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BRES2019-0542tev QaiKev (;e*11 "h I)FSE. r PERMIT # — Q S PLAN LOCATION: Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: fi� C�vtNs/f Cf� � 'G�!NVr f fAO l Vy r*-w Applicant Name: • �D Address: -T3 v u)r--t, b-A C Dr- City,ST,Zip: LA- U {lam j C Telephone: 2Glo• 22 G"-:� Email: i/iA Ve_cAekL5-N'11A�1- LDVA Valuation of Project $ 040�7" 1*5w Contractor Name: New SFD Construction: Address: Conditioned Space 12� lit SF City, St, Zip Garage " 1� SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lie: City Bus Lie: Arch/Eng Name: �� L t` e.AN Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie: Property Owner's Name: j�1 fC �� j�j (��'�N� New Commercial / Tenant Improvements: Address: G692 Total Building SF City, ST, Zip �1 `� �%��,/� ail;- Construction Type: Occupancy: Telephone: — Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Design and Development Department - Building Division 78-495 Colle Tampico, La Quinta, CA 92253 PH: (760) 777-7125 Fax: (760) 777-7011 Website: www.la-quinta.org DEFERRED TRUSS SUBMITTAL FORM RECEIVED Date: i2 %2 7 / [ DEC 2 3 2019 Application Number:� CITY OF LA QUINTA Project Street Address: DESIGN AND DEVELOPMi NT DEPARTMENT Applicant 6rchitect or❑ Contractor of Project (Please check appropriate box) Policy Conditions: 1. Limited to Custom residential pre -fabricated wood trussed roof projects on a case by case basis; 2. This form will be completed and submitted to the Building Division for approval prior to the Second submittal, ** The approved form will be submitted as part of the second submittal package; 3. Deferred Truss Submittal will consist of two sets wet stamped Truss Calculations, Roof Layout and Engineer of Record's Acceptance stamp or letter; 4. Review timeframe is 10 working days; 5. Service Fee of plan review and processing based on actual hourly cost of plans examiner, structural consultant, permit technician (payment required at the time of pickup of approved truss calculations; 6. The deferred truss submittal review and approval will be required prior to a foundation / footing inspection (no exceptions). 7. The approved "JOB" Copy of Truss Calculations is required to be onsite at the time of inspection. Print name: '4j zc),2f Signature: By singing t pp Ican es and agrees to all conditions and requirements. Approved By: Title: y Date: Z-) 20 "Note to Permit Technician: Do Not Accept submittal without Approval of Form 78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.org PRINT 14+ 1 Sladden Engineering 45090 Golf Center Parkway, Suite F, Indio, CA 92201(760) 863-0713 6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 800 E. Florida Avenue, Hemet, CA. 92543 (951) 766-8777 www.Sladdenengineering.com November 21, 2019 Project No. 544-19352 19-11-526 McClure Homes, LLC Claret Cove La Q RECEIVED La Quinta, California 92253 Subject: Geotechnical Update DEC 2 3 2019 Project: Proposed Custom Residence CITY OF ILA QJINTA Ross Avenue - Lots 34A & 35A DESIGN AND DEVELOPMENT DEPARTMENT The Madison Club La Quinta, California Ref: Geotechnical Investigation Report prepared by Sladden Engineering dated January 28, 2005; Project No. 544-4810, Report No. 05-01-101 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated March 2, 2006; Project No. 522-4810; Report No. 06-02-120 In accordance with your request, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of the proposed custom residence to be constructed on Lots 34A and 35A located along Ross Avenue within the Madison Club development in the City of La Quinta, California. It is our understanding that the proposed residential structure will be of relatively lightweight wood -frame construction and will be supported by conventional shallow spread footings and concrete slabs on grade. The referenced reports include recommendations pertaining to the design and construction of residential structure foundations. The previous reports also address the potential for liquefaction, subsidence and differential settlement. Based upon our review of the referenced reports, it is our opinion that the structural values included in these reports remain applicable for the design and construction of the proposed residential structure foundations. The allowable bearing pressures recommended in the referenced Geotechnical Investigation report remain applicable. Conventional shallow spread footings should be bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing allowable bearing pressures of 1500 psf and 2000 psf, respectively. Allowable increases of 300 psf for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be utilized, if desired. The maximum allowable bearing pressure should be 3000 psf. The recommended allowable bearing pressures may be increased by one-third for wind and seismic loading. Sladden Engineering # t sk i November 21, 2019 -2- Project No. 544-19352 19-11-526 Lateral forces may be resisted by friction along the base of the foundations and passive resistance along the sides of the footings. A friction coefficient of 0.48 times the normal dead load forces is recommended for use in design. Passive resistance may be estimated using an equivalent fluid weight of 300 pcf. If used in combination with the passive resistance, the frictional resistance should be reduced by one third to 0.33 times the normal dead load forces. The bearing soil is generally non -expansive and falls within the "very low" expansion category in accordance with the 2016 (CBC) classification criteria. Slab thickness and reinforcement should be determined by the Project Structural Engineer. We recommend a minimum floor slab thickness of 4.0 inches and minimum reinforcement of #3 bars at 24 inches on center in both directions. All slab reinforcement should be supported on concrete chairs to ensure that reinforcement is placed at slab mid -height. Slabs with moisture sensitive surfaces should be underlain with a moisture vapor retarder consisting of a polyvinyl chloride membrane such as 10-mil visqueen, or equivalent. All laps within the membrane should be sealed and at least 2 inches of clean sand should be placed over the membrane to promote uniform curing of the concrete. To reduce the potential for punctures, the membrane should be placed on a pad surface that has been graded smooth without any sharp protrusions. If a smooth surface cannot be achieved by grading, consideration should be given to placing a 1-inch thick leveling course of sand across the pad surface prior to placement of the membrane. Sladden has reviewed the 2016 California Building Code (CBC) and summarized the current seismic design parameters for the proposed structure. The seismic design category for a structure may be determined in accordance with Section 1613 of the 2016 CBC or ASCE7. According to the 2016 CBC, Site Class D may be used to estimate design seismic loading for the proposed structures. The 2016 CBC Seismic Design Parameters are summarized below. Risk Category (Table 1.5-1): Il Site Class (Table 1613.3.2): D Ss (Figure 1613.3.1):1.500g SI (Figure 1613.3.1): 0..686g Fa (Table 1613.3.3(1)):1.0 Fv (Table 1613.5.3(2)):1.5 Sms (Equation 16-37 (Fa X Ss)):1.500g Smi (Equation 16-38 (Fv X S1)):1.029g SDS (Equation 16-39 (2/3 X Sms}): 1.00Og SD1(Equation 16-40 (2/3 X Sm1j): 0.686g Seismic Design Category: D The subject lots were previously graded during the rough grading of the Madison Club project site. The rough grading included over -excavation and re -compaction of the native surface soil along with the placement of engineered fill material to construct the building pads. The site grading is summarized in the referenced report of Testing and Observation During Rough Grading along with the compaction test results. Sladden Engineering L November 21, 2019 -3- Project No. 544-19352 19-11-526 Because the lots have been previously rough graded, the remedial grading required at this time should be minimal provided that the building areas fall within the previously assumed building envelopes. The building areas should be cleared of surface vegetation, scarified and moisture conditioned prior to precise grading. The exposed surface should be compacted to a minimum of 90 percent relative compaction prior to fill placement. The previously removed soil and any fill material should be placed in thin lifts at near optimum moisture content and compacted to at least 90 percent relative compaction. We appreciate the opportunity to provide service to you on this project. If you have any questions regarding this letter or the referenced reports, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING Brett L. Anderson Principal Engineer SER/ra ANDERSON No. C45389 CIVIL. A ENGINEERING 74 Copies: 4/McClure Homes, LLC Sladden Engineering Please verify that soils reports contain all of the above information. In addition, to assure continuity between the Investigationlreporting stage and the execution stage, please use the following checklist to verify that the conclusions and recommendations in the report cover all the required elements. Only then can we be assured that the construction documents address all of the site soil conditions. La Quinta Geotechnical Report Checklist Does the "Conclusions and Recommendations" section of the report address each of the following criteria? "Address" means: (a) the criterion is considered significant and mitigation measures) noted, or, (b) the criterion is considered insighificant and explicitly so stated. Y No Crliterion ❑ Foundation criteria based upon bearing capacity of natural or compacted soil. ❑ Foundation criteria to mitigate the effects of expansive soils. ❑ Foundation criteria based upon bearing capacity, of natural or compacted soft. K❑ Foundation criteria to mitigate the effects of liquefaction. ❑ Foundation criteria to mitigate the effects of seismically induced differential settlement. ❑ Foundation criteria to mitigate the effects of long-term differential settlement_ C] Foundation criteria to mitigate the effects of varying soil strength. ❑ Foundation criteria to mitigate expected total and differential settlement. Any "No" answers to the -above checklist should be noted as specific required corrections. RECORDING REQUESTED BY: Fidelity National Title Insurance Company AND WHEN RECORDED MAIL TO: Lucian Grainge, or Assignee 2220 ��Q� � �G Sa o Gat 4b9404 Order No.: 003-30020889-A-LD1 Escrow No.: FS2705 A.P.N.: 767-680-039-2 TRA: 020-205 ECEIVED DEC 2 3 2019 CITY OF LA QUINTA AND DEVELOPMENT DEPARTMENT DOC # 2018-0492058 12/19/2018 01:58 PM Fees: $20.00 Page 1 of 3 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 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DE LARE(S) DOCUMENTARY TRANSFER TAX IS $ 6.5t�.50 [ x ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Quinta FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Jonathan Jason Sures and Molly Isaksen Sures, Trustees of The Sures Isaksen Family Trust dated September 25, 2010 hereby GRANT(S) to Lucian Grainge C�o11 ��A� WOIAM and Wo AS COTAMW�1�j aoQ `I. the following described real property in the County of Riverside, State of California See Exhibit "A" attached hereto and made a part hereof. 11-1 Exempt from fee per GC 27388.1 (a) Commonlyknown as: 53551 Ross Avenue, Lot 34A , La Quinta, CA 92253 with recorded r subject to in connection with a transfer subject to the imposition Dated: December 6, 2018 of documentary transfer tax 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 CALIFORNI� q COUNTY OF L 1�fYy �pI,,j SS. On 1`" before me, a notary pu lic pe Wally appeared who proved to me on the psis of satisfactory evidence to be the personV whose nam tq& subscribpdtp the within instru t a cknowl geld to me tha /Key executed same in7ehalf t authorized cape d at by $htity rr on the instrument th perso , or the up n f hich the persol�[s) acted, exe ted the instrument. [t, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph * true and correct. I A ;/ 1 WITNESS Ov h4bd and The Sures Isaksen Family Trust dated MICHAEL C. COMBS - ' NotaryPublic- California Los Angeles County Commission # 2197779 My Comm. Expires tun 15, 2021 Signatur 11 & A V A I 1111A (Seal) (This area for official notary seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE DOC #2018-0492058 Page 2 of 3 •RNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE �oc.cl .G1� .W .AC.G\2_A .Ll`.L\C.S�S��.:1�..'� .Gl .q .:l _:1!_q _L1 .A _T q .A _q w .a .G� .c�f:�'.:\c�<.:�� .A!!'.�c.:12�•ra2�����.'. 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 LQ�7 ►9' Date personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be a son whose namcs� f; QQ r�i/be to the within instruEes)lt and acknowle d to me that sh y executed the sa``i�re t�'ir authorized capacity and that by /t*it signature on he instrument the perso or entit u on behalf of whia person(s) s acted eXecute the in tr Y P p () d e ument. MICHAEL C. COMBS Notarypublic-California z D les County 1Y Los Ange15,9# 219777 Comml55io2021 presJun MyComm.Ex I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNES h d and fficiqNo Signatur lk� A k Signature ublic 4 Place Notary Seal Above OPTIONAL Though this section is optional, 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: MOB Document Date: 2 Number of Pages: �_ Signer(s) Other Than Named Above: 3 Capacity(ies) Claimed by $igner Signer's Name:VVl`il�`'1 I`z` ` A� J �Signer'sName: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ,2<dividual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: tiS�...ih .'u�.A: -�A✓:�./Jni�`�1'��.5" 111.d5\����`i.G.:/ .G/T�.b'J:'✓.'J/`.•ib�✓ti1���✓:✓:�.•iS�✓.✓i�✓:�.:\:I�.c\::.\� �.\-Sc\� s\-! . DOC #2018-0492058 Page 3 of 3 PRELIMINARY REPORT Fidelity National Title Company Your Reference: Order No.: 003-30020889-A-LDI EXHIBIT A LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF LA QUINTA, IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL NO. 1: LOT 34 OF TRACT NO. 33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN ON SUBDIVISION MAP RECORDED ON SEPTEMBER 7, 2005, IN BOOK 388, PAGES 57 TO 79, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, AND AMENDED BY CERTIFICATE OF CORRECTION RECORDED ON APRIL 01, 2008 AS INSTRUMENT NO. 2008- 0160378, OF OFFICIAL RECORDS AND RECORDED MAY 4, 2010 AS INSTRUMENT NO. 2010-0204535, OF OFFICIAL RECORDS. PARCEL NO.2: NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS AND RESERVATION OF EASEMENTS FOR THE MADISON CLUB OWNERS ASSOCIATION RECORDED SEPTEMBER 13, 2005 AS INSTRUMENT NO. 2005-754387, OF OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. APN: 767-680-039-2 CLTA Preliminary Report Form — Modified (I 1/17/06) Page 3 f LIIICAGpTITLr Fidelity NationalriiticFNyTGO Cm"mvealW 9200m� 4210 Riverwalk Parkway, Suite 1uu Riverside, CA 92505 Phone-. (951) 710-5955 issuing uin Policies of Fidelity National Title Insurance Company-30020889-A-LDI Order No.: 0� � Title Officer: Lori Escrow Officer: LiDuhart BS/lE) sa Nelson : TORECEIVED Hideaway Properties Corporation c/o The Madison Club, 52050 M eriwether Way DEC 2 2019 La Quinta, CA 92253 CITY OF LA OUI"gTA ATTN:.Trae Cassell, Sales Manager DESIGN W DEVELI0?V0T DEPARTMENT YOUR REFERENCE uinta, CA PROPERTY ADDRESS.- 53551 Ross Avenue, La Q AMENDED PRELIMINARY PORT hereby Fidelity National Title Company herein, olicy p title insurance or policies of policy of title insurance referenced ate hereof, a p be sustained by lication for a p orth, insuring against loss which may rom coverage In response to the ap aYed to issue, or cause to be issued, as °f an exception herein or not excluded f reports that it is prepared or referred to as of said policy forms. n the land and the estate or iannce notshownConditions ° r olicies are set describing said policy o P reason of any defect, lien or encumbrance Covered Risks of pursuant to the printed Schedules, Conditions and Stipuiaeiand Limitations clause. When the Amount of Insurance anles°sr P from the coverage option of either the Comp Y Exceptions and Exclusions f contain an arbitration The printed Excep The policy to be issued may applicable to the CLTA and ALTA n Attachment One. clause, all arbitrable matters shall Covered RiskatapP forth i Maximum Dollar Limit of Liabilityfor o the parties. Limitations on are available from than that set forth in the arbitration forms should be read. They the Insured as the exclusive remedy f o ies of the policy f Title Insurance which establish Deductible Amount an a Homeowner's Policies of orth in Attachment On es are also set f of facilitating the issuance of a certain cove report. Y or the purpose rior to the issuance of a is issued solel fbe assumed p the office which issued this rep I it is desired that liability ts This report (and any supplements or arris a assumed heretby. f requested. policy of title insurance and n liability olicy(s) of Fidelity National Title Insurance Company ent policy of title insurance, a Binder or Commit hereunder bwill be p one o The policy(s) of title insurance to be issue Corporation. and the exceptions and exclusions smatters which arse not covered Florida Corp erred to herein rovide you with notice of Please read the exceptions shown or ref The exceptions and exclusions are meant to p this report carefully insurance policy and should be carefully considered• under the terms of the title written representation as to the condition of title and may not report is not a onand encumbrances affecting title to the land. It is important to note that this preliminary list all liens, defects Countersigned by: Authorized Sig nature page Re ort Form - Modified (11 /17/06) CLTA Preliminary P F N TG uucAcc�rn•i r 4210 Riverwalk Parkway, Suite 100 &AWARiverside, CA 92505 Fidelity Natioaai'rtic Phone: (951) 710-5941 BUILDER SERVICES�� Con wnwealdt- Fax: (951) 710-5955 AMENDED PRELIMINARY REPORT EFFECTIVE DATE: November 29, 2018 at 7:30 a.m., Amended: December 6, 2018, Amendment No. A ORDER NO.: 003-30020889-A-LD1 The form of policy or policies of title insurance contemplated by this report is: CLTA Standard Coverage Policy (04-08-14) THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: A Fee as to Parcel(s) 1; Easement(s) more fully described below as to Parcel(s) 2. 2. TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: Jonathan Jason Sures and Molly Isaksen Sures, Trustees of the Sures Isaksen Family Trust dated September 25, 2010 3. THE LAND REFERRED TO IN THIS REPORT IS DESCRIBED AS FOLLOWS: See Exhibit A attached hereto and made a part hereof. CLTA Preliminary Report Form — Modified (I 1/17/06) Page 2 0 PRELIMINARY REPORT Fidelity National Title Company Your Reference: Order No.: 003-30020889-A-LD l EXHIBIT A LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF LA QUINTA, IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL NO. 1: LOT 34 OF TRACT NO. 33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, AS SHOWN ON SUBDIVISION MAP RECORDED ON SEPTEMBER 7, 2005, IN BOOK 388, PAGES 57 TO 79, INCLUSIVE OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, AND AMENDED BY CERTIFICATE OF CORRECTION RECORDED ON APRIL 01, 2008 AS INSTRUMENT NO. 2008- 0160378, OF OFFICIAL RECORDS AND RECORDED MAY 4, 2010 AS INSTRUMENT NO. 2010-0204535, OF OFFICIAL RECORDS. PARCEL NO. 2: NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS AND RESERVATION OF EASEMENTS FOR THE MADISON CLUB OWNERS ASSOCIATION RECORDED SEPTEMBER 13, 2005 AS INSTRUMENT NO. 2005-754387, OF OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. APN: 767-680-039-2 CLTA Preliminary Report Form — Modified (11/17/06) Page 3 PRELIMINARY REPORT Your Reference: Fidelity National Title Company Order No.: 003-30020889-A-LD 1 EXCEPTIONS AT THE DATE HEREOF, ITEMS TO BE CONSIDERED AND EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POLICY FORM WOULD BE AS FOLLOWS: Property taxes, including any personal property taxes and any assessments collected with taxes, are as follows: Tax Identification No.: Fiscal Year: 1 st Installment: Penalty: 2nd Installment: Penalty and Cost: Homeowners Exemption: Code Area: 767-680-039-2 2018-2019 $25,394.70, Open (Delinquent after December 10) $2,539.47 $25,394.70, Open (Delinquent after April 10) $2,578.10 None 020-205 2. Any liens or other assessments, bonds, or special district liens including without limitation, Community Facility Districts, that arise by reason of any local, City, Municipal or County Project or Special District. 3. The lien of supplemental or escaped assessments of property taxes, if any, made pursuant to the provisions of Chapter 3.5 (commencing with Section 75) or Part 2, Chapter 3, Articles 3 and 4, respectively, of the Revenue and Taxation Code of the State of California as a result of the transfer of title to the vestee named in Schedule A or as a result of changes in ownership or new construction occurring prior to Date of Policy. 4. Water rights, claims or title to water, whether or not disclosed by the public records. 5. Easement(s) for the purpose(s) shown below and rights incidental thereto as set forth in a document: Purpose: Pipe lines and incidental purposes Recording Date: June 28, 1949 Recording No: Book 1088, Page 80, of Official Records Affects: said land more particularly described therein Matters contained in that certain document Entitled: Quitclaim Deed Recording Date: February 23, 2011 Recording No: 11-82546, of Official Records Reference is hereby made to said document for full particulars. The fact that said land lies within the Coaehella Valley Soil Conservation District as evidenced by a Resolution and Order recorded December 13, 1956, in Book 2011, Page 519, of Official Records of Riverside County, California. Matters contained in that certain document Entitled: Resolution No. 2000-164 Recording Date: December 18, 2000 Recording No: 2000-502483, of Official Records Reference is hereby made to said document for full particulars. CLTA Preliminary Report Form — Modified (11/17/06) Page 4 1 � PRELIMINARY REPORT Your Reference: EXCEPTIONS (Continued) 8. Matters contained in that certain document Entitled: Resolution No. 2000-163 Recording Date: December 18, 2000 Recording No: 2000-502484, of Official Records Reference is hereby made to said document for full particulars. 9. Matters contained in that certain document Entitled: Agreement Recording Date: December 28, 2000 Recording No: 00-515110, of Official Records Reference is hereby made to said document for full particulars. 10. Matters contained in that certain document Entitled: Irrigation Water Service Agreement Recording Date: June 29, 2001 Recording No: 01-298678, of Official Records Reference is hereby made to said document for full particulars. 11. Matters contained in that certain document Fidelity National Title Company Order No.: 003-30020889-A-LD 1 Entitled: Domestic Water and Sanitation System Installation Agreement Recording Date: July 21, 2003 Recording No: 03-543684, of Official Records Reference is hereby made to said document for full particulars. 12. Easement(s) for the purpose(s) shown below and rights incidental thereto as set forth in a document: Purpose: Transmission of electric energy for communications, telecommunications, video, intelligence by electrical means and/or other purposes and incidental purposes Recording Date: December 16, 2004 Recording No: 2004-0996311, of Official Records Affects: said land more particularly described therein 13. All easements, offers and dedications as shown on the official map Tract of: 33076-1 CLTA Preliminary Report Form — Modified (I 1/17/06) Page 5 PRELIMINARY REPORT Your Reference: Fidelity National Title Company Order No.: 003-30020889-A-LD 1 EXCEPTIONS (Continued) 14. Declaration of covenants, conditions and restrictions but omitting any covenants or restrictions, if any, including but not limited to those based upon race, color, religion, sex, sexual orientation, familial status, marital status, disability, handicap, national origin, citizenship, immigration status, primary language, ancestry, source of income, gender, gender identity, gender expression, medical condition or genetic information, as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law, as set forth in the below document, which, among other things, may contain or provide for easements; assessments, liens and the subordination thereof; said covenants, conditions and restrictions provide that a violation thereof shall not defeat the lien of any mortgage or deed of trust made in good faith and for value: Recording Date: September 13, 2005 Recording No: 05-754387, of Official Records Said instrument also provides for the levy of assessments, the lien of which is stated to be subordinate to the lien of a first mortgage or first deed of trust made in good faith or for value. Liens and charges as set forth in the above mentioned declaration, Payable to: The Madison Club Owners Association Modification(s) of said covenants, conditions and restrictions Recording Date: March 9, 2018 Recording No: 2018-0091479, of Official Records 15. Easement(s) or right(s) of way for the purpose(s) shown below and rights incidental thereto, as granted and/or reserved in various deeds of record: Purpose: Ingress and egress, pipelines, drainage and/or public utilities and incidental purposes thereto over, under, along and across the easement parcel(s) herein described Affects: Parcel(s) 2 16. The search did not disclose any open mortgages or deeds of trust of record, therefore the Company reserves the right to require further evidence to confirm that the property is unencumbered, and further reserves the right to make additional requirements or add additional items or exceptions upon receipt of the requested evidence. 17. Any invalidity or defect in the title of the vestees in the event that the trust referred to herein is invalid or fails to grant sufficient powers to the trustee(s) or in the event there is a lack of compliance with the terms and provisions of the trust instrument. If title is to be insured in the trustee(s) of a trust, (or if their act is to be insured), this Company will require a Trust Certification pursuant to California Probate Code Section 18100.5. The Company reserves the right to add additional items or make further requirements after review of the requested documentation. CLTA Preliminary Report Form — Modified (11/17/06) Page 6 PRELIMINARY REPORT Your Reference: Fidelity National Title Company Order No.: 003-30020889-A-LD 1 EXCEPTIONS (Continued) 18. Any rights of the parties in possession of a portion of, or all of, said Land, which rights are not disclosed by the public records. The Company will require, for review, a full and complete copy of any unrecorded agreement, contract, license and/or lease, together with all supplements, assignments and amendments thereto, before issuing any policy of title insurance without excepting this item from coverage. The Company reserves the right to except additional items and/or make additional requirements after reviewing said documents. PLEASE REFER TO THE "INFORMATIONAL NOTES" AND "REQUIREMENTS" SECTIONS WHICH FOLLOW FOR INFORMATION NECESSARY TO COMPLETE THIS TRANSACTION. END OF EXCEPTIONS CLTA Preliminary Report Form — Modified (I1/]7/06) Page 7 PRELIMINARY REPORT Fidelity National Title Company Your Reference: Order No.: 003-30020889-A-LD l REQUIREMENTS SECTION 1. In order to complete this report, the Company requires a Statement of Information to be completed by the following party(s), Party(s): All Parties The Company reserves the right to add additional items or make further requirements after review of the requested Statement of Information. NOTE: The Statement of Information is necessary to complete the search and examination of title under this order. Any title search includes matters that are indexed by name only, and having a completed Statement of Information assists the Company in the elimination of certain matters which appear to involve the parties but in fact affect another party with the same or similar name. Be assured that the Statement of Information is essential and will be kept strictly confidential to this file. 2. The Company will require either (a) a complete copy of the trust agreement and any amendments thereto certified by the trustee(s) to be a true and complete copy with respect to the hereinafter named trust, or (b) a Certification, pursuant to California Probate Code Section 18100.5, executed by all of the current trustee(s) of the hereinafter named trust, a form of which is attached. Name of Trust: The Sures Isaksen Family Trust dated September 25, 2010 3. Satisfactory evidence must be furnished from the secretary or other duly qualified officer of the Association showing that all assessments and fees, including special assessments or payments due to others, such as master associations, are paid in full through the date of closing. 4. Pursuant to the type of transaction contemplated in this Report, a Documentary Transfer Tax Affidavit must be filled out and executed to accompany the Transfer Deed, a form of which can be obtained by going to the following Website www.riversideacr.com or by contacting your Title Officer or Escrow Officer. 5. The Company will require an affidavit signed by the seller/mortgagor certifying that there are no matters that could give rise to any defects, liens, encumbrances, adverse claims or other matters that would attach to the Land between the effective date of the report and the recording of the instruments creating the estate to be insured. END OF REQUIREMENTS CLTA Preliminary Report Form — Modified (I 1/17/06) Page 8 PRELIMINARY REPORT Fidelity National Title Company Your Reference: Order No.: 003-30020889-A-LD 1 INFORMATIONAL NOTES SECTION Note: There are NO conveyances affecting said Land recorded within 24 months of the date of this report. 2. Note: None of the items shown in this report will cause the Company to decline to attach CLTA Endorsement Form 100 to an Extended Coverage Loan Policy, when issued. 3. Note: Association Assessments are periodically due from holders of title to said Land to the Homeowner's Association and transfer fees may be due whenever there is a transfer of title of any of the units. In order to ascertain seller's/buyer's association assessments and transfer fee requirements prior to transfer of a unit, Escrow companies are requested to contact said Homeowner's Association. 4. Note: The Company is not aware of any matters which would cause it to decline to attach CLTA Endorsement Form 116 indicating that there is located on said Land Single Family Residential located in a Planned Unit Development, known as 53551 Ross Avenue, City of La Quinta, California, 92253, to an Extended Coverage Loan Policy. 5. Note: Please contact your Title Officer to obtain the current recording fees. Fidelity National Title Company will pay Fidelity National Title Insurance Company 12% of the title premium, as disclosed on lines 1107 and 1108 of the HUD-1. 6. Note: The policy of title insurance will include an arbitration provision. The Company or the insured may demand arbitration. Arbitrable matters may include, but are not limited to, any controversy or claim between the Company and the insured arising out of or relating to this policy, any service of the Company in connection with its issuance or the breach of a policy provision or other obligation. Please ask your escrow or title officer for a sample copy of the policy to be issued if you wish to review the arbitration provisions and any other provisions pertaining to your Title Insurance coverage. 7. The Company and its policy issuing agents are required by Federal law to collect additional information about certain transactions in specified geographic areas in accordance with the Bank Secrecy Act. If this transaction is required to be reported under a Geographic Targeting Order issued by FinCEN, the Company or its policy issuing agent must be supplied with a completed ALTA Information Collection Form ("ICF") prior to closing the transaction contemplated herein. To protect the private information contained in the attached form and photo ID, please return via a secured method. 8. Notice: Please be aware that due to the conflict between federal and state laws concerning the cultivation, distribution, manufacture or sale of marijuana, the Company is not able to close or insure any transaction involving Land that is associated with these activities. Pursuant to Government Code Section 27388.1, as amended and effective as of 1-1-2018, a Documentary Transfer Tax (DTT) Affidavit may be required to be completed and submitted with each document when DTT is being paid or when an exemption is being claimed from paying the tax. If a governmental agency is a party to the document, the form will not be required. DTT Affidavits may be available at a Tax Assessor -County Clerk -Recorder. 10. Due to the special requirements of SB 50 (California Public Resources Code Section 8560 et seq.), any transaction that includes the conveyance of title by an agency of the United States must be approved in advance by the Company's State Counsel, Regional Counsel, or one of their designees. END OF INFORMATIONAL NOTES Lori Duhart (BS/IE)/717 CLTA Preliminary Report Form — Modified (11/17/06) Page 9 IRE SAFE Inquire before you wire! Wire Fraud Alert This Notice is not intended to provide legal or professional advice. If you have any questions, please consult with a lawyer. All parties to a real estate transaction are targets for wire fraud and many have lost hundreds of thousands of dollars because they simply relied on the wire instructions received via email, without further verification. If funds are to be wired in conjunction with this real estate transaction, we strongly recommend verbal verification of wire instructions through a known, trusted phone number prior to sending funds. In addition, the following non-exclusive self-protection strategies are recommended to minimize exposure to possible wire fraud. • NEVER RELY on emails purporting to change wire instructions. Parties to a transaction rarely change wire instructions in the course of a transaction. • ALWAYS VERIFY wire instructions, specifically the ABA routing number and account number, by calling the party who sent the instructions to you. DO NOT use the phone number provided in the email containing the instructions, use phone numbers you have called before or can otherwise verify. Obtain the phone number of relevant parties to the transaction as soon as an escrow account is opened. DO NOT send an email to verify as the email address may be incorrect or the email may be intercepted by the fraudster. • USE COMPLEX EMAIL PASSWORDS that employ a combination of mixed case, numbers, and symbols. Make your passwords greater than eight (8) characters. Also, change your password often and do NOT reuse the same password for other online accounts. • USE MULTI -FACTOR AUTHENTICATION for email accounts. Your email provider or IT staff may have specific instructions on how to implement this feature. For more information on wire -fraud scams or to report an incident, please refer to the following links: Federal Bureau of Investigation: httn://www./bi.Qov Wire Fraud Alert Original Effective Date: 5/11/2017 Current Version Date: 5/11/2017 Internet Crime Complaint Center: httn://www.ic3.eov Page 1 WIRE0016 (DSI Rev. 12/07/17) TM and c) Fidelity National Financial, Inc. and/or an affiliate. All rights reserved FIDELITY NATIONAL FINANCIAL, INC. PRIVACY NOTICE Fidelity National Financial, Inc. and its majority -owned subsidiary companies (collectively, "FNF," "our," or "we") respect and are committed to protecting your privacy. This Privacy Notice explains how we collect, use, and protect personal information, when and to whom we disclose such information, and the choices you have about the use and disclosure of that information. Types of Information Collected We may collect two types of information from you: Personal Information and Browsing Information. Personal Information. FNF may collect the following categories of Personal Information: • contact information (e.g., name, address, phone number, email address); • demographic information (e.g., date of birth, gender, marital status); • identity information (e.g., Social Security Number, driver's license, passport, or other government ID number); • financial account information (e.g., loan or bank account information); and • other personal information necessary to provide products or services to you. Browsing Information. FNF may automatically collect the following types of Browsing Information when you access an FNF website, online service, or application (each an "FNF Website") from your Internet browser, computer, and/or mobile device: • Internet Protocol (IP) address and operating system; • browser version, language, and type; • domain name system requests; and • browsing history on the FNF Website, such as date and time of your visit to the FNF Website and visits to the pages within the FNF Website How Personal Information is Collected We may collect Personal Information about you from: • information we receive from you on applications or other forms; • information about your transactions with FNF, our affiliates, or others; and • information we receive from consumer reporting agencies and/or governmental entities, either directly from these entities or through others. How Browsing Information is Collected If you visit or use an FNF Website, Browsing Information may be collected during your visit. Like most websites, our servers automatically log each visitor to the FNF Website and may collect the Browsing Information described above. We use Browsing Information for system administration, troubleshooting, fraud investigation, and to improve our websites. Browsing Information generally does not reveal anything personal about you, though if you have created a user account for an FNF Website and are logged into that account, the FNF Website may be able to link certain browsing activity to your user account. Other Online Specifics Cookies. When you visit an FNF Website, a "cookie" may be sent to your computer. A cookie is a small piece of data that is sent to your Internet browser from a web server and stored on your computer's hard drive. Information gathered using cookies helps us improve your user experience. For example, a cookie can help the website load properly or can customize the display page based on your browser type and user preferences. You can choose whether or not to accept cookies by changing your Internet browser settings. Be aware that doing so may impair or limit some functionality of the FNF Website. Web Beacons. We use web beacons to determine when and how many times a page has been viewed. This information is used to improve our websites. Do Not Track. Currently our FNF Websites do not respond to "Do Not Track" features enabled through your browser. Links to Other Sites. FNF Websites may contain links to other websites. FNF is not responsible for the privacy practices or the content of any of those other websites. We advise you to read the privacy policy of every website you visit. Use of Personal Information FNF uses Personal Information for three main purposes: • To provide products and services to you or in connection with a transaction involving you. • To improve our products and services. • To communicate with you about our, our affiliates', and third parties' products and services, jointly or independently. When Information Is Disclosed We may make disclosures of your Personal Information and Browsing Information in the following circumstances: • to enable us to detect or prevent criminal activity, fraud, material misrepresentation, or nondisclosure; • to nonaffiliated service providers who provide or perform services or functions on our behalf and who agree to use the information only to provide such services or functions; • to nonaffiliated third party service providers with whom we perform joint marketing, pursuant to an agreement with them to jointly market financial products or services to you; • to law enforcement or authorities in connection with an investigation, or in response to a subpoena or court order; or FNF Privacy Statement (Eff. 5/1/2015) Last Updated May I, 2018 Copyright O 2018. Fidelity National Financial, Inc. All Rights Reserved MISCO219 (DSI Rev. 4/23/18) Page I Order No. 30020889-003-LN-LDI • in the good -faith belief that such disclosure is necessary to comply with legal process or applicable laws, or to protect the rights, property, or safety of FNF, its customers, or the public. The law does not require your prior authorization and does not allow you to restrict the disclosures described above. Additionally, we may disclose your information to third parties for whom you have given us authorization or consent to make such disclosure. We do not otherwise share your Personal Information or Browsing Information with nonaffiliated third parties, except as required or permitted by law. We reserve the right to transfer your Personal Information, Browsing Information, and any other information, in connection with the sale or other disposition of all or part of the FNF business and/or assets, or in the event of bankruptcy, reorganization, insolvency, receivership, or an assignment for the benefit of creditors. By submitting Personal Information and/or Browsing Information to FNF, you expressly agree and consent to the use and/or transfer of the foregoing information in connection with any of the above described proceedings. Please see "Choices With Your Information" to learn the disclosures you can restrict. Security of Your Information We maintain physical, electronic, and procedural safeguards to guard your Personal Information. We limit access to nonpublic personal information about you to employees who need to know that information to do their job. When we provide Personal Information to others as discussed in this Privacy Notice, we expect that they process such information in compliance with our Privacy Notice and in compliance with applicable privacy laws Choices With Your Information If you do not want FNF to share your information with our affiliates to directly market to you, you may send an "opt out" request by email, phone, or physical mail as directed at the end of this Privacy Notice. We do not share your Personal Information with nonaffiliates for their use to direct market to you. Whether you submit Personal Information or Browsing Information to FNF is entirely up to you. If you decide not to submit Personal Information or Browsing Information, FNF may not be able to provide certain services or products to you. For California Residents: We will not share your Personal Information and Browsing Information with nonaffiliated third parties, except as permitted by California law. For Nevada Residents: You may be placed on our internal Do Not Call List by calling (888) 934-3354 or by contacting us via the information set forth at the end of this Privacy Notice. Nevada law requires that we also provide you with the following contact information: Bureau of Consumer Protection, Office of the Nevada Attorney General, 555 E. Washington St., Suite 3900, Las Vegas, NV 89101; Phone number: (702) 486-3132; email: BCPINFO@ag.state.nv.us. For Oreson Residents: We will not share your Personal Information and Browsing Information with nonaffiliated third parties for marketing purposes, except after you have been informed by us of such sharing and had an opportunity to indicate that you do not want a disclosure made for marketing purposes. For Vermont Residents: We will not share information about your creditworthiness to our affiliates and will not disclose your personal information, financial information, credit report, or health information to nonaffiliated third parties to market to you, other than as permitted by Vermont law, unless you authorize us to make those disclosures. Information From Children The FNF Websites are meant for adults and are not intended or designed to attract persons under the age of eighteen (I8). We do not collect Personal Information from any person that we know to be under the age of thirteen (13) without permission from a parent or guardian. International Users FNF's headquarters is located within the United States. If you reside outside the United States and choose to provide Personal Information or Browsing Information to us, please note that we may transfer that information outside of your country of residence for any of the purposes described in this Privacy Notice. By providing FNF with your Personal Information and/or Browsing Information, you consent to our collection, transfer, and use of such information in accordance with this Privacy Notice. FNF Website Services for Mortgage Loans Certain FNF companies provide services to mortgage loan servicers, including hosting websites that collect customer information on behalf of mortgage loan servicers (the "Service Websites"). The Service Websites may contain links to both this Privacy Notice and the mortgage loan servicer or lender's privacy notice. The sections of this Privacy Notice titled When Information is Disclosed, Choices with Your Information, and Accessing and Correcting Information do not apply to the Service Websites. The mortgage loan servicer or lender's privacy notice governs use, disclosure, and access to your Personal Information. FNF does not share Personal Information collected through the Service Websites, except (1) as required or authorized by contract with the mortgage loan servicer or lender, or (2) as required by law or in the good -faith belief that such disclosure is necessary to comply with a legal process or applicable law, to enforce this Privacy Notice, or to protect the rights, property, or safety of FNF or the public. Your Consent To This Privacy Notice; Notice Changes By submitting Personal Information and/or Browsing Information to FNF, you consent to the collection and use of the information in accordance with this Privacy Notice. We may change this Privacy Notice at any time. The revised Privacy Notice, showing the new revision date, will be posted on the FNF Website. Each time you provide information to us following any amendment of this Privacy Notice, your provision of information to us will signify your assent to and acceptance of the terms of the revised Privacy Notice for all previously collected information and information FNF Privacy Statement (Eff. 5/l/2015) Last Updated May 1, 2018 Copyright © 2018. Fidelity National Financial, Inc. All Rights Reserved MISCO219 (DSI Rev. 4/23/18) Page 2 Order No. 30020889-003-LN-LDI collected from you in the future. We may use comments, information or feedback that you submit to us in any manner that we may choose without notice or compensation to you. Accessing and Correcting Information; Contact Us If you have questions, would like to access or correct your Personal Information, or want to opt -out of information sharing for affiliate marketing, send your requests via email to privacy@fnf.com, by phone to (888) 934-3354, or by mail to: Fidelity National Financial, Inc. 601 Riverside Avenue Jacksonville, Florida 32204 Attn: Chief Privacy Officer FNF Privacy Statement (Eff. 5/1/2015) Last Updated May 1, 2018 Copyright C 2018. Fidelity National Financial, Inc. All Rights Reserved MISCO219 (DSI Rev. 4/23/18) Page 3 Order No. 30020889-003-LN-LDI Notice of Available Discounts Pursuant to Section 2355.3 in Title 10 of the California Code of Regulations Fidelity National Financial, Inc. and its subsidiaries ("FNF") must deliver a notice of each discount available under our current rate filing along with the delivery of escrow instructions, a preliminary report or commitment. Please be aware that the provision of this notice does not constitute a waiver of the consumer's right to be charged the field rate. As such, your transaction may not qualify for the below discounts. You are encouraged to discuss the applicability of one or more of the below discounts with a Company representative. These discounts are generally described below; consult the rate manual for a full description of the terms, conditions and requirements for each discount. These discounts only apply to transaction involving services rendered by the FNF Family of Companies. This notice only applies to transactions involving property improved with a one -to -four family residential dwelling. FNF Underwritten Title Company FNF Underwriter FNTC - Fidelity National Title Company FNTIC - Fidelity National Title Insurance Company FNTCCA —Fidelity National Title Company of California Available Discounts CREDIT FOR PRELIMINARY REPORTS AND/OR COMMITMENTS ON SUBSEQUENT POLICIES (FNTIC) Where no major change in the title has occurred since the issuance of the original report or commitment, the order may be reopened within 12 or 36 months and all or a portion of the charge previously paid for the report or commitment may be credited on a subsequent policy charge. DISASTER LOANS (FNTIC) The charge for a lender's Policy (Standard or Extended coverage) covering the financing or refinancing by an owner of record, within 24 months of the date of a declaration of a disaster area by the government of the United States or the State of California on any land located in said area, which was partially or totally destroyed in the disaster, will be 50% of the appropriate title insurance rate. CHURCHES OR CHARITABLE NON-PROFIT ORGANIZATIONS (FNTIC) On properties used as a church or for charitable purposes within the scope of the normal activities of such entities, provided said charge is normally the church's obligation the charge for an owner's policy shall be 50% to 70% of the appropriate title insurance rate, depending on the type of coverage selected. The charge for a lender's policy shall be 40% to 50% of the appropriate title insurance rate, depending on the type of coverage selected. CA Discount Notice Effective Date: 12/02/2014 ATTACHMENT ONE CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY — 1990 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance or governmental regulation (including but not limited to building or zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating (i) the occupancy, use, or enjoyment of the land; (ii) the character, dimensions or location of any improvement now or hereafter erected on the land; (iii) a separation in ownership or a change in the dimensions or area of the land or any parcel of which the land is or was a part; or (iv) environmental protection, or the effect of any violation of these laws, ordinances or governmental regulations, except to the extent that a notice of the enforcement thereof or a notice of a defect, lien, or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy. (b) Any governmental police power not excluded by (a) above, except to the extent that a notice of the exercise thereof or notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy. 2. Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3. Defects, liens, encumbrances, adverse claims or other matters: (a) whether or not recorded in the public records at Date of Policy, but created, suffered, assumed or agreed to by the insured claimant; (b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy; (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the insured mortgage or for the estate or interest insured by this policy. 4. Unenforceability of the lien of the insured mortgage because of the inability or failure of the insured at Date of Policy, or the inability or failure of any subsequent owner of the indebtedness, to comply with the applicable doing business laws of the state in which the land is situated. 5. Invalidity or unenforceability of the lien of the insured mortgage, or claim thereof, which arises out of the transaction evidenced by the insured mortgage and is based upon usury or any consumer credit protection or truth in lending law. 6. Any claim, which arises out of the transaction vesting in the insured the estate of interest insured by this policy or the transaction creating the interest of the insured lender, by reason of the operation of federal bankruptcy, state insolvency or similar creditors' rights laws. EXCEPTIONS FROM COVERAGE - SCHEDULE B, PART I This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason of: I. Taxes or assessments which are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the public records. Proceedings by a public agency which may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the public records. 2. Any facts, rights, interests, or claims which are not shown by the public records but which could be ascertained by an inspection of the land or which may be asserted by persons in possession thereof. 3. Easements, liens or encumbrances, or claims thereof, not shown by the public records. 4. Discrepancies, conflicts in boundary lines, shortage in area, encroachments, or any other facts which a correct survey would disclose, and which are not shown by the public records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b) or (c) are shown by the public records. 6. Any lien or right to a lien for services, labor or material not shown by the public records. CLTA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13) ALTA HOMEOWNER'S POLICY OF TITLE INSURANCE EXCLUSIONS In addition to the Exceptions in Schedule B, You are not insured against loss, costs, attorneys' fees, and expenses resulting from: 1. Governmental police power, and the existence or violation of those portions of any law or government regulation concerning: a. building; b. zoning; C. land use; Attachment One (6-5-14) CA & NV Page 1 d. improvements on the Land; e. land division; and f. environmental protection. This Exclusion does not limit the coverage described in Covered Risk 8.a., 14, 15, 16, 18, 19, 20, 23 or 27. 2. The failure of Your existing structures, or any part of them, to be constructed in accordance with applicable building codes. This Exclusion does not limit the coverage described in Covered Risk 14 or 15. 3. The right to take the Land by condemning it. This Exclusion does not limit the coverage described in Covered Risk 17. 4. Risks: a. that are created, allowed, or agreed to by You, whether or not they are recorded in the Public Records; b. that are Known to You at the Policy Date, but not to Us, unless they are recorded in the Public Records at the Policy Date; c. that result in no loss to You; or d. that first occur after the Policy Date - this does not limit the coverage described in Covered Risk 7, 8.e., 25, 26, 27 or 28. 5. Failure to pay value for Your Title. 6. Lack of a right: a. to any land outside the area specifically described and referred to in paragraph 3 of Schedule A; and b. in streets, alleys, or waterways that touch the Land. This Exclusion does not limit the coverage described in Covered Risk 11 or 21. 7. The transfer of the Title to You is invalid as a preferential transfer or as a fraudulent transfer or conveyance under federal bankruptcy, state insolvency, or similar creditors' rights laws. 8. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 9. Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. LIMITATIONS ON COVERED RISKS Your insurance for the following Covered Risks is limited on the Owner's Coverage Statement as follows: • For Covered Risk 16, 18, 19, and 21 Your Deductible Amount and Our Maximum Dollar Limit of Liability shown in Schedule A. The deductible amounts and maximum dollar limits shown on Schedule A are as follows: Our Maximum Dollar Your Deductible Amount Limit of Liability 1.00% % of Policy Amount Shown in Schedule A or Covered Risk 16: $2,500.00 (whichever is less) $ 10,000.00 1.00% % of Policy Amount Shown in Schedule A or Covered Risk 18: $5,000.00 (whichever is less) $ 25,000.00 1.00% of Policy Amount Shown in Schedule A or Covered Risk 19: $5,000.00 (whichever is less) $ 25,000.00 1.00% of Policy Amount Shown in Schedule A or Covered Risk 21: $2,500.00 (whichever is less) $ 5,000.00 2006 ALTA LOAN POLICY (06-17-06) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1(a) does not modify of limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; Attachment One (6-5-14) CA & NV Page 2 (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 13 or 14); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing - business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury or any consumer credit protection or truth -in -lending law. 6. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer, or (b) a preferential transfer for any reason not stated in Covered Risk 13(b) of this policy. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the Insured Mortgage in the Public Records. This Exclusion does not modify or limit the coverage provided under Covered Risk 1 1(b). The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE (Except as provided in Schedule B - Part II,( t(or T)his policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: (PART I (The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof, (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the Public Records. PART II In addition to the matters set forth in Part I of this Schedule, the Title is subject to the following matters, and the Company insures against loss or damage sustained in the event that they are not subordinate to the lien of the Insured Mortgage:) 2006 ALTA OWNER'S POLICY (06-17-06) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion ](a) does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 9 and 10); or Attachment One (6-5-14) CA & NV Page 3 (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Title. 4. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction vesting the Title as shown in Schedule A, is (a) a fraudulent conveyance or fraudulent transfer; or (b) a preferential transfer for any reason not stated in Covered Risk 9 of this policy. 5. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the deed or other instrument of transfer in the Public Records that vests Title as shown in Schedule A. The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: (The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown in the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and that are not shown by the Public Records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof, (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the Public Records. 7. (Variable exceptions such as taxes, easements, CC&R's, etc. shown here.) ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY (04-02-15) EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1(a) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. (b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or 28); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing - business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury, or any consumer credit protection or truth -in -lending law. This Exclusion does not modify or limit the coverage provided in Covered Risk 26. 6. Any claim of invalidity, unenforceability or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made after the Insured has Knowledge that the vestee shown in Schedule A is no longer the owner of the estate or interest covered by this policy. This Exclusion does not modify or limit the coverage provided in Covered Risk 11. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching subsequent to Date of Policy. This Exclusion does not modify or limit the coverage provided in Covered Risk I I (b) or 25. Attachment One (6-5-14) CA & NV Page 4 8. The failure of the residential structure, or any portion of it, to have been constructed before, on or after Date of Policy in accordance with applicable building codes. This Exclusion does not modify or limit the coverage provided in Covered Risk 5 or 6. 9. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer, or (b) a preferential transfer for any reason not stated in Covered Risk 27(b) of this policy. 10. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 11. Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances. Attachment One (6-5-14) CA & NV Page 5 00 § k Fz §§§$$pp of)It g gjf aM J8883 g °p valdLeP « / l�j, 4 � 44 , LO 9 0 � °°0'� /'� Z 4 ', r 84 a�dsalawn .''' £4 g 9V'JV tLt � , 64 r $ ¢ aw! s - t? OS a a, °• a s£ dz C z5 � - ago -az0 vat !t s c$ - via 1f7 ¢ - - - - - ---- - --wa ---- 19t'OLO VUL — rroa — — o- O — OL f p n�vxor a Ad anus 9 L5 ° } � eeue r� iC W BrLt L£ to ZL , esc DLO �o 09 _ of zz ��� t9 � Lz n ° �•� ��� 9� air � O arms ,artln rry,r �, goo c9 99 6Z OE LE ZE r,"' 11 al 19 6969 O! EE �LLy a4! t! <sal !rat `d. ¢no e3 Agn%l ss , 90 8L a This map/plat is being furnished as an aid in locating the herein described Land in relation to adjoining streets, natural boundaries and other land, and is not a survey of the land depicted. Except to the extent a policy of title insurance is expressly modified by endorsement, if any, the Company does not insure dimensions, distances, location of easements, acreage or other matters shown thereon. Order 30020889 Page 1 of 1 Requested By Boopath9 Raian K , Primed 10124J2018 6 06 AM Doc 767-68 MAP ASSESSOR OWNER'S DECLARATION The undersigned hereby declares as follows: (Fill in the applicable paragraph and strike the other) a. Declarant ("Owner") is the owner or lessee, as the case may be, of certain premises located at further described as follows: See Preliminary Report/Commitment No. 30020889-003-LN-LDI for full legal description (the "Land"). b. Declarant is the of ("Owner"), which is the owner or lessee, as the case may be, of certain premises located at further described as follows: See Preliminary Report/Commitment No. 30020889-003-LN-LD I for full legal description (the "Land"). (Fill in the applicable paragraph and strike the other) a. During the period of six months immediately preceding the date of this declaration no work has been done, no surveys or architectural or engineering plans have been prepared, and no materials have been furnished in connection with the erection, equipment, repair, protection or removal of any building or other structure on the Land or in connection with the improvement of the Land in any manner whatsoever. b. During the period of six months immediately preceding the date of this declaration certain work has been done and materials furnished in connection with upon the Land in the approximate total sum of $ but no work whatever remains to be done and no materials remain to be furnished to complete the construction in full compliance with the plans and specifications, nor are there any unpaid bills incurred for labor and materials used in making such improvements or repairs upon the Land, or for the services of architects, surveyors or engineers, except as follows: . Owner, by the undersigned Declarant, agrees to and does hereby indemnify and hold harmless Fidelity National Title Company against any and all claims arising therefrom. 3. Owner has not previously conveyed the Land; is not a debtor in bankruptcy (and if a partnership, the general partner thereof is not a debtor in bankruptcy); and has not received notice of any pending court action affecting the title to the Land. 4. Except as shown in the above -referenced Preliminary Report/Commitment, there are no unpaid or unsatisfied mortgages, deeds of trust, Uniform Commercial Code financing statements, regular assessments, special assessments, periodic assessments or any assessment from any source, claims of lien, special assessments, or taxes that constitute a lien against the Land or that affect the Land but have not been recorded in the public records. There are no violations of the covenants, conditions and restrictions as shown in the above -referenced Preliminary Report/Commitment. 5. The Land is currently in use as occupy/occupies the Land; and the following are all of the leases or other occupancy rights affecting the Land: 6. There are no other persons or entities that assert an ownership interest in the Land, nor are there unrecorded easements, claims of easement, or boundary disputes that affect the Land. 7. There are no outstanding options to purchase or rights of first refusal affecting the Land. This declaration is made with the intention that Fidelity National Title Company (the "Company") and its policy issuing agents will rely upon it in issuing their title insurance policies and endorsements. Owner, by the undersigned Declarant, agrees to indemnify the Company against loss or damage (including attorneys fees, expenses, and costs) incurred by the Company as a result of any untrue statement made herein. I declare under penalty of perjury that the foregoing is true and correct and that this declaration was executed on at Signature: MISCO220.doc — Owner's Declaration (Rev. 05/05/15) STATEMENT OF INFORMATION CONFIDENTIAL INFORMATION STATEMENT TO BE USED IN CONNECTION WITH ORDER NO: 30020889-003-LD1 COMPLETION OF THIS FORM WILL EXPEDITE YOUR ORDER AND WILL HELP PROTECT YOU. THE STREET ADDRESS of the property in this transaction is: IF NONE LEAVE BLANK ADDRESS: CITY: IMPROVEMENTS: O SINGLE RESIDENCE O MULTIPLE RESIDENCE OCCUPIED BY: O OWNER O LESSEE ANY PORTION OF NEW LOAN FUNDS TO BE USED FOR CONSTRUCTION: O COMMERCIAL O TENANTS O YES O NO NAME SPOUSES NAME FIRST MIDDLE LAST FIRST MIDDLE LAST BIRTHPLACE BIRTH DATE BIRTHPLACE BIRTH DATE 1 HAVE LIVED IN CALIFORNIA SINCE SOCIAL SECURITY NUMBER DRIVER'S LICENSE NO. WIFE'S MAIDEN NAME: WE WERE MARRIED ON I HAVE LIVED IN CALIFORNIA SINCE SOCIAL SECURITY NUMBER DRIVER'S LICENSE NO. AT RESIDENCE(S) FOR LAST 10 YEARS NUMBER AND STREET CITY FROM TO NUMBER AND STREET CITY FROM TO NUMBER AND STREET CITY FROM TO NUMBER AND STREET CITY FROM TO OCCUPATION(S) FOR LAST 10 YEARS HUSBAND PRESENT OCCUPATION FIRM NAME ADDRESS NO OF YEARS PRIOR OCCUPATION FIRM NAME ADDRESS NO OF YEARS PRIOR OCCUPATION FIRM NAME WIFE ADDRESS NO OF YEARS PRESENT OCCUPATION FIRM NAME ADDRESS NO OF YEARS PRIOR OCCUPATION FIRM NAME ADDRESS NO OF YEARS PRIOR OCCUPATION FIRM NAME ADDRESS NO. OF YEARS FORMER MARRIAGES: IF NO FORMER MARRIAGES, WRITE "NONE": NAME OF FORMER SPOUSE IF DECEASED: DATE WHERE CURRENT LOAN ON PROPERTY PAYMENTS ARE BEING MADE TO I. 2. 3. HOMEOWNERS ASSOCIATION NUMBER: DATE SIGNATURE 1QUIuIIIIIIilII]►L1 BUSINESS PHONE MISC0008(Rev 09/15/2011) RECORDING REQUESTED BY Fidelity National Title Company WHEN RECORDED MAIL TO: =add ressee= ORDER NO.: 30020889-003-LDI SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATION OF TRUST California Probate Code Section 18100.5 The undersigned declare(s) under penalty of perjury under the laws of the State of California that the following is true and correct: 1. The Trust known as executed on is a valid and existing trust. 2. The name(s) of the settlor(s) of the Trust is (are): 3. The name(s) of the currently acting trustee(s) is (are): 4. The trustee(s) of the Trust have the following powers (initial applicable line(s)): Power to acquire additional property. Power to sell and execute deeds. Power to encumber, and execute deeds of trust. Other: 5. The Trust is (check one): Revocable Irrevocable The name of the person who may revoke the Trust is: 6. The number of trustees who must sign documents in order to exercise the powers of the Trust is (are): whose name(s) is (are): 7. Title to Trust assets is to be taken as follows: 8. The Trust has not been revoked, modified or amended in any manner which would cause the representations contained herein to be incorrect. 9. 1 (we) am (are) all of the currently acting trustees. 10. 1 (we) understand that I (we) may be required to provide copies of excerpts from the original Trust documents which designate the trustees and confer the power to act in the pending transaction. Dated (Acknowledgement must be attached) TRST0003 (DSI Rev. 11/05/14) CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC 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 } SS: On before me, a 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. Signature CERTIFICATE OF ACKNOWLEDGEMENT OF NOTARY PUBLIC 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 } SS: 92 before me, a 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. Signature F N TG Riverside, CA 92505 LiiiLp�;pTITLP 4210 Riverwalk Parkway, Suite 100 &OFidelitvYational'ntic Phone: (951) 710-5941 BUILDER SERVICES' Fax: (951) 710-5955 4 Conanorre eatttf This Affidavit, when fully completed, is to be signed and notarized, then returned to Fidelity National Title Company to enable Fidelity National Title Company to insure the presently pending transaction. AFFIDAVIT The undersigned owner hereby states that there are no unrecorded leases or agreements affecting the property described in the Preliminary Report for Title Order Number 30020889-003-LN-LDI and that there is no one in possession or entitled to possession of said property other than the vestee shown in said Preliminary Report, except: The undersigned owner states that to his/her knowledge, there are no liens or rights to liens upon said property for labor, services and materials for work contracted for, and completed by, an owner, lessee, sub -lessee or tenant within the last year or which is now in progress, except: This statement is made in connection with the request to Fidelity National Title Company to issue its policy(ies) of title insurance with respect to Title Order Number 30020889-003-LN-LDI. Dated: By: By: _ By: _ By: _ Address: 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 ) SS: Subscribed and sworn to (or affirmed) before me on this day of by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. (Seal) Signature Owner's Information Statement Last Saved: 12/6/2018 12:22 PM by VCO AFFD0002 (DSI Rev. 8/8/18) Page 11 Order No.: 3 0020889-003-LN-LD I FNTG CI IIC AGO TITLE Fidelity National Tide' • BUILDER SERVICES Conn onwea1W October 24, 2018 Hideaway Properties Corporation c/o The Madison Club, 52050 Meriwether Way La Quinta, CA 92253 4210 Riverwalk Parkway, Suite 100 Riverside, CA 92505 Phone: (951) 710-5941 Fax: (951) 710-5955 We are required by Federal Law to collect certain additional information regarding the purchase of real property. United States Code Title 31 Section 5326 authorizes the U.S. Department of Treasury to collect certain information about certain transactions in specified geographic areas in order to carry out the purposed or prevent evasions of the Bank Secrecy Act. This statute, as implemented by the Treasury orders, also prohibits me from disclosing the specific terms of the Geographic Targeting Orders. Please find attached a questionnaire that Buyer(s) must complete and return along with copies of Buyer(s) ID and entity documents. The attached questionnaire will need to be reviewed and approved prior to closing. Property: 53551 Ross Avenue, La Quinta, CA 92253 Order No.: 30020889-003-LN-LD1 To protect the private information contained in the attached form please return via a secure method. FinCEN Data Collection Coverage Page Last Saved: 12/6/2018 12:22 PM by VCO UFRM0005 (DSI Rev. 6/5/18) Order No.: 30020889-003-LN-LDI American Land Title Association ALTA Information Collection Form Page 13 of 4 Under 31 U.S.C. § 5326(a), the Treasury Department's Financial Crimes Enforcement Network (FinCEN) issued a Geographic Targeting Order to title insurance companies requiring the collection of beneficial ownership information for certain real estate transactions. Please complete the below questionnaire. This Company will rely on the answers provided to meet its reporting obligations. Who is completing this form? Name Position/Title Company/Law Firm Postal Address (Headquarters City State Zip EIN Number Phone Email Fax License # Transactional Information Property Address (If Multiple properties see NOTE beloiv): City State Zip County Date of Settlement Total purchase price (if multiple properties see NOTE beloiv) Type of Transaction: ❑ Residential (1-4 family) ❑ Commercial Bank Financing: ❑ Yes ❑ No Purchase type: ❑ Natural Person ❑ Corporation ❑ LLC ❑ Partnership ❑ Trust ❑ Other NOTE: If more than one property is purchased, list each address and purchase price as an addendum. Purchase Funds Information Total Amount paid by below instruments: $ Which type of Monetary Instruments were used (Use check boxes below) ❑ U.S. Currency (Paper money & coin) ❑ Foreign Currency Country: ❑ Cashier's check(s) ❑ Money order(s) ❑ Certified check(s) ❑ Personal or Business check(s) ❑ Wire or other funds transfer(s) ❑ Virtual Currency Copyright 2006-2018 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Information Collection Form (05/21/18) Last Saved: 7/15/2013 12:52 AM by VCO UFRM0004 (DSI Rev. 9/11/18) Order No.: 30020889-003-LN-LDI ALTA Information Collection Form Page 14 of 4 Individual Primarily Representing Purchaser (Define as the individual authorized by the entity to enter into legally binding contracts). American Land Title Association P. P,o,,,owg ilw. "-- D"", Sing Pip - Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name 71First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (tl none write N A) Address City State Zip Purchaser's Name & Address Name of Purchaser Taxpayer ID Number or EIN (If Doing Business Name (DBA) (ifnone write NA) none write N A) Address City State Zip TRUSTS ONLY — Indicate who conducted the transaction: ❑ Trustee ❑ Settlor ❑ Other Complete the following pages if the real estate purchase is being made by a corporation, LLC, partnership, other legal entity or trust. For Corporations, LLCs, Partnerships and Other Entities provide the information for: • Each BENEFICIAL OWNER who, directly or indirectly, owns 25% or more of the equity interests of the Purchaser. If a legal entity or a series of legal entities is the beneficial owner of the Purchaser, provide information for the ultimate beneficial owner of all the legal entities. For Trusts provide the information for: • Trustee, settlor and EACH beneficiary of the trust. If the trustee, settlor or a beneficiary is a legal entity, provide information for the entity and the ultimate beneficial owner that directly or indirectly owns 25% or more of that entity. (Note: It is NOT necessary to complete the address fields if the information is on a legible copy of the government issued ID submitted to the title underwriter.) Copyright 2006-2018 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Information Collection Form (05/21/18) Last Saved: 7/15/2013 12:52 AM by VCO UFRM0004 (DSI Rev. 9/11/18) Order No.: 30020889-003-LN-LD1 ALTA Information Collection Form Page 15 of 4 JVAmerican Land . 1*-1-mg11—N— 1110- Title Association Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (,> none write N A) Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation [TFaxpayer ID Number or EIN ( / write N A) Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (if none write N A) Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. N Occupation Taxpayer [D Number or EIN (� none write N A) Address City State Zip Copyright 2006-2018 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Information Collection Form (05/21/18) Last Saved: 7/15/2013 12:52 AM by VCO UFRM0004 (DSI Rev. 9/11/18) Order No.: 30020889-003-LN-LDI ALTA Information Collection Form Page 16 of 4 IAmerican Land Title Association ® Pn tleUin�lhe A—K ,..I —"$Inn• I40- Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (if none write N A) Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (f/ none write N A) Address City State Zip Attach Legible copy of government issued identification (i.e., passport, driver's license, etc.) Type of ID Issuing State or Country % of ownership interest Last Name First Name M.I. Date of Birth Occupation Taxpayer ID Number or EIN (if none write N A) Address City State Zip I declare that to the best of my knowledge, the information I have furnished is true, correct and complete. I understand that this Title Company will rely on this information for the purposes of completing any reports made pursuant to an obligation under 31 U.S.C. § 5326(a), Signature: Date: Type or Print Name: Title: Copyright 2006-2018 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Information Collection Form (05/21/18) Last Saved: 7/15/2013 12:52 AM by VCO t JFRM0004 (DSI Rev. 9/11/18) Order No.: 30020889-003-LN-LD1