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PM 2014-1001DOC # 2014-0469868 12/02/2014 04:24 PM Fees: $0.00 Page 1 of 5 Recorded in Official Records County of Riverside PLEASE COMPLETE THIS INFORMATION Larry W. Ward RECORDING REQUESTED BY Assessor, County Clerk & Recorder AND WHEN RECORDED MAIL TO: CITY OF LA QUINTA **This document was electronically submitted Attn: CITY CLERK DEPT to the County of Riverside for recording** 78-495 Caiie Tampico Receipted by: CTOLOSSA La Quinta, CA 92253 SPACE ABOVE FOR RECORDER'S USE ONLY CERTIFICATE OF PARCEL MERGER NUMBER 2014-1001 APN 767-670-006 and THE UNDERSIGNED GRANTOR(S) DECLARE(S) APN 767-670-007 DOCUMENTARY TRANSFER TAX IS $ 0 CITY TAX IS $ Hcomputed 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 THIS AREA FOR RECORDERS USE ONLY THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION RECORDING REQUESTED BY CITY OF LA QUINTA When recorded, return to: City of La Quinta City Clerk 78-495 Calle Tampico La Quinta, CA 92253 THIS AREA FOR RECORDER'S USE ONLY CERTIFICATE OF PARCEL MERGER NO. � O 1 y- - 00 / RECORD OWNERS EXISTING PARCELS (Assessor Parcel Numbers) y- cJ�Eal ann 4a C Q — (�'/d —,go E LEGAL DESCRIPTION OF MERGED PARCELS See attached - Exhibit "A" SIGNATURES OF RECORDED O R S Musi Notarized Ca PAW NemeJTf . Miry PIMI Nomemde: 0.6'1'1 els PMns Nametriee: 4 V b aJ: ften, yam: Lv��v This Certificate of Parcel Merger reflects Parcel Merger No.' o14- I 001 as approved by the City of La Quinta. Timothy R. Jonasson TJDate: Citv En ineer City of La Quinta 12/' 111 A L A 8,4M 4 NOTAR KNO D ENT STATE OF GA�t•F-r4 FeRNt COUNTY OF �1Cr� e-0 5 � � 1 ►Qa " �, On �-�. _i befare me, =� � �/`!��1 ( N�u/10.�s , g (Da ) (Flame and Tiffs °�cer j personally appeared �i m rh (r - C I�R- Hxf� T me-,, Ind Q4trci % e /C2 /-e'q (Namefs) of 09—r(s)) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshetthey executed the same in his/herltheir authorized capacrty(ies), and that by his/her/their signature(s) on the instrument the person(s), or the enVty upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the Sate of Galifemia-that the foregoing paragraph is true and correct. W ESS my hand and official seal Notary Public LAURAWEATHERSBY NICHOLS = '"°T2' My Commission Expires .: ' P0B"` `* May 15, 2018 State of California County of Riverside On December 1, 2014, before me, SUSAN MAYSELS, Notary Public, personally appeared TIMOTHY R. JONASSON who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument, and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. 1 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. su�Ainrs 5 4'rMV,conim. CoOnitsion 0 2017258 -Note ry P ublio - CalilorniaRiVO4ide County Signature txge5 Apr 13, 2:017 t (seal) DOCUMENT: CERTIFICATE OF PARCEL MERGER NO. 2014-1001 re: APNs 767-670-006 and 767-670-007 — owner(s) Jimmy / James Filler and Carol Filler .. DOC #2014-0459868 Page 4 of 5 12/02/2014 04:24 PM ' E�CHIBI T �/y n SHEET 1 OF 1 CERTIFICATE CF PARCEL MERCER NO. 2014-1041 EXISTING PARCELS RECORD OWNERS ASSESSOR PARCEL NUMBERS JIMMY & CAROL FILLER 767-670-006 JIMMY & CAROL FILLER 767-670-007 PARCEL 'A A IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, LOT 10, TRACT NO. 33076-1, PER MAP RECORDED IN BOOK 388, PAGES 57-79, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY. TOGETHER WITH LOT 11 OF SAID TRACT NO. JJ076-1 THE ABOVE DESCRIBED PARCEL "A" CONTAINS 98,428 SF. (2.26 AC, MORE OR LESS) FOR GRAPHICAL PURPOSES SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART OF SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVA TIONS, RESTRICTIONS, RIGHTS, RIGHTS OF WAY, EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY. v1'/'"/`y LAND S 0 a � NO. 5479 Exp. 9/30/16 I CA0 NOTE.• ]HERE MAY BE EASEMENTS OF RECORD bELINEATED AND REFERENCED ON THE UNDERLYING MAP, OR THERE MAY BE EASEMEN 7S WITHIN THE AREA BEING AD✓US7ED THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCEL HEREIN. LEGEND EXIST. LOT LINE TO REMAIN - - - LOT LINE TO BE REMOVED y�E A. tijc ap` 0 NO. 5479 Exp. 9/30/16 P CALk NOTE EXHIBIT "Bn THIS PLAT WAS PREPARED FROM RECORD DATA AND DOES NOT REPRESENT A SURVEY OF THE PROPERTY MERGER 2014-1001 SHOWN HEREON. THIS MAP HAS BEEN APPROVED UPON THE EXPRESSED CONDITION THAT BUILDING PERMITS SHALL NOT BE ISSUED FOR ANY DEVELOPMENT WITHIN THIS ADJUSTMENT PLAT UN77L NECESSARY DEDICA PONS, IF ANY, HA VE OCCURRED. LOT 'M" M.B. J88157-79 N 83 164.87 GRAPHIC SCALE 100 0 50 100 ( IN FEET ) 1 inch = 100 ft. 51��5tiLOT LINE TO DELETED PERBTHIS MERGER y LOT 11 LOT 9 M3.. J8gl! 7-19 \�� M.B. 388/57-79 A.P.N. /57- 70-OU7 rn, - 9 2 U.U. it 1B J7-7.9 aCp A.P.N 7 7-67U-006 a. r PARCEL 'A 'E � M.B. 388/57-79 N 817�11 , (R) PRC LINE LENGTH BEARING Li 27.55 N75°23'46'W CURVE LENGTH RADIUS DELTA Cl 75.60 42.00103°07'42 C2 75.05 90.00 47°46'43' C3 95.62 306.00 17*54'14' C4 36.00 25.00 82`30'19' C5 25,60 274.00 5'21'11' C61 150,791 274.00 31`31'50' C71 176.391 274.00 36-53'01, A 10' WIDE P.U.E. PER M.B. J88157-79 © 12' WIDE LANDSCAPE ESM'T PER M.B. 388/57-79 41 S as„ p�/�9 f ST�FFT CF CERT/F/CA TE OF PARCEL MERGER NO. 2014-1001 I PREPARED BY. APPLICANT %f 72 I WA YNE A. McGEE DA TE L. S. 5479 JIMMY & CAROL FILLER CIO McGEE SURVEYING, INC. 45-100 GOLF CENTER PKWY, STE. G INDIO, CA 92201 (760) 342-2249 LARRY W. WARD Recorder .P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 f ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000 4 Website: www.riversideacr.com 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. %(J -- (,,70 -- (4,) I declare that the documentary transfer tax for this Property Address: SR `1 %SBe 5A 4tle lye, uin Fu,CA transaction is: $ If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTIONIS EXEMPT FROMDOCUMENTARY TRANSFER TAXBECA USE.- (The Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are taken from Riverside County Ordinance 516). Please check one or explain in "Other". 1. Section 11911. 2. Section 11911. 3. Section 11921. 4. Section 11922. 5. Section 11925. 6. Section 11926. 7. Section 11927. 8. Section 11930. 9. Section 8. 10. Section 9. 11. Other The consideration or value of the property, exclusive of any liens and encumbrances is $100.00 or less and there is no additional consideration received by the grantor. The conveyance transfers to a revocable living trust by the grantor or from a revocable living trust to a beneficiary. The conveyance was given to secure a debt. The conveyance is to a governmental entity or political subdivision. The transfer is between individuals and a legal entity or partnership, or between legal entities and does not change the proportional interests held. The conveyance is to a grantee who is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. The conveyance relates to a dissolution of marriage or legal separation. (A spouse must sign a written recital in order to claim this exemption. This form may be used for that purpose.) 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. The easement is perpetual, permanent, or for life. The document is a lease for a term of jgaLthan (35) years (including written options.) (Include explanation and legal authority)Oamee.5 Qre- rriergi n4 fwo aW 1'4eao/a Its 6 f4rce/ 'J67=670 -007 I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Executed day of � !/�rv, .20 141 at 8i rM i a q �►4.w+i r tat fumes f'//er- 4*1 C;mAf �'lleo a n �.{ �1- ,.I lex, Signature of ant Printed Name of Affi/ant ����S�oDi( /a /� �.� t k�uy���rm;�I�lrg,AG,3s"oza 3 Name of Address of Affiant (including City, State, and Zip Code) �ag f47- A9&,5/- elephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For. Recorder's Use: Affix PCOR Label Here ACR 521(Rev. 11/2014) Available in Alternate Formats BOE-502-A (P1) REV. 12 (05-13) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property, in accordance with section 480.3 of the Revenue and Taxation Code. A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorders office for the county where the property is located. NAME AND MAILING ADDRESS OF BHVERVr--- 6F=—ke ® W AJ 1!54-5 (Make necessary corrections to the printed name and mailing address) cl t d7't � G > / ` n A a;& . I I' n� l 7 t?�d d,3 -- ��OW L ., 76 f7- &'74-M l and q61- 6'2a -a. A�S--EES-SOOR'S PARCEL NUMB/ER d i rrt in �1 G�k � "e 6;5�'d f6-�?-0j-V7 /BkWeWS DAYTIME TELEPHONE NUMBER l aPa?4U//1 BFYYER'S EMAILADDRESS STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY %} r rG jy j I I r� l� , 4swo4� -h Place 1-4 �t'4&oy'h MAIL PRCIPERTYJAX INFORMATION TO (NAME 051Mm /` e ADDRESS CI STATE ZIP CODE 07'?4� cdrku)a, l`cmI han /1L 3r abd.e ❑YES KNO This property is intended as my principal residence. If YES, please indicate the date of occupancy Mo DAY YEAR or intended occupancy. PART 1. TRANSFER INFORMATION Please complete all statements. This section contains possible exclusions from reassessment for certain types of transfers. YES NO ❑ A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement etc.). ❑ d B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of ,�( a partner, death of a partner, termination settlement, etc.). ElLI * C. This is a transfer. ❑ between parent(s) and children) ❑ from grandparent(s) to grandchild(ren). ❑ Z D. This transfer is the result of a cotenants death. Date of death ❑ �/�* 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 69.5. Within the same county? ❑ YES ❑ NO ❑ G. This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage). If YES, please explain: ❑ ❑ H. The recorded document creates, terminates, or reconveys a lender's interest in the property. ❑ I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner). If YES, please explain: ❑ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. K. This is a transfer of property: ❑ LJ 1. tolfrom a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. ❑ /❑� 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the creator/grantor/trustor dies. ❑ d 3. to/from an irrevocable trust for the benefit of the ❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner. ❑ L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. X❑ M. This is a transfer between parties in which proportional interests of the nsferor(s) and transferee(s) in each and every parcel being transferred remain exactly the same after the transfer. >rD,+,1��d�� ❑ N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ ❑�* O. This transfer is to the first purchaser of a new building containing an active solar energy system. * Please refer to the instructions for Part 1. Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION BOE-502-A (P2) REV. 12 (05-13) PART 2.OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, if other than recording date: B. Type of transfer: ❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Date of contract: Inheritance. Date of death: ❑ Sale/leaseback ❑ Creation of a lease Assignment of a lease ❑ Termination of a lease. Date lease began: Original term in years (In ding written optio{� Other. Please explain:&Jna�,S dhgr6e/ld, leadrgew4- !E C. Only a partial interest in the property was transferred. ❑YES ❑ NO PART 3. PURCHASE PRICE AND TERMS OF SALE A. Total purchase price B. Cash down payment or value of trade or exchange excluding dosing costs C. First deed of trust @ % interest for years. Monthly payment $ ❑ FHA (_Discount Pants) ❑ Cal -Vet ❑ VA (_Discount Points) ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: D. Second deed of trust @ % interest for years. Monthly payment $ ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller term in years (including written options): If YES, indicate the percentage transferred: % Check and complete as applicable. �� "'—"�- Amount $ Amount $ Amount $ ❑ Balloon payment $ Due date: E. Was an Improvement Bond or other public financing assumed by the buyer? ❑YES []NO Outstanding balance $ F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $ G. The property was purchased: Through real estate broker. Broker name: Phone number: ❑ Direct from seller ❑ From a family member -Relationship ❑ Other. Please explain: H. Please explain any special terms, seller concessions, broker/agent fees waived, financing, and any other information (e.g., buyer assumed the existing loan balance) that would assist the Assessor in the valuation of your property. PART 4. PROPERTY INFORMATION Check and complete as applicable. A. Type of property transferred n�// ®�� ®� '� A Dj&EWT Single-family residence idlyt� �D�, �S�-��-► r ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Multiple -family residence. Number of units: ❑ Condominium Unimproved lot ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare ❑ Commercial/Industrial B.[-]YES ✓rNO Personallbusiness property, or incentives, provided by seller to buyer are included in the purchase price. Examples of personal property are furniture, farm equipment, machinery, etc. Examples of incentives are dub memberships, etc. Attach list if available. If YES, enter the value of the personal/business property: $ Incentives $ C. [-]YES dNO A manufactured home is included in the purchase price. If YES, enter the value attributed to the manufactured home: $ ❑YES F-�'N0 The manufactured home is subject to local property tax. If NO, enter decal number: D. []YES F,::KO The property produces rental or other income. If YES, the income is from: ❑ Lease/rent ❑ Contract Mineral rights ❑ Other: E. The condition of the roperty at the time of sale was: ❑Good []Average ❑Fair Poor Please describe: D 1ne- tf J7 el) - O Ae/t La t / S UA/V e P CERTIFICATION 1 certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the best of my knowledge and belief. as COsrj The Assessor's office may contact you for additional information regarding this transaction.