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LLA 2013-532PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: CITY OF LA QUINTA Attn: CITY CLERK DEPT 78-495 Calls Tampico La Quinta, CA 92253 DOC # 2014-0036821. 01/29/2014 10:45 AM Fees: $42.00 Page 1 of 5 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: YSEGURA ;PACE ABOVE FOR GRANT DEED LOT LINE ADJUSTMENT 2013-532 Ronald W. Van Auker PORTIONS OF: APN 777-140-011 and THE GRANTOR(S) HEREIN DECLARE(S) PORTION OF: DOCUMENTARY TRANSFER TAX IS $0.00 APN 777-140-012 Bcomputed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, DUnincorporated area:[X City of La Quinta THIS AREA FOR RECORDERS USE ONLY THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION Recording Requested By CITY OF LA QUINTA CITY CLERK 78495 CALLE TAMPICO LA QUINTA, CA.92253 .... ,I ,,...,— —,.—.Y................................ ...... 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. Q6P. -1.77-IY0-0U fb(a 171- iqc-oil GRANT DEED LLA 2013-532 Signature of Declarant or Agent determining tax -Finn Name FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ronald W. Van Auker, hereby GRANT(S) to Ronald W. Van Auker, the real property in the City of La Quinta, County of Riverside , State of California, described as See Exhibits A & B, Parcel "B" attached hereto and by reference made a part hereof. NOTE: This grant deed implements the revised lot configurations pursuant to Lot Line Adjustment 2013-532 as approved by the City of La Quinta. All property subject to this lot line adjustment is owned by a single entity, hence ownership conveyance is a nonessential secondary function of this deed. The primary function of the deed is to provide constructive notice of the revised lot configurations pursuant to Government Code Section 66412 (d), and to perfect the intent of the Lot Line Adjustment 2013-532 as approved. Dated .JAJU49k1 4 . MI STATE OF CALIFORNIA }ss. COUN OF �II�Fe?..�/ } On i"y before me, n--41;ga- &Pe7 +YU/h7/uir Xt,13//G (insert name and tdle of the officer) personally appeared QKlaa Z% who proved to me on the basis of satisfactory evidence to be the perso#whose name(Oare subscribed to the within instrument and acknowledged to me tha®h /she/they executed the same irherkheir authorizedcepacity(j4s), and that by 9/her/their signature) on the instrument the person(A or the entity upon behalf of which the person(�acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my han and/�clal Signature � MAIL TAX STATEMENTS TO: Ronald W. Van Auker D. JANE LOPEZ Commission # 1927739 NotaryPublic - California z Riverside County n My Comm. Expires Mar 5, 2015 EXHIBIT "A" LOT UNE ADJUSTMENT NO. 13-532 PARCEL "A" LOT 150 OF AMENDED TRACT NO. 29894-2, PER MAP BOOK 327, PAGES 56 THROUGH 88, INCLUSIVE, AND A PORTION OF PARCEL "A" OF CERTIFICATE OF PARCEL MERGER NO. 2013-518 RECORDED MAY 21, 2013, INST. NO. 2013-0240894, OFFICIAL RECORDS, ALL IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS. KMMM AT THE NORTHWEST CORNER OF SAID LOT 150, THENCE S .87*05'43" E, ALONG. THE NORTH LINE OF SAID LOT .150, A DISTANCE OF 111.06 FEET TO THE BEGINNING OF A TANGENT CURVE; THENCE EASTERLY ALONG SAID CURVE CONCAVE TO THE SOUTH THROUGH A CENTRAL ANGLE OF 03'41'04", A RADIUS OF 427.50 FEET AN ARC LENGTH OF 27.49 FEET, THENCE LEAVING SAID NORTH LINE S 23028'50" W, PARALLEL WITH THE EAST LINE OF SAID LOT 150, A DISTANCE OF 151.28 FEET TO A POINT ON THE SOUTH LINE OF SAID PARCEL "A", THENCE S 7629'14" W ALONG THE SOUTH LINES OF SAID PARCEL "A" AND LOT 150, A DISTANCE OF 162.76 FEET TO THE SOUTHWEST CORNER OF SAID LOT 150, THENCE N 23028'50" E, ALONG THE WEST LINE OF SAID LOT 150, A DISTANCE OF 201.36 FEET TO THE NORTHWEST CORNER OF SAID LOT 150 AND THE POINT OF BEiYNN/Na CONTAINING 22,974 SQ. FT. (0.53 AC) MORE OR LESS. AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. PARCEL "B" A PORTION OF PARCEL "A", CERTIFICATE OF PARCEL MERGER NO. 2013-518, RECORDED MAY 21, 2013 AS I INST. NO. 2013-0240894, OFFICIAL RECORD, ALL IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA DESCRIBED AS FOLLOWS. COMMENCING AT THE SOUTHWEST CORNER OF SAID PARCEL "A THENCE N 76029'14" E, ALONG THE SOUTH LINE OF SAID PARCEL "A", A DISTANCE OF 25.04 FEET TO THE TRUE POINT OF BEOWNC& THENCE N 23 28'50" E, PARALLEL WITH THE EAST LINE OF SAID LOT 150, A DISTANCE OF 151.28 FEET TO THE NORTH LINE OF SAID PARCEL "A" AND A POINT ON A CURVE WHOSE RADIAL LINE BEARS N 0603521 " E, A RADIUS OF 427.50 FEET, THENCE EASTERLY ALONG SAID CURVE CONCAVE TO THE SOUTH THROUGH A CENTRAL ANGLE OF 24040'50", AN ARC LENGTH OF 184.15 FEET TO A POINT OF COMPOUND CURVATURE, THENCE SOUTHERLY ALONG SAID CURVE CONCAVE TO THE SOUTH THROUGH A CENTRAL ANGLE OF 36'5643", A RADIUS OF 86.00 FEET AN ARC LENGTH OF 55.45 FEET; PAGE 1 OF 2 EXHIBIT "A LOT IJNE ADJUSTMENT NO. 13-532 PARCEL "B" CONT. THENCE S 64'06'28" W, A DISTANCE OF 210.23 FEET TO A POINT ON THE SOUTH LINE OF SAID PARCEL A, AND A POINT ON A CURVE WHOSE RADIAL LINE BEARS N 86'59'10" E, A RADIUS OF 60.00 FEET; THENCE NORTHWESTERLY ALONG SAID CURVE CONCAVE TO THE SOUTHWEST THROUGH A CENTRAL ANGLE OF 100'2956" AN ARC LENGTH OF 105.24 FEET; THENCE S 7629'14" W, ALONG THE SOUTH LINE OF SAID PARCEL "A" , A DISTANCE OF 5.43 FEET TO THE TRUE POINT OF BEGINNING CONTAINING 28,548 SQ. FT. (0.66 AC) MORE OR LESS AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. PARCEL "C" A PORTION OF PARCEL "A" OF CERTIFICATE OF PARCEL MERGER NO. 2013-518 RECORDED MAY 21, 2013 AS INST. NO. 2013-0240694, OFFICIAL RECORDS, AND ALL OF LOT 153 OF AMENDED TRACT NO. 29894-2 PEI MAP BOOK 327, PAGES 56 THROUGH 88, INCLUSIVE, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 153, THENCE N 19'3546" E, ALONG THE WEST LINE OF SAID LOT 153, A DISTANCE OF 69.72 FEET TO THE BEGINNING OF A TANGENT CURVE; THENCE NORTHERLY ALONG SAID CURVE CONCAVE TO THE WEST THROUGH A CENTRAL ANGLE OF 2203636" A RADIUS OF 60.00 FEET AN ARC LENGTH OF 23.68 FEET TO A POINT ON THE SOUTHWESTERLY LINE OF SAID PARCEL "A; (HENCE N 64'0628" E, A DISTANCE OF 210.23 FEET TO A POINT ON THE NORTHEASTERLY LINE OF SAID PARCEL "A, ALSO BEING A CURVE WHOSE RADIAL LINE BEARS N 68'12'54" E A RADIUS OF 86.00 FEET; THENCE -SOUTHERLY ALONG SAID- CURVE CONCAVE TO THE WEST THROUGH A CENTRAL ANGLE OF 55'12.Y8" AN ARC LENGTH OF 82.87 FEET TO A POINT OF REVERSE CURVATURE; THENCE SOUTHERLY ALONG, SAID CURVE CONCAVE TO THE EAST THROUGH A CENTRAL ANGLE OF 11'04'04" A RADIUS OF 664.00 FEET AN ARC LENGTH OF 128.27 FEET TO THE SOUTHEAST CORNER OF SAID LOT 153, THENCE N 85'18'09" W ALONG THE SOUTH LINE OF SAID LOT 153, A DISTANCE OF 148.37 FEET TO THE SOUTHWEST CORNER OF SAID LOT 153 AND THE POINT OF BMNNING CONTAINING 23,817 SO. FT. (0.55 AC) MORE OR LESS �%,pND SV AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. F,/Ia D. * P 6 3/14 PAGE 2 OF 2 EXHIBIT "B" LOT 1JNE ADJUSTMENT NO. 13-532 LOTS 150 & 153, AMENDED TR. 29894 2 & PARCEL W CPM 2013-518 CO D. FF o�iC No. 4075 W P.O.B. * EXP. 6/30/14 a PAR. "A" �� N J WA q�CF -� - �PT�Fi 0 1 C6 \O b PARCEL T "A" �c otB 22,974 sq. fL Lot 149 0.53 ac. �°/ /��' �' .v/ o \ Bed /�. �PARCEL "B" `� <v Existing face �' .F, � V• 1 28,548 sq. ft. .Y/ 0 of bldg. $ yo pb /Q' 11 0.66 ac. o• ` Existing wal ,0 0 '�/ �• ,�io /Cr Ri "w hry Lot 150 c h~ °Q Parcel A' o" �+ Amended Tr. 29894-2 /� Lot 151 CPM 2013-518 MB 327/56-88 Ll Rec. 512112013 di$� 2t023 apn: 777-150-023 inst. no. 200IJ-0240894 76' z e 40-0A2 ' �215 isting --y N 7b17' P.O.C. CURVE TABLE PAR. NO. DELTA RADIUS LENGTH Cl 03'41'04" 427.50' 27.49' C2-- 24'4050 42T50 18415 3 ' 6 43 6 55.45 C4 5501238" 86.00' 82.87' C5 11'04'04" 664.00 128.27 C6 28'2154 427.50 211. 4 C7 92'09'21 " 86.06 138.32 C8 22'36 36 60.00 C9 00'29 56" 60.00 ,765.24 C1 D 123'06 32 60.00 8.92 Prepared Under the Supervision of: JAA(E� D. FEIRO, L.S. 4075 EXPIRES 613012014 Civil Engineering Land Surveying www.feim.net Van u\ Rio Pn.77T,1 fo /5?5� wall�� C3CL ��mJr�� N86'59'10'E —_ Line to / t _ (RL _ _ f be deleted vts� N7p1 k xistinoge bldg for A 3 PARCEL s A C e� o Lot 153 0.75-ac c� Amended Tr. 29894-2 / MB 327/56-88 a P.O.B. apn: 777-140—OIJ /!f PAR. "C" N852809 V 148.37 Lot 152 P.O. Box 12980 9WAUCFJ Palm OeserL Califo 92255 .DWG RLE (760) 346-8015 36011a (760) 346-2548 (Fax) DryOOT. 0 aWAW zone. Aio own. A -t-t k— '� MOM 36v-oD1 LINE TABLE NO. BEARING DISTANCE Lf S76'29'14"W 5.43' LEGEND _ — _ Existing Lot Line to be deleted per this adjustment Existing Lot Line to Remain New Lot Line BOE-502-A (Pt) REV. 12 (05-13) PRELIMINARY CHANGE OF OWNERSHIP REPORT LARRY W. WARD, COUNTY OF RIVERSIDE ASSESSOR -COUNTY CLERK- RECORDER To be completed by the transferee (buyer) prior to a transfer of subject PO BOX751, RIVERSIDE, CA 92502-0751 property, in accordance with section 480.3 of the Revenue and Taxation (951) 955E200 w .riversideacrcmn Code. APreliminary Change of Ownership Report must be filed with each conveyance In the County Recorder's office for the county where the property Is located. NAMEAND MAIUNG ADDRESS OF BUYERnRANSFEREE (Halm n..w.Warr b the pdnh name aW mafing.dd ) C- 1 ASSESSOR'S PARCEL NUMBER Ronald W. Van Auker portion of 777-140-011 and portion of 777-140-012 3084 E. Lanark Street Meridian, ID 83642 SELIERRRANSFEROR Ronald W. Van Auker BUYER'S DAYTIMETELEPHONE NUMBER ( 208 ) 897-7994 L J BUYER'S EMAILADDRESS bmiller@vanauker.com STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY 80855 & 80875 Via Portofino, La Quirda, CA 92253 MAIL PROPEm TAX INFORMAnON TO (NAME) Ronald W. Van Auker 3084 E. Lanark Street I Meridian ID 83642 ❑YES 0 NO This property is intended as my principal residence. IfYES, please indicate the date of occupancy Mo I I DAY YEAR or intended occuoancv. PART 1. TRANSFER INFORMATION Please complete all statements. This section contains possible exclusions from reassessment for certain types oftranfers. YES NO ❑ Q A. This transfer is solely between spouses (addition orremoval ofa spouse, death ofa spouse, divorce settlement etc). ❑ n B. This transfer is solely between domestic partnerscurrently registered with the California Secretary of State (addition orremoval of a partner, death of a partner termination settlement etc). ❑ Z • C. This is a transfer. - ❑ between parent(s) and child(ren) ❑ from granilparent(s) to grandchild(ren). ❑ -Q • D. This transfer is the result of a cot are rd'a death.:Date of death ❑ Q `E:: This transaction is to replace a principal residence by a person 55 years of age or older. _ -- Within the same county? ❑YES ❑.NO.. ❑✓ - F. This transaction Is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69.6. Within the same county? ❑ YES ❑ NO ❑ Q G. This transaction is only a correction of the name(s)ofthe person(s) holding titleto the property (e.g., a name change uponmardage). If YES, please explain: ❑ ❑✓ H. The recorded document creates, terminates, or reconveys a lenders interest in the property. ❑ Q 1. This transaction is recordedonlyas -a requirement for financing purposes or to create; terminate, or reeonvey a security interest (e.g., cosigner). If YES, please explain: ❑ Z J. The recorded'document substitutes a trustee of a trust, mortgage, or other similar document. K This is a transfer of property. ❑ 'u 1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferors spouse ❑ registered domestic partner. ❑ ✓❑ 2. to/from a trust that may be revoked by the creator/grantorAmstorwho Is also a joint tenant and which - names the otherjoint tenant(s) as beneficiaries when the creatorlgrantodtrustor dies. ❑ n 3. to/from an Irrevocable trust for the benefit of the - ❑ creator/grantorltrustor and/or ❑ grantorshmstors spouse ❑ grentor's/Wstors registered domestic partner. ❑ Q L This property is subject to a lease with a remaining lease term of 35 years or more including written options. ❑ ❑✓ M. Thisils a transfer between parties in which proportional interests of the transferors) and transferee(s) in each and every parcel beingtransferredremain exactly the same after the transfer. ❑. N. This is a transfer subject to subsidized low -Income housing requirements with governmentally imposed restrictions. ❑✓ * 0. This transfer is to. the first purchaser of a new building containing an active solar energy system. *Please refer tothe instructions for Part 1'. - Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT 18 NOT SUBJECT TO PUBLIC INSPECTION SOES02-A (P2) REV. 12 (0&13) PART 2. OTHER TRANSFER INFORMATION A Date of transfer, if other than recording date: Check and complete as applicable. B. Type of transfer. Purchase Foreclosure Gift Trade or exchange Q Merger, stock, or partnership acquisition (Form BOE-100-B) Contract ofsale. Date of contract ❑ Inheritance. Date of death: Salelleaseback ❑ Creation of a lease Assignment of a lease ❑ Termination of a lease. Date lease began: Od inal tens in years (including written options): Remaining term in years (including written options): ❑✓ Other. Please explain: Igo complete a lot line adjustment 9 R Sq —T e ark) s -9e r re d 9 i _ C. Only a partial interest in the popery was transferred. YES ©NO If YES, indicate the percentage transferred: % PART 3. PURCHASE PRICE AND TERMS OF SALE A. Total purchase price B. Cash down payment orvalue of trade or exchange excluding dosing costs C. First deed of trust @ Yo interest for_ years. Monthly payment $ ❑ FHA L—Discount Points) Cal -Vet Ej VA (_Discount Points) ❑ Fu ed mte ❑ Variable rate Bank/Savings & Loan/Credft Union F1 Loan carried by seller Balloon payment $ Due date: D. Second deed of trust @ "/o interest for_ years. Monthly payment $ Foxed rate ❑ Variable rate n Bank/Savings & Loan/Credit Union Loan carded by seller Balloon payment $ Due date: Check and complete as applicable. Amount $ Amount $ Amount $, E. Was an Improvement Bond or other public financing assumed by the buyer? AYES []NO Outstanding balance $ F. Amount, if any, of real estate commission fees paid by the buyer which are not included In the purchase price $ G. The property was purchased: QThrough real estate broker. Broker name: Phone number. Q Direct from seller ❑ From a family member -Relationship ❑ Other. Please explain: H. Please explain any special terms, seller concessions,broker/agentfees waived, financing, .and.any other information(e.g., buyer assumed the e��5titr�qq loap balarlm) that would assist the Assessor in the valuation of your property. No (;onsideratlon. PART4. PROPERTY INFORMATION Check and complete as applicable. A Type of property transferred Single-family residence Co-op/Own-yourown Manufactured home Multiple -family residence. Number of units:_ Condominium F/ Unimproved lot Other. Description: (j.e., timber, mineral, water rights, etc) F1 Timeshare n CommercialAndustrial B.❑YES nlNO Personallbusiness property, orincentives, provided by sellerto buyerare included in the purchase price. Examples of personal -- - property are furniture, farm equipment, machinem etc. Examples of incentives are club memberships, air Attach list ifavailable. If YES, enter the value of the personallbusiness property. Incentives $ C. ❑YES ✓❑ NO A manufactured home is included in the purchase price. If YES, enter the value attributed to the manufactured home: ❑YES. , NO The manufactured home is subject, to local property but if NO, enter decal number. D.FJYES nNO The property produces rental or other income. If YES, the income Is from: n Leaselrent n Contract n Mineral rights n Other. E. The condition of the property at the time of sale was: QGood ❑Average Fair Please describe: No sale. The transfer is to comDlete a lot line adiustment The deeding is CERTIFICATION I certffy (or declare) that the foregoing and all information hereon, Including any accompanying statements or documents, is We and correct to the best of my knowledge and belief. .ry OF RIF., y`vd RJ., LARRY W. WARD Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 o ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 Website: www.riversideacccom r�r'R'rY CLEQ� DOCUMENTARY TRANSFER TAX AFFIDAVIT WARNING ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE. -�lz.Y1F71-F Dr ASSESSOR'S PARCEL NO. 777 --140 011 I declare that the documentary transfer tax for this Property Address: 80855 Via Portofino, La Quinta, CA 922transaction is: $ 0.00 If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROMDOCUMENTARY TRANSFER TAX BECAUSE: (The Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other".) 1. _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options). 2. _ Section 11911. The easement is not perpetual, permanent, or for life. 3. _ Section 11921. The instrument was given to secure a debt. 4. _ Section 11922. The conveyance is to a governmental entity or political subdivision. 5. — Section 11925. The transfer is between individuals and a legal entity, or between legal entities, and does not change the proportional interests held. 6. _ Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. —Section 11930. The conveyance is an inter vivos gift* or a transfer by death. *Please be aware that information stated on this document may be given to and used by governmental agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service. 10. Section 11930. The conveyance is to the grantor's revocable living trust. 11. vt' Other (Include explanation and authority) The transfer is to complete a lot line adjustment I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Execute xis 3&M� day of RUtVI(l�� 20_�at Meridian, Idaho City State m9pi/424 Ronald W. Van Auker atum-CrAant Printed Name of A%ant 3084 E. Lanark Street, Meridian, ID 83642 Name of Firm (if applicable) Address of Affmt (mcludmg City, State, and Zip Code) 208-887-7994 Telephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorder's Use: Affix PCOR Label Here ACR 521 (Rev. 03/2012) Available in Alternative Formats �q OF Nl rat; y JP Rso LARRY W. WARD Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 a ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 Website: w riversideacrxom b" c DOCUMENTARY TRANSFER TAX AFFIDAVIT WARNING ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE. ASSESSOR'S PARCEL NO. 777 140 012 I declare that the documentary transfer tax for this Property Address: 80875 Via Portofino, La Quinta, CA 922transaction is: $ 0.00 If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROMDOCUMENTARY TRANSFER TAX BECAUSE: (The Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other':) 1. _ Section 11911. The document is a lease fora term of less than thirty-five (35) years (including options). 2. _ Section 11911. The easement is not perpetual, permanent, or for life. 3. _ Section 11921. The instrument was given to secure a debt. 4. —Section 11922. The conveyance is to a governmental entity or political subdivision. S. _ Section 11925. The transfer is between individuals and a legal entity, or between legal entities, and does not change the proportional interests held. 6. —Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. —Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. _ Section 11930. The conveyance is an inter vivos gift* or a transfer by death. *Please be aware that information stated on this document may be given to and used by governmental agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service. 10. _ Section 11930. The conveyance is to the grantor's revocable living trust. 11. t/ Other (Include explanation and authority) The transfer is to complete a lot line adjustment I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND rnnuFrT 20_15_at Meridian, Idaho City State Ronald W. Van Auker Printed Name of Affiant 3084 E. Lanark Street, Meridian, ID 83642 Address of Affiant (including City, State, and Zip Code) 208-887-7994 Telephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorder's Use: Affix PCOR Label Here ACR 521 (Rev. OY2012) Available in Alternative Formats