOF.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS,
RIGHT'S OF WAY, EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY.
PAGE 1 OF 2 PAGES
DOC #2021-0318032 Page 5 of 6
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2021-0005
LEGAL DESCRIPTION
PARCEL "B" (ADJUSTED LOT 9, TRACT NO. 33076-1)
LOT 9 OF TRACT NO.33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE
OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGES 57 THROUGH 79 OF
MAPS IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY OF RIVERSIDE,
TOGETHER WITH THE SOUTHERLY 6.00 FEET OF LOT 8 OF SAID TRACT NO. 33076-1.
THE ABOVE DESCRIBED PARCEL "B" CONTAINS 37,549.83 S.F. OR 0.862 AC., MORE OR LESS.
FOR GRAPHICAL PURPOSES SEE EXHIBIT `B" ATTACHED HERETO AND BY THIS
REFERENCE MADE A PART HEREOF.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS,
RIGHTS OF WAY, EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY.
PREPARED BY:
A
WAYNE A. McGEE, L.S. 5479 DATE
EXPIRES 9/30/22
PAGE 2 OF 2 PAGES
DOC #2021-0318032 Page 6 of 6
NOTE
IWS PLAT WAS PREPARED FROM RECORD DATA AND
DOES NOT REPRESENT A SURVEY CF THE PROPERTY
SHOWN HEREON. 7HIS MAP HAS BEEN APPROVED
UPON THE EXPRESSED CON01T10N THAT BUILDING
PERMITS SHALL NOT BE ISSUED FOR ANY DEVELOPMENT
WITHIN 7711S ADJUSTMENT PLAT UN17L NECESSARY
DEDICARONS, IF ANY, HAVE OCCURRED,
NOTE:
THERE MAY BE EASEMENTS Of'
RECORD OEUNEATED AND REFERENCED
ON THE UNDERLYING MAP, OR THERE
VA BE EASEMENTS WAININ 7HE AREA
BEING ADJUSTED THAT ARE NOT SHOWN
ON THIS DOCUMENT THAT COULD
ENCUMBER SAID PARCEL HEREIN.
CURVE TABLE'
Cl
42.00'
8.86'
120524"
C2
100.00'
79.51 '
4533"20"
C3
346.00'
82.63'
13'40 59"
C4
346.00'
76.29'
123759"
C'5
346.00'
6.34'
0103 00"
C6
346.00'
24.85'
040709"
C7
274.00'
113.36'
2342 20"
C8
346.00'
31.22'
570109"
LEGEND:
LOT LINE TO REMAIN
LOT LINE TO BE REMOVED —
ADJUSTED LOT LINE
�1
j 9 CIS
O ��h
A,
XII T n n
LOT LINO ADJUSTMENT
L. L. A. 2021— 0005
L01 7
M.B. 388/57-79
60 0 30 60
( IN FEET )
1 inch = 60 ft.
P S��EI
12, PRG96 pC;i ORAINpGE ESM'1
P l0•
LOT 8
M.B. 388/57 -79
00' A.P.N. 779-380-004
I N30 46 29 "l- v-
6.19'
N25 0— 6 51 W (R)
1J
l'
N1278'52"W (R)
-_-.— 244 38,------_
52 W (R)
IS M70 —_
V0778 43°W (R)
4-
OF /
/01
G
OP
I
LOT 9
M.B. 388/57-79 12"LAN,9SCAPF/
A.P.M. 779-380-005 DRA%NACEESA!'T
I 14' 14
- 11,28
N34 09'33"W Lor 10 280.72'
N310103" W (R)
- �
M.B. 388/57-7,9
ADJUSTMENT PLAT - CITY OF LA OUINTA _
PREPARED BY.• APPLICANT -
DISCOVERY BUILDERS OF CALIFORNIA
CIO McGEE SURVEYING, INC.
6
45-100 GOLF CENTER PKWY, STE. G ,A—
INDIO, CA 92201
WA YNE A. McGEE DA TE
LS 5479
C8
BOE-502-A (P1) REV. 15 (02-21) ASSR-70 (REV. 2-21)
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. APreliminary Change of Ownership Report must be filed with each
conveyance in the County Recorder's office for the county where the
property is located.
NAMEAND MAILING ADDRESS OF BUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address)
533 7v �.o5s A
l_ ��� L► ti/4
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
COUNTY OF LOS ANGELES • OFFICE OF THE ASSESSOR
� t
500 WEST TEMPLE STREET ROOM 225
LOS ANGELES, CA 90012-2770 • Telephone 213.974.3211
`
Y C�LIiOiNi1R
Email: Oservices@assessor.lacounty.gov
VWebsite: assessor.lacounty.gov
JEFFREY PRANG
Assessor
Sli desea ayuda en Espanol, flame al numero 213.974.3211
ASSESSOR'S PARCEL NUMBER
431/
S LER/TIRANSFE /
l�cx_ (.
BUYER'S DAYTIME TELEPHONE NUMBER
I BUYER'S
� 6
This roe Is intended as m principal residence. If YES, lease indicate the date of occupancy Mo DAY YEAR
YES O property rtY Y P P P P Y
or intended occupancy.
YES ZNO 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?
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 or removal of
a partner, death of a partner, termination settlement, etc.).
* C. This is a transfer: ❑ between parent(s) and child(ren) between grandparent(s) and grandchild(ren).
Was this the transferor/grantor's principal residence? ❑ YES ❑ NO
* 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.
Within the same county? ❑ YES ❑ NO
*G. This transaction is to replace a principal residence substantially damaged, or destroyed by a wildfire or natural disaster for which
the Governor proclaimed a state of emergency. Within the same county? YES NO
H. 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:
I. The recorded document creates, terminates, or reconveys a lender's interest in the property.
J. 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:
K. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
L. 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 CI grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner.
M. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
ElI N. 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.
O. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions
imposed by specified nonprofit corporations..
* P. This transfer is to the first purchaser of a new building containing an active solar energy system.
Q. Other. This transfer is to
* 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. 15 (02-21) ASSR-70 (REV. 2-21)
PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of transfer, if other than recording date:
B. Type of transfer:
❑❑Trade or exchange ❑Merger, stock, or partnership acquisition (Foam BOE-100 B;
Purchase El Foreclosure ❑ Gift
❑ 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:
Origin term 'n y rs (including rit n options . R rnaining term in years (including written options):
9 --..Z - - f IG<,, - -Other. Please explain:
C. Only a partial interest in the property was transferred. ❑Y ❑ NO If YES, indicate the percentage transferred:
PART 3. PURCHASE PRICE AND TERMS OF SALE Check anal 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 ❑ Variable rate
❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment $ Due date:
D. Second deed of trust @ % interest for _ years. Monthly payment $ Amount $
❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ 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 inc d d in the purchase price $
G. The property was purchased: ❑Through real estate broker. Broker name: M Phone number:
❑ Direct from seller ❑ From a family member -Relationship
n Other. Please exolain:
u
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 anal 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 ar b memberships, etc. Attach list if available.
If YES, enter the value of the personal/business property: $ Incentives $
C. ❑YES ❑ NO A manufactured home is included in the purchase pric
If YES, enter the value attributed to the manufactured home: $
[—]YES rl NO The manufactured home is subject cal property tax. If NO, enter decal number: _
D. [—]YES [—]NO Tlhe property produces r or other income.
If YES, the income is from: ❑ se/rent ❑ Contract ❑ Mineral rights ❑ Other:
E. The condition of the? property at the time of sale was
Please describe:
❑ Good ❑Average ❑ Fair ❑ Poor
CERTIFICATION
1 certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to
the bprof m nowledge and belief.
-SGNkJiAE OF BUYER/TRANSFEREE OR CORPORATE OFFICER DATE TELEPHONE
NAME OF BUYER/TRANSFEREE/PERSONAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE EMAIL4DDRESS
The Assessor's office may contact you for additional information regarding this transaction.
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.
ASSESSOR'S PARCEL NO. 3 - Op}S I declare that the documentary transfer tax for this
Property Address:
05s Z iK transaction is: $
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSA CTIONIS EXEMPT FROMDOCUMENTARY TRANSFER TAXBECA USE. (The
Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are taken
from Riverside County Ordinance 516). Please check one or explain in "Other".
1. Section 11911.
The consideration or value of the property, exclusive of any liens and encumbrances is
$100.00 or less and there is no additional consideration received by the grantor.
2. Section 11911.
The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
3. Section 11921.
The conveyance was given to secure a debt.
4. Section 11922.
The conveyance is to a governmental entity or political subdivision.
5. Section 11925.
The transfer is between individuals and a legal entity or partnership, or between
legal entities and does not change the proportional interests held.
6. Section 119:26.
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 Form709 (Federal Gift Tax Return) with the Internal Revenue Service.
9. Section 8.
The easement is not perpetual, permanent, or for :life.
10. Section 9.
11. :Other
The document is a lease for a term of less thp_ (3/ `i) years (including written opti is.)
(Include explanation and legal authority). 1 a
I DECLARE UNDER PENALTY� OF PERJURY THAT THE FOREGOING IS TRUE NO CORRECT.
/%'A- (
Executed this! day of , � 2 � _ at ) IV1--i�T
City State
a ad (.ii
S*Are of Affiant Pri ed Name of Affiant
Name of Firm (if applicable) Address of Affiant (including City, Statb, and Zip Code)
For Recorder's Use:
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