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PM 2012-516RECORDING REQUESTED BY CITY OF LA QUINTA When recorded, return to. CITY of CITY OF LA QUINTA Plan CITY CLERK I - 78495 CALLE TAMPICO LA QUINTA, CA 92253 DQC 4 20113--0224 A9 .•05/13/2013 09:05A Fee: 1.00 Page 1 of 3 Recordedin Official Records a QUINTA County of Riverside Larry W. Ward et No. Assessor, County Clerk & Recorder L I 111111 _1111111 IN 111111111 S I R I U I PAGE I SIZE I DA I MISC I LONG I RFD I COPY M ' A I L 1 465 1 426 PCOJ/ 4COR SMF I NCHG EXAM nn T: CTY UNI V1(9 CERTIFICATE OF PARCEL MERGER NO. 12-516 RECORD OWNERS EXISTING PARCELS (Assessor Parcel Numbers) JOHN TIMOTHY ROGERS AND TWANNA MARGO ROGERS, AS TRUSTEES OF THEI 767-690-005 & 767-690-006 ROGERS FAMILY TRUST DATED JULY 9, 2002 LEGAL DESCRIPTION OF MERGED PARCELS See attached - Exhibit "A" and Exhibit "B" SIGNATURE(S) OF RECORDED Ptinma,nemrr.L-: John Timoth Print NamelTtfe: Print NamelTlHe: usf be Ct] This Certificate f P er eflects Par el Merger No. 12-516 as approved by the City of La uin a. > > c Date: r E STATE OF CALIFORNIA NOTARY ACKNOWLEDGEMENT a ) COUNTY OF L--Ds -C'At ' On before me, `f i�-"{_JAISCA D k 0 - 0 (Da ) ] (Name and Title of off personally appeared [ f1 (Name(s) ofsigner(s)) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) askare subscribed to the within instrument and acknowledged to me that Ise he*ey executed the same in hisfher/their authorized capacity(ies), and that by hi&thefytheir 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 Sate of California that the foregoing paragraph is true and correct. 3 KIMBERLY SCIOLI Commission # 1943579 WITNESS my hand and official seal + Notary Public - California z. Q , I Los Angeles County t [.rryTZ.! My Comm. Expires Jul 9, 2015 J Notary Public EXHIBIT A n SHEET 1 OF 1 CERTIFICA TE OF PARCEL MERCER 12-516 RECORD OWNERS EXISTING PARCELS ASSESSOR PARCEL NUMBERS ROGERS 767-690-005 & 767-690-006 MERGED LOTS 13 & 14, TRACT NO. JJ076-2 PARCEL 'A' IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, IN SECTION 10, T6S, R7E, SB.M.: LOT 13 OF TRACT NO, 33076-2, AS RECORDED IN BOOK 393 OF MAPS AT PAGES 61 THROUGH 80, OFFICIAL RECORDS OF RIVERSIDE COUNTY, TOGMER W N LOT 14 OF SAID TRACT NO. 33076-2. CONTAINING 69,950 S F ( 1.61 AC.) MORE OR LESS SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS OF WA Y, EA SEMEN TS, OR EXCEP77ONS OF RECORD, IF ANY. PREA ABY zI� WA YNE A. Mc GEE DA tE P.L.S. 5479 EXP. 91JO114 NO. 5479 Exp. 9/30/14 AP 011 Y T� F LA QUINTA imothy Jo sso City Engineer 9��afi CAI F��t NO7E. WEREY BE 645SMEN7S OF RECORD DEUNEATED AND REfERENCED ON THE UNDERLl7NC MAP, OR THERE MAYBE EASEMENTS WITHIN THE AREA BEING ADJUSTED THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCEL HEREIN. EXHIBIT '7B ff CERTIFICA TE OF PARCEL MERGER 12-516 LEGEND NOTE.• THIS PLAT WAS PREPARED FROM RECORD DATA AND DOES NOT REPRESENT A SURVEY OF THE PROPERTY SHOW HEREON. THIS MAP HAS BEEN APPROVED UPON THE EXPRESSED COND177ON THAT BUILDING PERMITS SHALL NOT 6E ISSUED FOR ANY DEVELOPMEN WWIV THIS ADJUSTMENT PLAT UNTIL NECESSARY DEDICA AONS, IF ANY, HA VE OCCURRED. EXIST. LOTS LINE TO REMAIN �4b �oE A. 4fL "1'L� — — — LOT LINE TO BE REMOVED �P ��, �t a N0. 5479 Exp. 9/30/14 6❑ ❑ JO GO LOT 12 �TeOF CAL1F� M.B.393/67--80 A.P.N. 7767-690-004 I loch = gp (t LOT V 7RACT NO. 33076-1 M.B. 388157--79 ■ O9 LOT 13 TRACT NO. 33076-2 M.B.393/61-80 A.P.N. 767-690-005 'A' PARCEL 270-57 1N32� --- 69,950 S.F. 1.61 AC. LOT 14 TRACT NO. 33076-2 M.B.393/61-80 A.P.N. 7767-690-006 C'r ti tI1 I I I I 22 WVEJ P.U.E. N 5.771'p8' � LOT 15 M.B.393/61-80 A.P.N. 767-690-007 12' W1DE LANDSCAPE & DRAINAGE ESM'T ADJUSTMENT PLA T- CITY, OF LA OUINTA PREPARED B Y.- `'j / / lam' WA YNE A. McGEE DA TE L.S. 5479 APPLICANT KRISTI HANSON ARCHITECT 72-185 PAINTERS PATH, STE A PALM DESERT CA 92260 A ROV BY C TY OF LA QUINTA imothy J na n, City Engineer Riverside County Recorder L j 1'i` 'i' Vc�=,.r "! • Mailing Address: 2724 Gateway Drive P.O. Box 751 Riverside, CA 92507 Riverside, CA (951) 486-7000� 92502-0751 www.rivers'rdeacr.com RECORDER RETURN NOTICE City of La Quinta City Clerk 78495 Calle Tampico La Quinta, CA 92253 0 We are unable to process the enclosed and are returning the same to you unrecorded. Please see all items marked. The enclosed has been recorded but needs further attention and possible re-recording. Please see all items marked. The enclosed is a photocopy of what has been recorded but needs further attention for possible re-recording. Please see all items marked. 1. ❑ This office cannot advise you on the preparation of documents. Information should be obtained from your legal advisor. 2. ❑ We are unable to determine your intent regarding the enclosed document(s). 3. ❑ We have found no provision in the California State Law authorizing recording of the enclosed document(s). 4. ❑ The property/record is not located in Riverside County. Please record in the county where the property/record is located. If the property/record is located in Riverside County, please correct the information on the document. 5. ❑ 6. ER 7. ❑ 8. ❑ 9. ❑ 10. ❑ '11. ❑ 12. ❑ 13, ❑ 14. ❑ 15. ❑ 16. ❑ 17. ❑X is/are illegible or too light for photographic reproduction. Please provide a more legible document OR: A. Retype or print the illegible portions of the document on the enclosed Certification form, sign, and attach the form to the document. If a Certificate is attached, additional recording fees will apply. (Please see page two for fees.) B. Indicate on the Certification form that a clarity copy is attached, sign, and attach the form and the clarity copy of the document. If a Certificate is attached, additional recording fees for the Certification page and the pages of the copy will apply. (Please see page two for fees.) Complete the enclosed coversheet with the name and return address and correct title(s) of the document. A name and return address must be added to the upper left-hand corner of the document. The title of your document is missing or is in the wrong area. The title must appear immediately below the space reserved for the recorder's use. The title on the first page of your document does not match the ❑ title on the 2"d page ❑ contents of the document. Please complete the Documentary Transfer Tax Declaration. ❑ Please see the enclosed schedule for additional information. A Documentary Transfer Tax Affidavit is required to be completed and submitted with the enclosed document(s). ❑ Please see the enclosed schedule for additional information. ❑ The enclosed Documentary Transfer Tax Affidavit(s) is/are incomplete or inconsistent with the transaction. The names of all parties: ❑ Must be complete, showing the first and last names. ❑ Must agree in caption, execution, and acknowledgment. The legal description is omitted/incomplete or the exhibit/attachment referenced in your document is missing. The recording reference of the prior recorded document was omitted. The document must be signed The signature(s): ❑ Needs a company/partnership/corporation/government agency/entity name printed or typed near the signature. ❑ Is/are illegible. Please print or type the name near the signature(s) for proper spelling. A notary acknowledgment is required for Agency (or an Attest ) 18. ❑ A Preliminary Change of Ownership Report must be completed, signed, and returned with the enclosed document. If it is not completed and returned, an additional fee of $20.00 will be required. If you have any questions regarding the completion of this form, please call the Assessor's office at (951) 955-6200. (Please note: If the $20.00 fee is paid in lieu of completing this form, the form will be sent to you at a later date by the Assessor's office for you to complete.) 19. ❑ The document must contain original signatures and/or notary acknowledgments, or must be a certified copy bearing a court seal. No changes or alterations can be made to a certified copy. 20. ❑ A certified copy of a death certificate must be attached to the document. 21_ ❑ This document requires a completed Verification/Jurat. ❑ Please see the enclosed Jurat sample. Please see see page 22 ACR 518 (Rev. 1/2013) Available in Alternate Formats Page 1 of 2 22. ❑', The notary acknowledgment: ❑ Has an illegible notary seal and must be re -stamped, or a certificate signed under penalty of perjury must be attached restating the information indicated in the original seal. if a certificate is attached, additional recording fees will apply. ❑ Is missing the ❑ signature ❑ seal ❑ commission expiration date ❑ name ❑ title of the notary. ❑ Is missing the/has an incorrect ❑ date ❑ venue. ❑ Is missing the names of the parties who appeared before the notary. ❑ Does not contain the correct wording for an acknowledgment taken in that State. ❑ Please contact your notary public for additional information. ❑ Please see the enclosed notary form sample. ❑ Is from a foreign country and must be authenticated by one of the following methods: A. By a judge in the country where the acknowledgment was taken. B. By an American Diplomatic Officer, Consul General, Consul, Vice Consul or Consular Agent. C.By an Apostille (certification) attached to the document pursuant to the terms of the Hague Convention. 23. ® Please state the reason for re-recording on the face of the coversheet. 24. ® A document being re -recorded is required to be re -signed and re -acknowledged. 25. ❑ The enclosed check: ❑ Was sent without a document, or in error. ❑ Should be made payable to the Riverside County Recorder. ❑ Does not contain a signature. ❑ Is not preprinted. Temporary checks are not acceptable. ❑ Is over 90 days old or is past the void date listed on the front of the check. 26. ❑ No money ❑ Insufficient funds sent in with the enclosed document(s). 27. ❑ Your check/money order number(s) for ❑ NTE $ is/are enclosed. When returning your documents, please ensure that the current date is not more than 60 days from the check date, or is not past the void date shown on the check. 28. ® The Recording Fees are: Recording Fee $ see below lease re -calculate recording fees for Copy Fee $ additional pages) Transfer Tax $ Misc. $ TOTAL $ Recording fees are calculated as follows: Basic recording fees: $15.00 for the first page (1 title), $3.00 for each additional page, and $15,00 for each additional title. Release of lien placed by a government agency: $13 for each lien being released Additional recording fees: If any page of the document is not 81/2' by 11" in size, every page of the document will be penalized $3.00 in addition to the standard recording fee. If a Lien Notification letter is requested, a $13.00 lien notification fee for each debtor address will apply. Real Estate Fraud Prosecution Trust Fund: $10.00 for each of the following titles: Abstract of Judgment; Amended Deed of Trust; Affidavit; Assignment of Deed of Trust; Assignment of Mortgage; Assignment of Mortgage/Deed of Trust; Assignment of a Lease; Assignment of Rents; Construction Deed of Trust; Covenants, Conditions, and Restrictions; Declaration of Homestead; Deed of Trust; Easement; Extension of Deed of Trust; Lease; Lien; Lot Line Adjustment; Mechanic's Lien; Modification of a Deed of Trust; Notice of Completion; Notice of Default; Notice of Rescission of Declaration of Default; Notice of Trustee Sale; Quitclaim Deed; Reconveyance; Release; Release of Deed of Trust; Release of Obligation of Deed of Trust; Request for Notice; Subordinated Deed of Trust; Subordination Agreement; Substitution of Trustee; Trustee's Deed Upon Sale; UCC (Amendment, Assignment, Continuation, Statement, or Termination); and any of the above titles being re -recorded. Please Note: This fee will not apply to any document subject to Documentary Transfer Tax or any document recorded in connection with such document. For documents recorded in connection, visit our website atwww.rivers ideacr.com for required exemption statements. Surveyor Monument Preservation Fund: $10,00 for Deeds (other than Quitclaim Deeds, Easements, and Deeds of Trust) transferring ownership in real property that do not describe a complete lot created by a recorded tract map. UCC Fees: $12.00 if 1-2 pages, $22.00 if 3 or more pages Copy Fees: Customer Copy Label: $1.50 (Customer must provide a copy of the document; can only be obtained at the time of recording). Regular Copy: $6.50 for the first page; $1.00 for each additional page. There is an additional fee of $1.00 for the certification of a complete regular copy. Comments: Please return this form if and when the enclosed documents are resubmitted. Date: 5/23/2013 7:48 am By: Maria #026 Telephone Number: 951-486-7179 ACR 518 (Rev. 03/2013) Available in Alternate Formats Page 2 of 2 PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: TRA: DTT: S R U PAGE SIZE DA MISC LONG RFD COPY M A L 465 426 PCOR NCOR SMF NCHG IEXAM T: CTY UNI Space above this line for recorder's use only Title of Document THIS AREA FOR rnD%ECORDErnD%'S USE ONLY THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION ($3:00 Additional Recording Fee Applies) ACR 238P-AS4RE0 (Rev. 06/2007) LARRY W. WARD Recorder P.O Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 Website: www.riversideacrcom 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 1S GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE. -1l0 1 — 6q o— bO 5 ASSESSOR'S PARCEL NO. (aqo-- b D (e I declare that the documentary transfer tax for this Property Address: y 1- 61 Cot %3 m�n%j :41�Icra Nk jyA transaction is: $ fi t- 3R % COW INAbV5 Wau4 t L. Qu►Kk-A , CA a7753 If this transaction is exempt from Document ry 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. Please check one or explain in "Other".) l . _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options). 2. _ Section 11911. The easement is not perpetual, permanent, or for life. 3. _ Section 11921. The instrument 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 between legal entities, and does not change the proportional interests held. 6. Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. _ 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. . _ Section 11930. The conveyance is to the grantor's revocable living trust. 11. X Other (Include explanation and authority) #},ems � n t&{ yys 9� f„% CLAR NDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. uted s day of h A, A 20A3at pit k 'tNrf2rnqr�' C$y Slate t.. rL-MSCA re o pant Printed Name of AFtiant k g ,r61 -� , s 1bj%WT, oA 9 2 .o Name applicablei Address of Affiant 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 521P-AS4EX0 (Rev- 11/2010) Available in Alternative Formats BOEf502-A (FRONT) REV. 10 (8-07) RIVERSIDE COUNTY ASSESSOR -COUNTY CLERK -RECORDER, PO BOX 12004, RIVERSIDE, CA 92502-2204, (951) 955-6200 www.riversideacr.com PRELIMINARY CHANGE OF OWNERSHIP REPORT I FOR RECORDER'S USE ONLY [To be completed by transferee (buyer) prior to 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; this particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT SELLER/TRANSFEROR _1oKrj Aviv 'T-,Q"rJA R-C&S125 BUYER/TRANSFEREE: :10VkrJ A M3 '�MlArn1� (2-066dZS ASSESSOR'S PARCELNUMBER(S):-WI-160I40-005 Q,M -161' (A0"00% PROPERTY ADDRESS OR LOCATION: a1-36C1 Coto w.6vS Way al4 $1-3AI Ca IV^ MAIL TAX INFORMATION TO: Name: �Ohln gr\.L-`i'WQy\r\A Gr5 LaQuitA 4 Address: lyl(', C -PAuZ5 Veg;oe4, CA ctOZ?y A2253 NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Assessor. For further information on your supplemental roll obligation, please call the Assessor at PART I: TRANSFER INFORMATION (please answer all questions) YES ❑ NO ® A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? ❑ ® B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name change upon marriage)? Please explain ❑ ® C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? ❑ K D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g , cosigner)? Please explain ❑ 9 E. Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document? ❑ X F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ W G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. Is this a transfer of property: ❑ ® 1. to a revocable trust that may be revoked by the transferor and is for the benefit of the ❑ transferor ❑ transferor's spouse? ❑ g 2. to a trust that may be revoked by the Creator/Grantor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the Creator/Grantor dies? ❑ Q 3. to an irrevocable trust for the benefit of the ❑ Creator/Grantor and/or ❑ Grantor's spouse? ❑ 51 4. to an irrevocable trust from which the property reverts to the Creator/Grantor within 12 years? ❑ 19 1 If this property is subject to a lease, is the remaining lease term 35 years or more including written options? ❑ ® *J. Is this a transfer between ❑ parent(s) and child(ren)? ❑ or from grandparent(s) to grandchild(ren)? ❑ 5d *K Is this transaction to replace a principal residence by a person 55 years of age or older? Within the same county? ❑ Yes ❑ No ❑ *L. Is this transaction 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 ❑ ® M Is this transfer solely between domestic partners currently registered with the California Secretary of State? *If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you do not file a claim, your property will be reassessed. Please provide any other information that will help the Assessor to understand the nature of the transfer. If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation Code for any reason other than those listed above, set forth the specific exclusions claimed: Please answer all questions in each section. If a question does not apply, indicate with "NIA." Sign and date at bottom of second page. PART II: OTHER TRANSFER INFORMATION A. Date of transfer if other than recording date B Type of transfer (please check appropriate box): N Q. ❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition ❑ Contract of Sale — Date of Contract ❑ Inheritance — Date of Death ._ ❑ Other (please explain): ❑ Creation of Lease ❑ Assignment of a Lease ❑ Termination of a Lease ❑ Sale/Leaseback ❑ Date lease began _ - El Original term in years (including written options) ❑ Remaining term in years (including written options) Monthly Payment Remaining Term C. Was only a partial interest in the property transferred? ❑ Yes 10 No NIP. If yes, indicate the percentage transferred I., BOE'502-A (BACK) REV. 10 (8-07) Please write Assessor's Parcel Number(s): —.b.{ Q 7' . p,QS -l6� Please answer, to the best of your knowledge, all applicable questions, then sign and date If a question does not apply, indicate with "N/A." PART III: PURCHASE PRICE AND TERMS OF SALE A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs) t4A Amount $ B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. = $_ _ (Prin & Int. only) Amount $ ❑ FHA( Discount Points) ❑Fixed rate ❑ New loan ❑ Conventional ❑ Variable rate ❑ Assumed existing loan balance ❑ VA ( Discount Points) ❑ All inclusive D.T. ($ Wrapped) ❑ Bank or savings & loan M� ElCal-VetEl Loan carried by seller ❑ Finance comparry Balloon payment ❑ Yes ❑ No Due Date Amount $ C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Pfin. & Int. only) Amount S ❑ Bank or savings & loan ❑ Fixed rate Ll Ne loan ❑ Loan carried by seller ElVariable rate ❑ Assumed existing loan balance n/V4 Balloon payment ❑ Yes ❑ No Due Date Amount $ D OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ❑ Yes ❑ No Type @ % interest for _ ❑ Bank or savings & loan ❑ Fixed rate ❑ Loan carried by seller ❑ Variable rate Balloon payment ❑ Yes ❑ No Amount $ years. Pymts./Mo. = $ (Prin. & Int. only) ❑ New loan ❑ Assumed existing loan balance Due Date Amount $ NAr E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑ Yes ❑ No N A Outstanding Balance: Amount $ F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid) NA TOTAL ITEMS A THROUGH E $ G. PROPERTY PURCHASED ❑ Through a broker ❑ Direct from seller ❑ From a family member ❑ Other (please explain): i?►!lA - AAPsti7�,1' If purchased through a broker, provide broker's name and phone number: Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale: +his .15- -dL Lem KOR4ev— lJ[7_ [ z n-�- D�tli7Grs�_I_P- __ PART IV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: ❑ Single-family residence ❑ Agricultural ❑ Timeshare ❑ Multiple -fancily residence (no. of units:. ) ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Commercial/Industrial ❑ Condominium Unimproved lot ❑ Other (Description: i.e., timber, mineral, water rights, etc. d 11] B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes ❑ No If yes, enter date of occupancy 1 , 20 —. or intended occupancy / (morHh) (day) (year) (month) C. IS PERSONAUBUSINESS PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.) (other than a manufactured home subject to local property tax)? ❑ Yes 19 No If yes, enter the value of the personal/business property included in the purchase price $ D IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ❑ Yes R No If yes, how much of the purchase price is allocated to the manufactured home? Is the manufactured home subject to local property tax? ❑ Yes ❑ No What is the decal number? E. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes PKNo If yes, is the income from: ❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other (please explain): ,20_ (day) (Y-d (Must attach itemized list.) WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? Pj>A ❑ Good ❑ Average ❑ Fair ❑ Poor Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in determining the value of the property: LPcND ONLJ' CERTIFICATION OWNERSHIP TYPE (0) Proprietorship ❑ 1 certify that the foregoing is true, correct and complete to the best of my knowledge and belief. Partnership ❑ This declaration is bindingon each and eve co-owner and/or partner Corporation ❑ every p Other C7 AME OF NEW OWNERMORPORATE OFFICER TITLE J0144 Kt)T*ix-mmh 90*6eW1VJ EL TRUST OWN67C-S 10. ENTITY 3.oa,za�3 ADDRESS (typed or pirriW q o 1 y PHONE NUMBER (6 a m - 5 p:mj E-MAILADDRESS (opfional) 141b Yt4s60 LXMCSTA, TAWS VC-f-Oft OCA I (Note: The Assessor may contact you for additional information.) If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20). City of La Quinta Planning Department 78-495 Calle Tampico Few Ca CLe W 3 ,y p OFFICE 1j5E Oii� LLi1 v -ce-m{�-- J � Date ltecvd f / ' Z Fee_,ZpO f Related Apps: La Quinta, California 92253 PHONE: (760) 777-7125 FAX: 777-1233 APPLICATION FOR PARCEL MERGER APPROVAL Logged in by: PARCEL NIERGER applications are reviewed and approved by the Planning Director pursuant to Chapter 13.36 of the Subdivision Regulations. The purpose is to allow merger of contiguous parcels or units of real property, under common ownership. APPLICANT -5jZ[ {� l'['� C T'_�`I xic-, Print) 5TE. A MAILING ADDRESS 1?• '�'�,S p T Phone No.�b • `� -fo' 94D (a� CITY, STATE, ZIP: S t R I-11-0 Fax No. _ __ j b a - 116 ' i4 R% PROPERTY OWNER (Ifdifferent): Print} MAILING ADDRESS{ 1T_` ne No CITY, STATE, ZIP: II ax No. MERGER LOCATION: Assessor Parcel Number • • /51111... . / of Parcels to be Merged: Parcel 1 -6 10 - Parcel 2 Parcel - - Parcel 4 - - (Attach additional she is, it' neee:ssary� 1 20J al L) Merger maybe processed if the following requirement is satisfied: ells �ANC� Q�ah171 At least one of the affected parcels is undeveloped by any structure for which a building it was -issued or for which a building permit was not required at the time of construction, or is developed only with an accessory structure or accessory structures, or is developed with a single structure, other than an accessory structure, that is also partially sited on a contiguous parcel or unit. PAApplicationsTarcel Merger Approval.doc 01 CRITERIA FOR APPROVAL: To obtain approval of a merger, the following criteria shall be met: 0 The merger complies with the standards specified in Section above. ❑ The parcel will be consistent with the zoning of the property. 0 The parcel will not conflict with the location of existing structures on the property. Q The parcel will not be deprived of adequate access as a result of the merger. ❑ Access to adjoining properties will not be restricted as a result of the merger. ❑ No new lot lines are'created by the merger. 1VITNIMUM SUBMISSION REQUIRE1VIENT5 O Existing grant deeds or title reports for all affected parcels. ❑ New, original, unrecorded Grant Deeds for each resulting parcel with. the following: XCorrect legal description of the merged parcel and the statement, "This Grant Deed reflects Parcel Merger No. ��- as approved the City of La Qitinta." Completed Certificate of Parcel-M ger.No_ , "Exhibit A" Completed Certificate of Parcel .Merger No. , "Exhibit B" - Plat showing merged parcels Completed Site Plan, showing merger -parcels and existing structures and improvements; if -any. If metes and bounds legal description is used for merged parcels, closing calculations shall be submitted. 5zxa - Filing fee for Parcel Merger. If filing Multiple applications, the most expensive application will be charged full fee, with ' . ainiiig -irlated appiications discounted 50% for each.. •}� •9 ►♦� Oi ••• ►•i i a r►� ••• ••� •: +w♦ ♦•• •+i •• r. r� •� •. •+ �r r►*w •♦� ►•� •�� •♦� ri • : a♦� �� •� •♦� i • ••• ♦•a ••♦ •ai ft♦ i . Vrn i ► r •�� � i ♦e V-1 �i►+a� ►�� •�• •�w •�♦ ♦�• SIGNATURE OF APPLICANT v _ DATE�r . NAME OF APP LICANT _r�?� —15- SIGNATURE OF PROPERTY O IF NOT SAME AS APPLICANT: NAME OF OWNER NOTE: print) DATE 2. (Please lirint) (Separate written authority by owner to submit application may be submitted) FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL, RE GROUNDS FOR DENYING APPLICATION.