LLA 2021-0012 Parcel A - TraditionOrder No.
Escrow No.
Loan No.
WHEN RECORDED MAIL TO:
Jeffrey F. Lehman
52865 Latrobe Lane
La Quinta, CA 92253
DOC # 2021-0683911
11/17/2021 02:36 PM Fees: $189.00
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: NORMA #248
DOCUMENTARY TRANSFER TAX $........Q..................... 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
Determinine tax — Firm Name
APN: 770-340-004 and Portion of 770-260-033
GRANT DEED
LLA 2021-0012
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Jeffrey F. Lehrman and Tradition Golf Club, a California Non Profit Corporation
Herby GRANT(S) to
Jeffrey F. Lehman
The real property in the City of LA QUINTA, County of RIVERSIDE, State of CALIFORNIA, described as
Parcel "A" as described and shown on Exhibits "A" and "B" attached hereto and by reference made a part hereof
Being Lot 4 oi"Tract No. 28867, as shown by map on file in Book 276 of Maps, at Pages 69 through 78, inclusive,
Riverside County records, together with that portion of land in Parcel "C" as described in Document No. 2016-
0389540, recorded September 8, 2016, official records, which is overlaid by the reconfigured shape of Parcel "A"
pursuant as LLA 2021-0012 approved by the City of La Quinta. The reconfigured parcels are described in Exhibits A
and B attached hereto and by this reference hereof.
Note: This grant deed perfects the intent to Lot Line Adjustment 20,21-0012 as approved by the City of La Quinta
LLA 2021-0012
Ap proved by the City f La Quinta
By: aryan McKinney P.E., Engineer
RCE 49418, Exp. 9-30-2022
Tradition olf Club, a California
Non Pro t Co 'on
By:
Pri ame:
It's: e t nr )EtSl_ C F0-
(kK1 /� - (
Jeffrey a an,
a MarricYd Man as his sole and
separate property
MAIL TAX STATEMENTS TO: Jeffrey F. Lehman
DOC #2021-0683911 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 NOVEMBER 16._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 instrumentthe person,
or the entity upon behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY underthe laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
NICNOLE ROmANE
Notary Public • California z
z Riverside County >
w Commissicr. r 2312710
Signature G _ ��� aa•'' My Comm. Expires �;� 16, 2023
(seal)
DOCUMENT:
GRANT DEED LOT LINE ADJUSTMENT 2021-0012 re: 770-340-004 and
Portion of 770-260-033 - owner(s): JEFFREY F. LEHMAN and TRADITION
GOLF CLUB
DOC #2021-0683!g11 Page 3 of 6
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
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 _5
On N (21%V1 bU 10 2-02 ( before me, A1U 5% ? (I�Qt b LiC ,
Date Here Insert Name and Title of ttYe Officer
personally appeared 446 1 SK oa) CA �Y-w f 1 11"I C 4
Name(s) of Signer(s)
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/hier/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted„ executed the instrument.
ALLISON P. ROWE
Notary Public - California
OD.,
Riverside County €
Commission b 2315964
y Comm. Expires Dec 16, 2023
Place Notary Seal and/or Stamp Above
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 cA Rzw-ej
Signature of Notary Public
yr I IV11qMV
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above: _
Capacity(lies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
020118 National Notary Association
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
n Othpr-
Signer is Representing:
DOC #2021-0683911 Page 4 of 6
EXHIBIT "A"
LEGAL DESCRIPTION
LOT LINE ADJUSTMENT NO. 2021-0012
PARCEL"A"
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA,
LOT 4 AS SHOWN ON TRACT MAP NO. 28867 ON FILE. IN BOOK 276 OF MAPS,
PAGES 69 THROUGH 78, INCLUSIVE, RECORDS OF THE RIVERSIDE COUNTY
RECORDER, LOCATED IN THE NORTH HALF OF SECTION 7, TOWNSHIP 6 SOUTH,
RANGE 7 EAST, SAN BERNARDINO MERIDIAN.
TOGETHER WITH THAT PORTION OF PARCEL "C" AS DESCRIBED IN GRANT DEED
FOR LOT LINE ADJUSTMENT NO. 2016-0005 RECORDED SEPTEMBER 8, 2016, AS
DOCUMENT NO. 2016-0389540, OFFICIAL RECORDS OF SAID COUNTY„ BEING A
PORTION OF LOT 94 OF TRACT MAP NO. 28470-1, AS DEPICTED ON EXHIBIT "B"
AS "LOT 4 AREA", MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE MOST NORTHERLY CORNER OF SAID LOT 4, SAID POINT
ALSO BEING A POINT ON THE SOUTHERLY LINE OF PARCEL "A" OF SAID LLA
2016-0005;
THENCE (NORTH 54007'45" EAST, ALONG SAID SOUTHERLY LINE OF PARCEL "A"
TO THE MOST EASTERLY CORNER OF SAID PARCEL "A", A DISTANCE OF 39.10
FEET;
THENCE SOUTH 24"06'34" EAST, A DISTANCE Of: 100.78 FEET TO THE MOST
NORTHERLY CORNER OF PARCEL "B" OF SAID LLA 2016-0005;
THENCE SOUTHWESTERLY ALONG THE NORTHERLY LINE OF SAID PARCEL "B",
SOUTH 6501446" WEST, A DISTANCE OF 28.16 FEET TO THE MOST EASTERLY
CORNER OF SAID LOT 4, SAID POINT ALSO BEING ON A NON -TANGENT CURVE
CONCAVE SOUTHWESTERLY AND HAVING A RADIUS OF 483.50 FEET, A RADIAL
LINE TO SAID POINT BEARS NORTH 65014'46" EAST;
THENCE NORTHERLY ALONG THE EASTERLY LINE OF SAID LOT 4 AND SAID
CURVE THROUGH A CENTRAL_ ANGLE OF 11 007'01 ", AN ARC DISTANCE OF 93.82
FEET, TO THE POINT OF BEGINNING;
CONTAINING AS A WHOLE 15,940 SQUARE FEEL- OR 0.366 ACRES MORE OR
LESS.
SUBJECT' TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF -
WAY OF RECORD.
1 OF 2
DOC #2021-0683911 Page 5 of 6
EXHIBIT "A"
LEGAL DESCRIPTION
LOT LINE ADJUSTMENT NO. 2021-0012
AS DEPICTED ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF.
PREPARED BY OR UNDER THE DIRECTION OF:
CHARLES R. HARRIS
DATED: If / Z 6 Zi
P.L.S. 4989
20F2
S\
C#iARLES R. HARRIS .4
No. 4989
�s
\� OF CPS-�F /
DOC #2021-06831911 Page 6 of 6
CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT
EXHIBIT 'B• I LOT LINE ADJUSTMENT NO. 2021-0012
PARCEL 'B'
MOST E'LY CORNER
PARCEL "A" LLA 2016-0005
PARCEL "C"
LLA 2016-0005
DOC NO. 2016--0389540
9/8/2016
CURVE DATA
NO
DELTA
RADIUS
LENGTH
Cl
11'07'01"
318.50'
61.81'
C2
11'07'01"
483.50'
93.81'
0' 60' 120'
SCALE 1 "=60'
NEW ADJUSTED LOT LINE
LOT 4 AREA
3,100 SQ. Ff.
0.071 AC.
APN 770-260-033
MOST N'LY CORNER
PARCEL "El" LLA 2016-0005
LOT 94
TRACT MAP
NO. 28470-1
M.B. 263/76--90
no
G
CHAR Ef R RIS p
M
Nlo. 989
CIF CAS-�FG�
DATED: //
CMSA CONSULTWG, INC.
` PLANNING ■ CIVIL ]ENGINEERING
LAND SURVEYING
J.N. 2325 SHEET 1 of 1
uoCUSlgn.tnvelope w: 4I Sar55ts-iSbVu 4tS45-rst�4-s234srsbVNou34
PETER ALDANA Recorder
751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
(951)486-7000
ASSESSOR -COUNTY CLERK —RECORDER
Website: www.riversideacr.com
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. 770 --2fi0 - .--033 I declare that the documentary transfer tax for this
Property Address:: ve .99, La Quinta, CA 92253 transaction is: $n nn
If this transaction is exempt from Documentary Transfer:Tax, thereason must be identified below.
I CLAIM THAT TUIS TRANSACTIONIS EXEMPT FROMDOCUMENTAIRYTRANSFER 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 1191.1. 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 1.1922. 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. notexceed 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. aFederal Gift Tax. In such cases, the Transferor. (donor/grantor) may be required to
file Form 709 (Federal Gift Tax Return) with the Internal Itevenue Service.
9. Section 8. The easement is perpetual, permanent, or for )life.
10. Section 9. The document is a lease for a term of jU than (35) years (including written options.)
1 L Other (Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Executed this 1.n _day of November 20Z_ atJ_a_Quinta QA
City State
U Heidi Risk_ CFO
Signature of Affiant Printed Name of Affiant
Tradition Golf Gluh . 78505 Old Ave 52, I a Ouinta. CA 92253
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
760-564-8723
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
uocuoign tnveiope iu: oiruasit-uasa-4�,uo-aou4-orarrurluaowu
c°J ks�oF 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
ro�nvvc�E�`� 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. 770 --340 --004 I declare that the documentary transfer tax for this
Property Address: 59865 1 a Trnbe 1 ana I a Q, linta 'C:A transaction is: $ 0.00
9J253
If this transaction is exempt from Documentary ransfer Tax, the reason must be identified below.
I CLAIM THAT T.IIIS TRANSACTION IS EXEMPT FROMDOCUMENTAIRY TRANSFER TAX BECA 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".
L • X Section 119:11. -
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 1191.1.
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 1.1922.
The conveyance is to a governmental entity or pol:itical'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 ==perpetual, permanent, or for life.
10. Section. 9.
The document is a lease for a term of I=Lthan (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.
Executed this 10
of November 20_2 1_ at La Q intn CA
II City State
,IA.IMA�t, — nin
Signature of Affiant
Printed Maine of Affiant
Name of Firm (if applicable)
_ 52865 La Tmbe Lane, La Ouinta- CA 92253
Address of Affiant (including City, State, and Zip ode)
717-333-4441
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
uocusrgn tnveiope lu: 41:SarJnm mouJ4 PETER ALDANA, COUNTY OF RIVERSIDE
our-auc-rA kr 1) r%r-v. io kut-Z it
ASSESSOR - COUNTY CLERK - RECORDER
PRELIMINARY CHANGE OF OWNERSHIP REPORT PO BOX 751, RIVERSIDE, CA 92502-0751
To be completed by the transferee (buyer) prior to a transfer of subject (951) 955-7006 www.riversideacr.com
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.
NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address) ASSESSOR'S PARCEL NUMBER
r 770-260-033
SELLERITRANSFEROR
Tradition Golf Club - Heidi Risk, CFO
BUYER'S DAYTIME TELEPHONE NUMBER
( 760 ) 564-8723
L J BUYER'S EMAILADDRESS
HeidiRisk@traditiongc.com
STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
78505 Old Ave 52, L.a Quinta, CA 92253
YES [,�J NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
'or intended occupancy.
YES 7 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)
Tradition Golf Club - Heidi Risk
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
78505 Old Ave 52 La Quints ICA 92253
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
7 A. This transfer is solely between spouses (addition orremova/ ofa spouse, death ofa 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 ofa 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
Z * D. This transfer is the result of a cotenant's death. Date of death
7 * E. This transaction is to replace a principal residence owned by a person 55 years of age or older.
Within the same county? nYES NO
0 * 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 ofthe name(s) ofthe 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/frorn 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.
a 2. to/frorn an irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or n grantor's/trustor's spouse El 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.
0 ❑ 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.
QO. 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.
0 F Q. Other. This transfer is to Consideration is less than $100
* 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
DocuSign Envelope ID: 41391-5l56-S6GU-4t$45-t$LZ4-;564JbbL;AGU34
BOE-502-A (P2) REV. 15 (02=21)
PART 2. OTHER TRANSFER INFORMATION
A. Date of transfer, if other than recording date:
B. Type of transfer:
Check and complete as applicable.
❑ Purchase • ❑ Foreclosure ❑ . Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-13)
❑ 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. 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 an(I 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@ - % 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 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
n nther- Please exnlaire
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. PROPERW INFORMATION Check anil 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 the value of the personal/business property: $ Incentives $
C. ❑YES ❑ NO A manufactured home is included in the purchase price.
If -YES, enter the value attributed to the manufactured home: $
EYES 11 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: ❑ Good
Please describer
[—]Average ❑ Fair. ❑ Poor
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.
SIGNATURE OF BUYERITRANSFEREE OR CORPORATE OFFICER DATE TELEPHONE.
11 /12/2021 ( 760 ) 564-8723
NAME OF BUYER/TRANSFEREE/PERSONAL REPRESENTATIVEXORPORATE OFFICER (PLEASE PRINT) TITLE EMAILADDRESS
Tradition Golf Club - Heidi Risk. CFO - Heidi Risk@trad itiongc
The Assessor's office may contact you for additional information regarding this transaction
Docuslgn tnvelope Iu: bt tUtbS'1 t-ub6b-4L:LJb-t$bu4-01-arr-UAubrs4U PETER ALDANA, COUNTY OF RIVERSIDE
DVC-OVL-H ��' I) RC V. la �ULVC i/
ASSESSOR - COUNTY CLERK - RECORDER
PRELIMINARY CHANGE OF OWNERSHIP REPORT PO BOX 751, RIVERSIDE, CA 92502-0751
To be completed by the transferee (buyer) prior to a transfer of subject (951) 955-7006 www.riversideacr.com
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.
NAME AND MAILING ADDRESS OF BUYERITRANSFEREE
(Make necessary corrections to the printed name and mailing address) ASSESSOR'S PARCEL NUMBER
r 770-340-004
SELLERIRANSFEROR
Jeffrey F. Lehman
BUYER'S DAYTIME TELEPHONE NUMBER
( 717 ) 333-4441
L J BUYER'S EMAILADDRESS
jefflehman 1000@gmail.com
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
52865 La Trobe Lane, La Quinta, CA 92253
This property is intended as m principal residence. If YES, lease indicate the date of occupancy MO DAY YEAR
YES � NO p p y y p p p p y
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 PROPERTY TAX INFORMATION TO (NAME)
Jeffrey F. Lehman
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
52865 La Trobe Lane La Quints ICA 92253
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
7 A. This transfer is solely between spouses (addition or removal of spouse, death of spouse, divorce settlement, etc.).
El F,]( 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) between grandparent(s) and grandchild(ren).
0
Was this the transferor/grantor's principal residence? YES NO
* 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
❑ ❑✓ * F. This transaction is to replace a principal residence by a person who is severely disabled.
Within the same county? YES n 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:
❑ Z 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.
M. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
ZN. 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 Consideration is less than $100
* 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
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BOE-502-A (P2) REV. 15 (02:21)
PART 2. OTHER TRANSFER INFORMATION
A. Date of transfer, if other than recording date:
B. Type of transfer:
Check and complete as applicable.
❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-13)
❑ 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. 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 @ _ % 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? ❑YE13 ❑ 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 the value of the personal/business 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 n 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: Good []Average ❑ Fair ❑ Poor
Please describe:
. I CERTIFICATION
/ 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 RE OF BUYER/T NSFEREE OR CORPORATE OFFICER DATE TELEPHONE
WA, 11 /10/2021 ( 717 ) 333-4441
NAME OF B ERrrRANSFEREE/PERSONAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE EMAILADDRESS
Jeffrey F. Lehman Owner jefflehman1000@gma
The Assessor's office may contact you for additional information regarding this transaction