PM 2019-0001Document-9092534-Page-1
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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
DOC # 2020-0003986
01/06/2020 11:10 AM Fees: $0.00
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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: LISA #580
CERTIFICATE OF PARCEL MERGER NO. 2019-0001
RECORD OWNERS
EXISTING PARCELS (Assessor Parcel Numbers}
Jack M Wilson and Majel A Wilson
774-041-001
Jack M Wilson and Majel A Wilson
774-041-002
LEGAL DESCRIPTION OF MERGED PARCELS
See attached - Exhibit "A" and Exhibit "B"
OF RECORDED OWNER(S)(Mast be Notarized)
/}SIG'- lNATURE(S)
Prfnf Nemorlie: 1" tM1J l,l S6
5 urure: [j�1 Vu,
Prinf Neme?iae: {
C
7•,�
Prfnf Nama?dle:
-
signature:
film NamNTd♦c:
atom,
ThiMCeiftate of Parcel Merger reflects Parcel Merger No. 2019 -0001 as approved by the City of La Quinta.
Date:
Bryan Mdkinney, P.E., City Engineer, R.C.E. No. 49418
NOTARY ACKNOWLEDGEMENT
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 va!iditZ of that document
STATE OF CAL ORNIA )
.
COUNTY OF i }
onoir!4-ubee 43 epol 1 _ before me, .L It S rnLe>1n1rl Notary Public,
(a) g� (Name and Title of officer)
�l%S013
personally appeared GC1 l'�I 4t/rIS6A 4'z
(Nome(s) ofsigner(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 MleFte/they executed the same in hfsiher/their authorized capacity(ies),
and that by bislgeritheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the Sate of California that the foregoing paragraph is true and
correct.
WITNESS y hand and fficial seal BRUNYASIMMONSICHAMBERLAIN
Notary Public - California
ull Riverside County E
w _ _eMy
c, �/� r•�,L Commission N 2267341
NotePublic Comm. Expires Nov 17, 2022
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DOC #2020-0003986 Page 2 of 4
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 Riverside
On JANUARY 6, 2020 before me, NICHOLE ROMANS , Notary Public,
personally appeared BRYAN MCKINNEY 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.
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
(seal)
*my
NICHOLENotary public. California
Riverside County
Commission C 2312710
Comm. Expires Nov 16, 2023
DOCUMENT:
CERTIFICATE OF PARCEL MERGER NO. 2019-0001 re: APN 774-041-001 and
774-041-002 — owner(s): JACK M WILSON and MAJEL A WILSON
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EXHIBIT W
PARCEL MERGER 2019-0001
PARCEL 'A"
DOC #2020-0003986 Page 3 of 4
LOT 23 TOGETHER WITH LOT 24 OF BLOCK 178 OF SANTA CARMELITA AT VALE LA QUINTA UNIT 18, AS
RECORDED IN MAP BOOK 19, PAGES 30 AND 31 INCLUSIVE, RECORDS OF RIVERSIDE COUNTY, IN THE
CITY OF LA QUINTA, STATE OF CALIFORNIA
CONTAINS 9,914 S.F. 0.23 AC, MORE OR LESS
SUBJECT TO ALL RIGHTS, RIGHT—OF—WAY, COVENANTS AND EASEMENTS OF RECORD.
ATTACHED HERETO AND MADE A PART OF THIS LEGAL DESCRIPTION, IS A PLAT LABELED EXHIBIT "B"
PREPARED BY:
JDHN H. HACKER DATE
® 18-5549 005/15/2019 ROE 14614 EXP 3=31-21
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DOC #2020-0003986 Page 4 of 4
EXHIBIT "B"
PARCEL MERGER 2019-0001
SCALE IN FEET
40 0 40 80
^tit i
Nr1UE LiHIMMMM
(SS9'59'00"E)
F(mol" 1
'58'15"
2 00'
49,245' P.U.E i�aa
774-041-001
30 LETREMOVED A r.A
Q 9.%&W SF: I Ay IT i
a L. Q23 AC �� G I 1{ �v
23 8� n
APN 774-041-002
(100.00')'
22
LEGAL DESCRIPTION
LOT 23 AND 24 OF SANTA CARMELITA -AT
VALE LA QUINTA UNIT 18, M.B. 19/30-31
0 18-5549 05/15/2019
-JACK WILSON
51625 DESERT CLUB DRIVE
SUITE 101
LA QUINTA, CA 92253
(760) 777-9090
FR ED WI LS 0 N ®C AP I TI S. CO M
PARCEL MERGER
L 5' P.U..E. '
AT i
A D'31
—
1'�
2 II
1
I
I
3
NOTE:
RECORD DATA PER M.H. 19/30-31
SNEER—,, VE381JKA�
INEERS
Clv# E�priaeSurveyors � 1
43585 Monte ey Ave, Suite 7 v NO.14614
Pal D.e Cpp 92260
6' L.a.� 4--1— c l Y t►-, B�ti
�OHN H. HACKER DATE OF CAL%r'
2CE 14614 EXP 3-31-21
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PETER ALDANA
COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK -RECORDER
DOCUMENTARY TRANSFER TAX AFFIDAVIT
Escrow: 11097-CC
Recorder
P.O. Box 751
Riverside, CA 92502-0751
(951)486-7000
Website:,vti�1v nve sid_canm
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 -ND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL. NO. 774014-001-4. 7 041-002-5 I declare that the documentary transfer tax for this
Property Address: 774-041.001-4. 774-041-002-5. La Quinta. CA transaction is: $250.25
92253
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLALiI THAT THIS TRANSACTION IS EXEMPT FROM DOCUAWNTARY TRANSFER TAX BECAUSE. (The
Sections listed below are taken from the Revenue and Tgxadon Code with die exception Of ilensS 9 and 10 which are taken
from Riverside County Ordinance 516). Please check one or explain in "Other")
1. ❑ Section 11911. 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.
2. ❑ Section 11911. The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
3. ❑ Section 11921.
The conveyance 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 partnership, or between
legal entities, and does not change the proportional interests held.
6. ❑ Section 11926.
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.
7. ❑ Section 11927.
The conveyance relates to a dissolution of marriage or legal separation.•
(A spouse must sign a written recital in order to claim this expnption. This fort may be used for that purpose.)
8. ❑ Section 11930.
The conveyance is an inter vivo gib+ 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 to exem of time annual Federal gift tax
exemption may trigger a - Fed era] Gift Tax. In such cases, the Transferar (donor/grantor) may be required to
file Form 709 (Federal GIII Tax Return) with the Internal Revenue Servk.
9. ❑ Section 8. The easement is not perpetual, permanent, or for life.
10. ❑ Section 9. The document is a lease for a term of less than (35) years (including written options)
11. ❑ Other (Include explanation and authority)
I DEC UN R PENALTY OFPFRJFIRYTHAT THE FOREGOING IS TRUE AND CORRECT. � n
uted/trkjlis�dag-bf 201 at t"Vj�r`S
Iy �1' State
5i8naiure off ^ fi UT Printed Name o£Af1�aa�ii�LD S0 C W
49Z3'3 I3O C 92201 4`MS DIERY STRIsET
F[`IIDiO CA 2201 II+f!}IO CA 92201
Name of Firm (if applicable)
Address s ofAfflffln t Nc IudlggaViara�ndt Z}p,Codc}
Telephone Number of AiEant (including area rode)
This form is sub,(ett to the California Public Records Act (Government Code 6250 et. seq.)
For Recorder's Ilse:
ACR 521(Rev. 11/2014)
Affix PCOR Label Here
Avallable In Alterative Formats
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BOE-502-A (Pl) REV. 13 (06-17)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by the transferee (buyer) prior to a transfer of subject
property, in accordance with seclson 480.3 Df (he Revenue and Taxation
Code. A Preliminary Change of Ownership Report must be filed with each
conveyance In the County Recorder's office for the county where the
property Is located.
Mt;rUW INO.: 11U9
PETER ALDANA
RIVERSIDE COUNTY ASSESSOR
(951) 955.6200
r FOR ASSESSOR'S USE ONLY
1 ASSESSOR'S PARCEL NUMBER
Jack M Wilson 774-014-001-4, 774-041-002-5
51625 Desert Club Drive #101 SELLERrrRANSFEROR
La Quanta, CA 92253 KIMBERLY L. DAVIS, Trustee of the Kimberly L
96YER'S DAYTIME TELEPHONE NUMBER
L BUYER'S EMAIL ADDRESS
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
774-041-001-4, 774-041-002-5, La Qulnta, CA 92253
❑ YES N0 This property Is intended as my principal residence. If YES, please Indicate the date of occupancy DAY YEAR
or intended occupancy,
❑ YES kNO Are you a disabled veteran ora unmarried surviving spouse of a disabled veteran who was
compensated at 100_% by the Department of Veterans Affairs? _
MAIL PROP TAX INFORMATION TO (NAMEI -'
Jack M Wilson
MAIL PROPERTY TAX INFORMATION TO (ADDRESS% CITY STATE I ZIP COPE
51625 Desert Club Drive #101 La Quanta CA 192253
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
❑ E A. This transfer Is solely between spouses (addifran or removal of a spouse, death of a spouse, divorce settlement, etc.).
EllB. This transfer Is solely between domestic partners currently registered with the California Secretary of State (addition or removal of
i a partner, death of a partner, termination settlement, etc.).
❑ 1 • C. This is a transfer: ❑ between parent(s) and chlld(ren) ❑ from grandparent(s) to grandchild(ren).
❑ ' D. This transfer is the result of a cotenant's death. Date of death
❑ ' E, This transaction Is to replace a pdnclpal residence owned 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 firiancing 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:
❑ 1. lolfrom a revocable trust that may be revoked by the transferor and is for the benefit of
❑ the'transferor, andlcr ❑ the transferor's spouse❑ registered domestic partner.
❑ 2. to/from an Irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantoes/trustor's registered domestic partner.
❑ � L. This property Is subject to a lease with a remaining lease tens of 35 years or more Including written options.
❑ LJ M. This is a transfer between parties In which proportional Interests of the transferor(s) and transferee(s) In each and every parcel
being transferred remain exactly the same after the transfer.
❑ N. This Is a transfer subject to subsidized low -Income housing requirements with governmentally Imposed restrictions, or restrictions
imposed by specified nonprofit corporations.
❑ ' 0. This transfer Is to the first purchaser of a new building containing an active solar energy system.
❑ I • P. Other. This transfer is to
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
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B0E502-A (P2) REV. 13 (06-1 7)
PART 1. OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of transfer, If other than recording dale:
B� Type f transfer.
Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-8)
❑ 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(Including written options): _ ' Remaining term In years (Including written options).
❑ Other. Please explain:
C. Only a partial Interest In the property was transferred.❑ Yes
PART 3. PURCHASE PRICE. AND TERMS OF SALE
A. Total purchase price
B. Cash down payment or value of trade or exchange excluding closing costs
If YES, Indicate the percentage transferred:
Check and complete as
C. First deed of trust Q = i % Interest for years. Monthly payment S
Amount $
Amount $7a'
❑ FHA ( Discount Points) ❑ Cal -Vet ❑ VA (_ Discount Points) ❑ Fixed rate ❑ Variable rate ti
❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment x Due date:
D. Second deed of trust �°/u Interest for years. Monthly paytneht $ Amount S
❑ Fixed Rate ❑ Variable rate ❑ Bank/Saving & Loan/Credit Union ❑ -Loan carried by seller
❑ Balloon payment $ Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? ❑YES 41V0 Outstanding balance 5
F. Amount, If any, of real estate commission fees paid by the buyer which are not I cluded In the purchase price $
G. The property was purchased: A Through real estate broker. Broker name: L , Phone number. ( 1
❑ Direct from seller ❑ From a family member -Relationship '760 , 7.77 CjC�OIG
❑ Other. Please explain: s '
H. Please explain any special terms, seller concessions, broker/agent fees valved, 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
A. Type of property transferred
❑ Single-family residence
❑ Multiple-famlly residence. Number of units:
❑ Other. Description: (i.e., timber, mineral, water rights, etc.)
Check and complete as applicable.
❑ Co-op/Own-your-own Oyanufactured home
❑ Condominium JSUnlmproved lot
❑ Timeshare ❑ CommerclalAndustrial
B. ❑YES &bO Personal/business 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 club memberships, etc. Attach list If available:
If YES, enter the value of the pwsonallbusiness property: $ Incentives $
C. ❑YES NO A manufactured home Is included In the purchase price.
If YES, enter the value attributed to the manufactured home: $
OYES NO The manufactured home Is subject to local property tax. If NO, enter decal number.
D. ❑YES NO The property produces rental or other Income.
If YES, the Income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other:
E. The condition of the property at the time of sale was: ❑ Good Average ❑ Fair ❑ Poor
Please describe:
CERTIFICATION
I cerlify (or declare) that the foregoing and al/ Information hereon, including any accompanying statements or documents Is true and correct to the best
of mKLagw19dge and belle . `
SIGNATURE OF SUYERn RANSFEREE OR CORPORATE OFFICER • DATE TELEPHONE
3.`1�-23-I9 -7ra0-777-5090
office may contact you for additional Information regarding the transaction.
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