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LLA 1989-053ca Y4:-_F r: a "n CASE INFORMATTON Case No. '; A L-,�7-o53. Application Received'by � A VL Date Application Checked by Date Applicant: %,vT—,g , CD TPhone: s-art FT,7 Address: PcDP-,(-Dx -7-�l i/3 Owner:. Phone: Address: �- Street city State - i Representative: Lit°w Phone: Address: Street city State Zip Code 1. Subject: L-i A 7> 2. Location: Mr 3. Environmental Information E.A. No. Notice of Declaration 4. Related Files: E.I.R.No. G 7z� Fee Information Filing Fee $ E.A. Fee $ Total $ - Additional Fees $ Receipts for Fees: 5. Parcel Size/Acreage 9. Circulation Element A�,, n-xrA-,-,ro 6. General Plan Designation 10. Housing Element �� - P - ! 7. Zoning �, - /� 11. Council District 8. Surrounding Zoning S-�Z_ 12. Assessor's .�� 774-�k4 5 6 7 3. 4. 5. 6. 7. I '2 '3 Tentative Hearing Date _ Agency. Deadline Date _ Plot Plan Checked Legal Description Transmittals encnry rY u0" CC -EA PC CC Nntice Aaencv Hearing Information Date _ Action Ex "A" Notice Genera e e hone Road De artment Cit of Cal Trans _ Count PlanningWater ua it _ CVCWD Home Owners _ Parks Bui din Dept. _ Health Dept. Fire City Engineer Other _ Transmittals sent by: Public Hearing Notice Date: Notice Posted by: Entered in: Counter Book: Applicant Notified of Action: File Closed: 4. Additional Pertinent Information: Page Date: Notice Mailed by: Date: _ Parcel Agencies Notified: By SON �go 000 000 Q CZ ti 4;.• ia4er CALLE N a � 1_ f4 05 3CQ n 3 " 261 a q 6 0 W v CU o c ° 5 O.41 N 0 30Ac M ° 2 ! mG /S ii 3 O e ` 4 O v N Na O S 5 aaaa • e O � /Sa bb B /47.S1 O,467 264 \ /O 033A 3 . /1 0,46Ac /3 e e me /q a. 3 "o Y J /J L;2 v_ — fib. ab /7 /. h 'E /2i.rS h /9 "..'6 ` 10 //2,04 0 �o 1/ „ °S N s M m TEMECULA I h � C e A W Twyl 4 79495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 January 3, 1994 Ms. Audrey B. Ostrowsky P.O. Box 351 La Quints, CA 92253 SUBJECT: LOT LINE ADJUSTMENT #89-053 Dear Ms. Ostrowsky: As you requested, this is to confirm that the subject lot line adjustment associated with lots 15, 16, and 17, Block 274 of Santa Carmelita at Vale La Quints, Unit #25, was recorded by Riverside County on March 28, 1989. This lot line adjustment created two parcels with a frontage of 75' each. These parcels are buildable in conformance with the requirements of the La Quinta General Plan and the Special Residential (SR) Zoning regulations. For your records, these parcel numbers are 774-264-027 and 774-264-028. Should you have any questions, please contact the undersigned. Very truly yours, JERRY HERMAN DIRECTOR OF PLANNING AND DEVELOPMENT .' WALLACE NESBIT Associate Planner WN:kas cc: File LLA 89-053 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 LTRW.016 ��� Order No. Paording W %d B ' Escrow y _ � Loan No.. d WHEN RECORDED MAIL TO: CD CITY OF LA QUINTA -� +` y. 0. BOX 1504 '^"LLa Quinta, CA 922b3 ` ITS SPACE ABOVE THIS LINE FOR RECOROBR'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX$..........-:0................................. ...... Computed on the consideration or value of property conveyed; OR Audrey B. Ostrowsky ...... Computed on the consideration or value less liens or encumbrances P.O. BOX 351 remaining at time of sale. La Ouinta, CA 92253 _ signature of Declarant or Agent detennining tax — Firm Name GRANT DEED -tea FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 hereby GRANT(S) to AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June. 30, 1975 the real property in the City of La Quinta County of Riverside State of California, described as Lot 17 and the south half of Lot 16 in Block 274, of Santa Carmelita at Vale La Quinta, Unit No. 25 as per Map recorded in Book 19, Pages 50 and 51 of Maps, Riverside County Records. This deed reflects Lot Line Adjustment No. 89-053, as approved by the City of La Ouinta. Dated I STATE OF CALTRNIA Iss. COUNTY OF - On of Fe b2(JaR� /4 19en before me, the undersigned, a Notary Public in and f r said State, per- sonally appeared_-e Q ' �����5 c� personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same. WITNESS my a and official seal. Signet Y 4:. (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE Order No. R Escrow No. R By: Loan No. WHEN RECORDED 'AIL TO: CITY OF LA QUINTA P. 0. BOX 1504 La Quinta, CA 92 5� MAIL TAX STATEMENTS 10: Audrey B. Ostrowsky P.O. Box 351 La Ouinta, CA 92253 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX$......-0::................................. ... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. signature of Dactar t determining tax —Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 1975 AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, hereby GRANT(S) to AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 the real property in the City Of La Quinta State of California, described as County of Riverside Lots 15 and the north half of Lot 16 in Block 274 of Santa Carmelita atValELde ca Quinta iver Unit No. 25 as per Map recorded in Book. 19, Pages 50 and 51 of Maps, County Records. This deed reflects Lot Line Adjustment No. 89-053, as approved by the City of La Ouinta. Dated �`1`.X.I�=LLQ�_�J STATE OF CALI RNIA )ss. COUNTY OF - before me, the unders ned, a Notary Public in and for said State, Per- u d2� 2, aoax[q sonally appeared_ --- personally known to me (or 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. WITNESS my nd and official seal. Signaler — -- — � n t:JS,�1 OFFICIAL SEAL SAUNDRA L IUNOLA NOTAM PUBLJC • CALi ANN NNERSM COUNTY Ely Comm. Enka 0". 18, 1992 (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) Date: D4a; �Gl/ 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 March 20, 1989 County Recorder County of Riverside P.O. Box 751 Riverside, CA 92502 SUBJECT: LOT LINE ADJUSTMENT NO. 89- 053 Dear Sir: Attached please find Grant Deeds for Lot Line Adjustment 89- 053 , with Exhibit(s),. Recordation is requested by and for the City of La Quinta, in accordance with Government Code Section 6103, to insure compliance with zoning requirements prior to any construction taking place. Please record and return a copy of these documents to this office so our records can be updated. Thank you. Very truly yours, <::�KL-air, s Glenda Lainis Assistant Planner GL/mr attachments cc: Property Owner LLA File MR/FORMLET.002 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ?4� C1 D• .V f AC _14 ri e5 E 1,6T m o Lb Later 1-� /7 � c h /J, S5' h of- /9 , /9 i4- m Q I 3 o� 0 V� 30 36 MW z®O z v °80 -��u ° /6 O 15 /O 14 01 v i1 4+ s o I Gal LA. S- =`—° — CAL. T E-GAT E Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: CITY OF LA QUINTA P. 0. BOX 1504 La Quints, CA 92253 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $.......-....................................... ...... Computed on the consideration or value of property conveyed; OR Audrey B. Ostrowsky ...... Computed on the consideration or value less lle,ns or encumbrances P.O. Box 351 remaining at time of sale. La Ouinta, CA 92253 Signature of Declarant or Agent determining tax — Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1S175 hereby GRANT(S) to AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 the real property in the City of La Quinta County of Riverside , State of California, described as Lots 15 and the north half of Lot 16 in Block 274 of Santa Carmelita at Vale La Quinta Unit No. 25 as per Map recorded in Book 19, Pages 50 and 51 of Maps, Riverside County Records. This deed reflects Lot Line Adjustment No. 89-053, as approved by the City of La Quinta. Dated`-`""'' I STATE OF CALI RNIA -L ss. COUNTrY OF zm_ before me, the underrs�Q ned, a Notary Public in and for said State, per- sonally appeared ✓�L% N �,� personally known to me (or 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. WITNESS my In nd and official seal. r ^ // s Signal -- --� , (This area for official not.11z1 seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: CITY OF LA QUINTA P. 0. BOX 1504 La Quints, CA 92253 SPACE THIS LINE FOR RECORD[-R'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $. .......... Q :.............................. ...... Computed on the consideration or value of property conveyed; OR Audrey B. Ostrowsky ...... Computed on the consideration or value less liens or encumbrances P.O. BOX 351 remaining at time of sale. La Quinta, CA 92253 Signature of Declarant or Aaant deters ni ninp tax -Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 hereby GRANT(S) to AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 the real property in the City of La Quinta County of Riverside State of California, described as Lot 17 and the south half of Lot 16 in Block 274, of Santa Carmelita all Vale La Quinta, Unit No. 25 as per Map recorded in Book 19, Pages 50 and 51 of Maps, Riverside County Records. This deed reflects Lot Line Adjustment No. 89-053, as approved by the City of La Quinta. Dated q) 1 STATE OF CAL RNIA Iss. COUNTY OF t U P On before me, the undersigned, a Notary Public in andf/p r said State, per- sonally aPPeare -L18 - CQ (�GUS k r personally known to me for 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. WITNESS my an and official seal. Signal -- r (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE . _ 4quo �•' 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 Sej mbe2-29, 1987 County Recorder County of Riverside P. O. Box 751 Riverside, CA 92502 SUBJECT: Lot Line Adjustment #87=033' Dear Sir: Attached please find the grant deed for Lot Line Adjustment No. 87-0-33. Pjg -015 3 /, Recordation is requested by and for the City of La Quinta,to insure compliance with Zoning requirements prior to any construction taking place. Please record and return these documents to this office,. Thank you. Very truly yours, Principal Planner JH:bja Atch: Grant Deedsfor Lot Line Adjustment #87- 30 3 cc: James -Laker -Trust ,4JO�P-ej File:-LL:A87-8-� g�-ems 3 F/CTYRE/LLA MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 CITY OF LA OUINTA PLANNING i DEVELOPMEN 0EPARTMENT 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 APPLICA:CION FOR LOT LINE ADJUSTMENT OFFICE USE ONLY Zoning: Related Cases: Reviewed By: j A (V1(— LLA No. ?)q-D53 Date: u u APPLICANT / 7� Name: Address: =' _ Daytime �^ Phone: J —J (City) (State)i ) IS PROPERTY OWNERS c Owner "A" Name: 0� Y Q Address: Phone: (City) (State) (Zip) Owner "B" Name: cam, 5 Address: Phone: (City) (State) (Zip) Owner "C" Name: Address: (City) (State) (Zip) Phone: PROPERTY DATA Property A: Assessor's Parcel Number: Street Address (if any): Property B: Assessor's Parcel Number: Street Address (if any): Property C: Assessor's Parcel Number: b L. l0 Street Address (if any): 6 ADJUSTMENT REQUESTED: REASON FOR REQUEST:�� X�G� E APPLICANT INSTRUCTIONS A request for a Lot Line Adjustment may be approved only if the following findings are made pursuant to Section 13.68.020 of the La Quinta Municipal Code: 1. The adjustment involves adjacent parcels; 2. No additional parcels are created; 3. None of the parcels involved are reduced below the minimum development standards. LOT LINE ADJUSTMENT APPLICATIONS MUST INCLUDE THE FOLLOWING: 1. Completed and signed application form. 2. A map or the current Assessor's Map page showing the proposed lot line adjustment, including the following: dimensions, existing and proposed lot lines, and, unless property lies within the Cove area, all angles of direction . 3. A metes and bounds legal description. For Cove area lots, a legal description by :Lot, block, unit and/or tract number is acceptable. 4. Proof of ownership in the form of a copy of the original Grant Deed for the properties involved. 5. New, original, unrecorded Grant Deed(s) with the following noted on the Deed(s): - Correct legal description(s) for each adjusted property; - "THIS DEED REFLECTS LOT LINE ADJUSTMENT NO. ___, AS APPROVED BY THE CITY OF LA QUINTA." (The Lot Line Adjustment Number will be filled in by this office.) This is required whether or not there is a conveyance involved, as state Law does not recognize a lot line adjustment by itself as a legal, recordable document. 6. APPLICATION FEE: $175 in cash or check payable to the City of La Quinta. The Planning and Development Department will review and, if complete and acceptable, the Planning Director will approve the Lot Line Adjustment Application. The Application will, then be forwarded to the County Recorder's Office for recording purposes. MR/FORMLLA.001 APRIL 1988 E i'il;I I/We hereby certify that: 1) I am/We are the record owner(s) of all parcels proposed for merger by this Application; (2) I/We have knowledge of and consent to the filing of this Application; and, 3) The information submitted in connection with this Application is true and correct. O\\wwn\�e� r� "A": Name Date Owner "B": �c n Name ( Date Owner "C": -- _ c+� n Name h Date Representative Signature: (Attach Letter(s) of Authorization) Date MR/FORMLLA.001 APRIL 1988 11, IRECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW. MAIL TAX STATEMENTS TO NAVE SInIT AUDREY OSTROWSKY ADonE55 39-137 Moronga Canyon CITY 1 Palm Desert, Ca. 92260 STATE L— I rj ZIP o J TITLE ORDER No 27802 Esc Row NO 84801 3 N O rC 0 0 Ov f (Z cts' T. OL � < Yvv or ri ��T 1 Bill 0 IN Oa U O VOS u$ UA W a 0 S g d p,eTRIs U = us � 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) ] 70 DOCUMENTARY TRANSFER TAX is $ LJ computed on Tull value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, HILL VISTA, a partnership hereby GRANT(S) to AUDREY B. OSTROWSKY, Trustee of the Audrey B. Ostrowsky Trust dated June 30, 1975 the following described real property in the County of Riverside , State of California: Lots 15, 16 and 17 in Block 274 of SANTA CARMELITA at VALE LA QUINTA Unit No. 25 as per map recorded in Book 19 Pages 50 and 51 of Maps, Riverside County Records. HILL VISTA, a partnership, By: FRITZ B. BURNS 1975 TRUST, under August 5, 1977 Declaration of Trust dated October Dated 9 6,_1979, _ STATE OF CALIFORNIA l by: COUNTY OF )SS, iq C. sinner, Trustee On /)) before th the S se b undersigned, a Notary Public in and for said Slate, personally appeared p1 E. Rawl'nson, Trustee known to me to be the person whose name sub,cribed to the within instrument and acknowledged that executed the some. WITNESS my hand and official seal. Signature (This or. for offldal nobrlol real) MAIL TAX STATEMENTS AS DIRECTED ABOVE. HILL VISTA, a partnership, By: FRITZ B. BURNS 197S TRUST under Declaration of Trust dated October August 5, 1977 61 1975t - ---- - -- --' t-- -- -j c' VY . and JOSEPH E. RAWLINSON, known to me to be two of the Trustees of the FRITZ B. BURNS 1975 TRUST under Declaration of Trust dated ry October 6, 1975, who executed the within instrument on behalf of the Trust therein named and acknowledged to me that such Trust executed the within Instrument in accordance with the terms and provisions thereof. 11111MIMMIN113 OFFICIAL SEAL WIT SS ELEANOR S. MCKINLEY hand and officia seal. v, 1"."11 ,C C711LIFORNIA NOTA PR. CIPAi OFFICE IN my Eleanor S. McKinley, Not y Publ4Myu',,�jnrnv;,�jon Exj)ir-m Decenilur 3,1979 1 11 ,15 R Si /0 { 0 33Ac , 0 /2 /2 VI h /7m G1 0 N _ 1� 12 r�� a 3i f A`i �o /4 ° o J /5 /6 /6 I � m ., /7 /0 n v ° a .19 /9 30 3a e 200 ° y :/Z,f36 = a 2/ h S-25 -7 h 2230 /5 3 21 4O /6 4 h 20 0 / 19 65 h /6 7O (/9 7 'Y- �u /70 B 9 4 /6 0 /5/O 23/ /4 10✓ on /3 /2 /2 O 9� CALL E a � N 12 0•3 t 4C w o 14 �o c NE /7 / n i:✓ s5" K: /8 a /9. /9 30 W Zo 5 p /. CA l^ h 18 o �� _ y,i' u 4, /6 O9 /5 /O 2 n0 �r 1 ---`-`-- CALL T EG�TE. PRELIMINARY CH E OF OWNERSHIP REPORT (To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation Code.) FOR RECORDER'S USE ONLY THIS REPORT IS NOT A PUBLIC DOCUMENT SELLER/TRANSFEROR: BUYER/TRANSFEREE: ASSESSOR'S PARCEL NUMBER(S): PROPERTY ADDRESS OR LOCATION: - , Y 9 k�1$2��� �Q A Preliminary Change in ownership MAIL TAX INFORMATION TO: Name- } Report must be filed with each con- _ +� \ Y�W C / ,\ veyance in the County Recorder's of - Address yp S -. fice for the county where the property (� ^�' his located; this particular form may be `P,\ � ed in all 58 counties of California. The property which you acquired maybe subject to a supplemental assessment in an amount to be determined by the Riverside County Assessor. For further information on your supplemental roll obligation, please call Riverside County Assessor at (714) 787-6331. PART I: TRANSFER INFORMATION Please answer all questions YES NO ❑ ❑ A. Is this transfer solely between husband and wife? (Addition of a spouse, death of a spouse, divorce settlement, etc.) ❑ ❑ B. Is this transaction only a correction of the name(s) of the person(s) holding title to the propert/? (For example, a name change upon marriage) ❑ ❑ C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? ❑ ❑ D. Is this transaction recorded only to create, terminate, or reconvey a security interest (e.g., cosigner)? ❑ ❑ E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document? ❑ ❑ F. Cid this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ ❑ G. Coes this transfer return property to the person who created the joint tenancy (original transferor)? H. Is this transfer of property: ❑ ❑ 1. to a trust for the benefit of the grantor, or grantor's spouse? ❑ ❑ 2. to a trust revocable by the transferor? ❑ ❑ 3. to a trust from which the property reverts to the grantor within 12 years? ❑ ❑ I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? Please providot r information that would help to understand the nature of the transfer. Wl IF YOU HAVE ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS, PLEASE SIGN AND DATE ON THE BACK; SIDE. IF YOU HAVE ANSWERED "NO" TO ALL OF THE ABOVE QUESTIONS, PLEASE COMPLETE BALANCE OF THE FORM. PART II: OTHER TRANSFER INFORMATION A. Date of transfer if Other than recording date B. Type of transfer. Please check appropriate box. ❑ Purchase ❑ Foreclosure ❑i Gift ❑ Trade or Exchange ❑ Contract of Sale — Date of Contract ❑ Inheritance — Date of Death ❑ Other: Please explain: ❑ Creation of a Lease; ❑ Assignment of a Lease; ❑ Termination of a Lease Date lease began Original term in years (including written options) Remaining term in years (including written options) C. Was only partial interest in the property transferred? C Yes L No If yes, indicate the percentage transferred `11. SBE ASD AH 502-A FRONT U3 385) (REVISED 1-2-86) PINARY CHANGE OF OWNERSHIP RFT Please answer, to the best of ykn age, all applicable questions, sign and date. It a qua our does not apply, indicate with "NIA" PART III: PURCHASE PRICE & TERMS OF SALE A. CASH DOWN PAYMENT OR Value of Trade or Exchange (excluding closing cost) Amount $ B. FIRST DEED OF TRUST @ °% interest for -. years. Pymts.IMO. = $ (Prin. & Int. only) Amount $ FHA L Fixed Rate _7 New Loan .. Conventional Variable Rate L Assumed Existing Loan Balance l VA All Inclusive D.T. ($ _ Wrapped) C Bank or Savings & Loan Cal -Vet ,' Loan Carried by Seller : ; Finance Company Balloon Payment C - Yes I . No Due Date _ . _ - Amount $ C. SECOND DEED OF TRUST (d % interest for years. Pymts.IMo. _ $ (Prin. & Int. only) Amount $ Bank or Savings & Loan ._] Fixed Rate L New Loan I Loan Carried by Seller .. Variable Rate L Assumed Existing Loan Balance Balloon Payment . ' Yes L No Due Date _ __ _ Amount $ D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? L. Yes ._1 No Amount $ Type Ca % interest for years. Pymts./Mo. _ $ (Prin. & Int. only) Bank or Savings & Loan L Fixed Rate L New Loan . Loan Carried by Seller ". Variable Rate L Assumed Existing Loan Balance Balloon Payment Yes No Due Date - _ _ _ Amount $ E. IMPROVEMENT BOND . I Yes L No Outstanding Balance: Amount $ F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission of paid.) Total Items A through E $ Please explain any special terms or financing and any other information that would help the Assessor understand the purchase price and terms of sale. PART IV: PROPERTY INFORMATION A. IS PERSONAL PROPERTY INCLUDED IN THE PURCHASE PRICE? (other than a mobilehome subject to local property tax)? L Yes L No If yes, enter the value of the personal property included in the purchase price $ B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE: L Yes No If yes, enter date of occupancy MoniM1 Day I 19 or intended occupancy C. TYPE OF PROPERTY TRANSFERRED: ... Single-family residence [ Agricultural C. Multiple -family residence (no. of units: _) ❑ Co-op/Own-your-own Commercial/Industrial L Condominium L Other (Description: (Attach itemized list of personal property) I , 19 Month Day L Timeshare -1 Mobilehome i . Unimproved lot D. DOES THE PROPERTY PRODUCE INCOME? L] Yes No E. IF THE ANSWER TO QUESTION D IS YES, IS THE INCOME FROM: ('. Lease/Rent Contract D Mineral rights L Other -explain: Enter here, or on an attached sheet, any other information that would assist the Assessor in determining value of the property such as the physical condition of the property, restrictions, etc. I certify that the foregoing is true, Corr and complete to the best of my knowledge and belief. Signed v Date: -23- ew Owner/Legal RepresentatwelCorpo e Ofticeb Please Print Name of New Own egal Representative/Corpora Officer Phone No. where you are available from 8:00 a.m.-5:00 p.m. (NOTE: The Assessor may contact you for further information) If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20). The additional fee shall not be charged if the document is accompanied by an affidavit that the transferee is not a resident of California. AFFIDAVIT OF NON-RESIDENT TRANSFEREE The Transferee (buyer) named above is a resident of State and not a resident of the State of California. Signed Date: (New Owner/Legal RepresentabvelCorporate Officer) SSE ASS AH 502 ABACK 136851(REVISED 7286) .� ......._-.i. .,ram._. ... �, �I j} d Nrsti $ N w 2 ( VW \ a' r' 6 9/ n I y MN_— �roL-hf T �' 6 l61 ® L / s a s�S�f el a Z ° I L f 99z1 9/ a � &(q1 o2 y i o � i U I, F C> \__. ZZ tot I C-) FZ osC 3s � Io // O/ ®s/ a 6 ® O 9/ 9-hs 09y•. a o 8 6/ 6 L/ N V t.5B 0 6,1 —� 377V9 {iv o0 0¢ s9'u; // i., �° 6/ 6/ 1% a O/ �j P 6 1059/ a _ O a f8I_I Z 3 L 6/ I Q 9/ 9 C�6h£� I ti 9 8/ O9 6/ �oz -hs s © go