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LLA 2013-533 Parcel DPLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: CITY OF LA QUINTA Attn: CITY CLERK DEPT 78-495 Calle Tampico La Quinta, CA 92253 DOC # 2015-0260050 06/18/2015 01:40 PM Fees: $72.00 Page 1 of 10 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: CARAGON SPACE,ABOVE FOR RECORDER'S USE ONLY GRANT DEED LLA 2013-533 APN 767-800-093 THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ CITY -TAXIS $ 0 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 Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: City of La Quinta Public Works 78495 Calle Tampico La Quinta, CA 92253 COPY TO: IOTA Griffin, LLC c/o Sabal Financial Group, L.P. 4675 MacArthur Ct., Suite 1550 Newport Beach, CA 92660 DOCUMENTARY TRANSFER TAX $0.00............................................. SPACE ABOVE THIS LINE FOR RECORDER'S USE .....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 Declarant or Agent determining tax — Firm Name APN 767-800-093 GRANT DEED LLA 2013-533 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lennar Homes of California, Inc., a California Corporation hereby GRANT(s) to IOTA Griffin, LLC, a California limited liability company APPROVED BY CITY OF LA QUINTA If Timothy J " a on, P.E., Public Works Director/City Engineer the real property in the City of La Quinta, County of Riverside, State of California, described as Those portions of land in Lot "AB" of Tract Map No. 32879, as shown by map on file in Book 399 of Maps, at Pages 3 through 20, inclusive, Riverside County records, which is overlaid by the reconfigured shapes of Parcel "D" pursuant to LLA 2013 - 533, approved by the City of La Quinta. The reconfigured lots are described in Exhibits "A" and "B" attached hereto and made a part hereof. NOTE: This grant deed perfects the intent of Lot Line Adjustment 2013 - 533 as approved by the City of La Quinta. Dated: MAIL TAX STATEMENTS TO: IOTA Griffin, LLC c/o Sabal Financial Group, L.P. 4675 MacArthur Ct., Suite 1550 Newport Beach, CA 92660 Lennar Homes of California, Inc. a California Corporation BY: ff Cleli4ns California All -Purpose Certificate of Acknowledgment 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 C lifornia ) County of ) • Il.. _k. �l� 5 beforeme, �ir1 . ' Ill L Ak_ [mersonally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose nameN Wake_ subscribed to the within instrument and acknowledged to me that he/sle/thiby executed the same in his/hw/tNr authorized capacity(lit%), and that by his/her/their signature(iq on the instrument the person), 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. BETH SRULEY it COMM.02075619 z owe Notary Pudic • Ca NW% c = Riverside County -- Signature Comm. 14�18 (Seal) 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 June 9, 2015 before me, SUSAN MAYSELS, Notary Public, personally appeared TIMOTHY 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. 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. sUSAWMAYSELs. •f m"Commission P. 2017258 z ; + Notary Publie--Cathrnia D z Riverside County Signature Vy Comm: Expires Apr 13; 2017 (seal) DOCUMENT: GRANT DEED LLA 2013-533 re: APN 767-800-093 — owner(s): Lennar Homes of California, Inc., a California Corporation EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2013-533 PARCEL D: IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, THOSE PORTIONS OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DOCUMENT NO. 2015-0098212, RECORDED MARCH 12, 2015 OFFICIAL RECORDS OF SAID COUNTY AND OF LOT "AB" OF TRACT MAP NO. 32879, AS SHOWN BY MAP ON FILE IN BOOK 399 OF MAPS, AT PAGES 3 THROUGH 20, INCLUSIVE, RIVERSIDE COUNTY RECORDS, LOCATED IN THE NORTHEAST QUARTER OF SECTION 15, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNARDINO MERIDIAN, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF LOT "AR" AS SHOWN ON SAID TRACT MAP NO. 32879; THENCE NORTH 89046'45" EAST ALONG THE SOUTHERLY LINE OF SAID LOT "AR" A DISTANCE OF 30.00 FEET TO THE SOUTHWEST CORNER OF SAID DOCUMENT NO. 2015-0098212, SAID POINT BEING THE TRUE POINT OF BEGINNING; THENCE LEAVING SAID SOUTHERLY LINE AND ALONG THE WESTERLY AND NORTHERLY LINES OF SAID DOCUMENT NO. 2015-0098212, THE FOLLOWING FIVE (5) COURSES: (1) THENCE NORTH 00-13-15" WEST, A DISTANCE OF 10.00 FEET; (2) THENCE NORTH 89°46'45" EAST, A DISTANCE OF 28.91 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE NORTHERLY, HAVING A RADIUS OF 99.50 FEET; (3) THENCE EASTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 10-14-13", AN ARC DISTANCE OF 17.78 FEET; (4) THENCE NORTH 79°32'32" EAST, A DISTANCE OF 41.04 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE SOUTHERLY, HAVING A RADIUS OF 70.50 FEET; (5) THENCE EASTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 54-29-10", AN ARC DISTANCE OF 67.04 FEET TO A POINT ON THE NORTHERLY LINE OF SAID DOCUMENT NO. 2015-0098212, A RADIAL LINE TO SAID POINT BEARS NORTH 44001'42" EAST; THENCE NON -TANGENT TO LAST MENTIONED CURVE, SOUTH 89046'45" WEST ALONG SAID SOUTHERLY LINE AND THE PROLONGATION THEREOF, A PAGE 1 OF 2 EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2013-533 DISTANCE OF 62.06 FEET TO THE WESTERLY LINE OF SAID LOT "AB"; THENCE NORTH 12059'32" EAST ALONG SAID WESTERLY LINE, A DISTANCE OF 9.28 FEET TO THE SOUTHERLY LINE OF SAID DOCUMENT NO. 2015-0098212; THENCE ALONG SAID SOUTHERLY LINE THROUGH THE FOLLOWING THREE (3) COURSES: (1) THENCE SOUTH 79032'32" WEST, A DISTANCE OF 41.04 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE NORTHERLY, HAVING A RADIUS OF 109.50 FEET; (2) THENCE WESTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 10-14-13", AN ARC DISTANCE OF 19.56 FEET; (3) THENCE SOUTH 89-46-45" WEST, A DISTANCE OF 28.91 FEET TO THE TRUE POINT OF BEGINNING. ADJUSTED PARCEL "D" CONTAINING 1,794 SQUARE FEET OR 0.041 ACRES, MORE OR LESS. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF - WAY OF RECORD. EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. PREPAR D Y OR UNDE THE DIRECTION OF: CHARLES R. HARRIS P.L.S. 4989 RK10-1-i� EXP. 12/31/2015 DATED: PAGE 2OF2 CHARLES R: HARRIS No. 4989 1 CITY OF LA QUINTA -CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT •B• -INDEX SHEET I LOT LINE. ADJUSTMENT NO. 2013-533 LEGEND EXISTING LOT LINE TO BE DELETED ------- EXISTING LOT LINE TO REMAIN NEW ADJUSTED LOT LINE (#) INDICATES RECORD DATA PER MB 399/3-20 ALONG LINES TO BE DELETED - PARCEL •D• APN 767-800-090 (PORTION) SEE SHEET 2 PAR. 'A' -PARCEL 'A• 1.114 AC. APN 767-800-089 SEE SHEETS 2 - 4 we SHEET 2 SHEET 3 - PARCEL •B• 1.538 AC. APN 767-800-093 SEE SHEETS 2 - 4 PAR. A PAR. A -PARCEL •C• 0.269 AC. APN 767-800-069 SEE SHEETS 3 & 4 0' 300' 600' SCALE 1"=300' 6\00, L O s C R. T'_ p N 4989 qTs� OF - CA�-� DATED: .� d //-i;- MSA CONSULTING, INC. PLANNING ■ CIVII, ENGINEERING ID LAND SURVEYING J.N. 1721 SHEET 1 OF 4 CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT •B• 1 LOT LINE ADJUSTMENT NO. 2013-533 AVENUE 54 P.O.B. LOT "AK" L10 f PAR. "A" o Q LOT "AR" J PARCEL 'A' V WELL SITE ¢ 1.114 AC. a a N o APN 767-800-089 J - 234 _2} L20 C23 L19 rL) N� 'RIVATE STREET) -� 00 ��. L NI GER —c'k o AY �o � — J+ LOT "AE" a p q O �1 N P.O.B. 84 PAR. "B" N c6 LU > -. 00 N W'LY LINE--'w 13 LOT "AB" I LO M INI in "4 85 6 I o FUTURE co 1 z CENTERLINES it 10' PUE II 86 I v PARCEL •B' c) 1.538 AC. 1� APN 767-800-093 N 77'09'58" E/ �I (R) 87 SEE DETAIL 'A' BELOW RIGHT I2' PARCEL •D• 1,794 SF P.O.C. 0.041 AC PAR. "D" LOT LINES 1 SW COR. BE DELETED LOT 'AR OA L35 C34 �a C33 a 0 J w z J w N • o a o z I L33 L� 9 62.0e `� L20 C23 N 12'59'32" E L11 L31 ) N �n (c� o T.P.O.B. cv 9.28' NEW ADJUSTED �� ��y N 2' N PAR. "D" ; J LOT _LINE _ �i���' _ _ (PRIVATE STREET) w HAFLINGER o J N WAY c� w z � N L6 LOT "AE" w o N N 00' 13' 15" W — C�5r xw v o (R) a v I w V) 10' PUE • 88 1 DARK STAR DRIVE ' o �. .J � I LOT AC l — J N o�i I o ICI (PRIVATE STREET) o - 0 iv l N mI-I v� ¢ I o �® 10' PUE I I F NI a I ) 106 z 1 ZA W'LY LINE I I I LOT "AB" LOT LINE TO BE DELETED -NEW ADJUSTED LOT LINE P.O.B. • �� 3 I •a- 7w PAR. „B" I & Q l W a o a- 84 w W z W - >_V)N -. IJ ¢o wo I; V WIMr-6 I.. QJ zJ �N Gooco a �oco a Q z 11 o I �U I 20.5' 20.5'1 —PARCEL •A• 1.114 AC. APN 767-800-089 SEE SHEET 3 DETAIL •A• NOT TO SCALE OA DOC. No. 2015-0098212 REC. 03/12/2015, O.R. 0' 100, 200' SCALE 1"=100' IDMSA CONSULTING, INC. PLANNING ■ CIVIL ENGINEERING LAND SURVEYING J.N. 1721 SHEET 2 OF 4 CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT 'B' LOT LINE ADJUSTMENT NO. 2013-533 SEE SHEET 2 N 85'58' 1 1 " E I 106 I I PARCEL 'A® (R) LOT LINE TO BE \i —w I 1.114 AC. DELETED 1 APN 767-800-089 a 107 ® j I I <o M ri FUTURE I 1 I CENTERLINE I c� PARCEL' I N co I z WAFT ADMIRAL DRIVE z 10' PUE J _ N1 26'3820 W 2' (PRIVATE STREET) LOT "AE" I - I R) FUTURE — — —'� 1CC W ► CENTERLINE 10 0 ®® 1 FUTURE `� w CENTERLINE 14- AIR Ut4 19'25'27" W 116 CIfRT 1(R) z w o 10' PUE I LOT U �J 2 1 a -°,�° z PARCEL "B" °°' ' J < 1 - � N 1.538 AC. o� f- ao I 20.5' 20.5' IL o � APN 767-800-093 c� o I of 13® I O t7 SEE DETAIL 'B° 116 I I I I N 81' 12' 10" E ABOVE RIGHT i 2 (R) — I U 1 DETAIL 'B" MAN-O-WAR COURT J 1 " = 40' (PRIVATE STREE Y LOT "Z" 1 tk / 20.5' 20.5' PARCEL'Al O — o c.6 I Ir w N - 0 :� I 1 N► J I.N�.1 131 I 1 ¢ N 130 I J w B88 1 O N o I ¢ W'LY LINE �„ o W LY LINE o LOT "AB" / �' p CC z o LOT "AB" <coJ "� SEE DETAIL "C' W o LOT LINE TOI BE i AT RIGHT p� o J DELETED 2 N 02'03 12 W MAC_BETH �J 10' PUE $�k STREET 2' �� L15 C C1 � MACBETH STREET _ � �' ,5^LL30 � c22/ (PRIVATE STRELOT "Y" L15 �G. /C32 l — — J /� o _, ( ET) 3 C1 —SEE DETAIL 'D' ¢ 0) 18—.Q'2 ON SHEET 4 od �- Q z N 05°04'28" W DETAIL ®C' < o ¢ 0° 10' PUE 143 ( 1" = 40 9' zF R PARCEL®C® -' 144 z PARCEL 0.269 AC. o MSA CONSULTING, INC. APN 767-800-069 PLANNING w CIVIL ENGINEERING L16 LAND SURVEYING P.O.B. L1 PAR. "C" PAR. "A© J.N. 1721 SHEET 3 OF 4 CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT "B® LOT LINE ADJUSTMENT NO. 2013-533 LINE DATA NO. BEARING LENGTH L1 N 87'47' 15" W 31.1 W L2 N 02*03'12" W 129.62' L3 N 02'03'12" W 42.19' L4 N 02'03' 12" W 102.05' L5 N 02'03'12" W 44,53' L6 N 89'46'45" E 9.19' L7 N 02*03'12" W 41.02' L8 S 89'46'45" W 28.01' L9 N 02'03'12" W 110.86' L10 N 89'46'45" E 54.23' L11 S 89'46'45" W 70.23' L12 S 12'59'32" W 42.11' L13 S 02*03'12" E 96.51' L14 S 15"5'58" E 42.11' L15 N 87'56'48" E 42.87' L16 N 87*47'15" W 95.26' L17 N 02'03'12" W 119,80' L18 S 81'48'59" E 37.96' L19 S 79'32'32" W 41.04' L20 S 89'46'45" W 28.91' L21 N 89'46'45" E 30.00' L22 N 53'52' 1 1 " E 10.67' L23 S 02'03'12" E 8.77' 1-24 S 10-00.58" W 55.11' 1-25 S 00' 13' 15" E 116.75' 1-26 S 02'03' 12" E 37.07' 1-27 S 12'17'25" E 55.11' L28 N 15'15'58" W 51.40' 1-29 N 41'26'48" W 8.80' L30 N 87'56'48" E 42.87' L31 S 89'46'45" W 98.24' L32 N 89'46'45" E 8.17' L33 IN 00' 13' 15" W 10.00' L34 I N 89'46'45" E 128.91' L35 I N 79-32.32" E 41.04' PARCEL . Tv T LINE TO BE Ghj/ LETED j C32 L15C22 4 C35 144 Goo. PAR1EL °C' DETAIL 'C® 1 " = 10' CURVE DATA NO. DELTA RADIUS LENGTH C1 05'13'51 320,50' 29.26' C2 86'29'23' 24,50' 36.98' C3 06'44'38" 825.50' 97.16' C4 79'22'23" 24.50 33.94' C5 03° 12' 51 " 220.50' 12.37' C6 01-00'11" 779.50' 3,14' C7 112*56'31 " 24,50' 48.15' C8 10*41'08" 777.00' 144.91' C9 08`42'30" 523.00' 79.49' C10 10*46'50" 523.00' 98.41' C11 12'36'47" 477.00' 105.01' C12 90'00'00" 24.50' 38.48' C13 90'00'00" 34.50' 54.19' C14 90'00'00" 34.50' 54.19' C15 12'36'47" 518.00' 114.03' C16 10*46'50" 482.00' 90.69' C17 08'42'31 " 482.00' 73.26' C18 16'33'03" 782.00' 225.89' C19 16'33'03" 818.00' 236.29' C20 07'50'32" 784.50' 107.38' C21 90'00'00" 34.50' 54.19' C22 03*01'16" 320.50' 16.90' C23 10414' 13" 109.50' 19.56' C24 110`28'26" 60.50' 116.65' C25 10' 14' 13" 109.50' 19.56' C26 12'36'47" 482.00' 106.11' C27 10*46'50" 523.00' 98.41' C28 08'42'31 " 518.00' 78.73' C29 07'50'32" 820.50' 112.30' C30 10' 14' 13" 109.50' 19.56' C31 90'00'00" 34.50' 54.19' C32 90'00'00" 34.50' 54.19' C33 10' 14' 13" 99.50' 17.78' C34 54'29' 10" 70.50' 67.04' C35 00'59'58" 320.50' 5.59' N 05'04'28" W C� _ ��LOT NEW ADJUSTED LINE c o PARCEL OW NC V ACONSULTING,I1 ENGINEERING LAND SURVEYING J.N. 1721 SHEET 4 OF 4 ,�� or Rrve rder LARRY W. WARD P.ORec. 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951) ash-7oo0 4c 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. 767 -- 800 -- 093 I declare that the documentary transfer tax for this Property Address: Ardennais Drive T transaction is $ 0.00 If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM TIMT 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. _ Other (Include explanation and authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT: /A Executed t ' [� day of A 20 ®� at Z QQ $114l C !7 City State �k of A ant Printed Name of Affiant Lennar Homes of California, Inc. 980 Montecito Drive, Suite 302, Corona, CA 92879 Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code) (951) 817-3500 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 BOE-502-A (P1) REV. 11 (07-10) 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 Recorder's office for the county where the property is located. Please answer all questions in each section, and sign and complete the certification before filing. This form may be used in all 58 California counties. If a document evidencing a change in 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). NOTICE: The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor. Supplemental assessments are not paid by the title or escrow company at close of escrow, and are not included in lender impound accounts. You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. LARRY W. WARD, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK - RECORDER PO BOX 12004, RIVERSIDE, CA 92502-2204 (951) 955-6200 www.riversideacr.com SELLER/TRANSFEROR ASSESSOR'S PARCEL NUMBER Lennar Homes of California, Inc., a California Corporation 767-800-093 BUYERrrRANSFEREE BUYER'S DAYTIME TELEPHONE NUMBER IOTA Griffin, LLC c/o Sabal Financial Group, LP / Jim Stockhausen, Manager ( 925 ) 255-2682 STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY Ardennais Drive MAIL PROPERTY TAX INFORMATION TO (NAME) IOTA Griffin, LLC ADDRESS CITY STATE I ZIP CODE 4675 MacArthur Court, Suite 1550 Newport Beach CA 92660 ❑YES W] NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR or intended occupancy. PART 1. YES NO ❑ 0 ❑ 0 TRANSFER INFORMATION Please complete all statements. A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.). B. ❑ ❑✓ * C. ❑ ✓❑*D. ❑ ✓❑*E. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of a partner, death of a partner, termination settlement, etc.). This is a transfer between: ❑ parent(s) and child(ren) ❑grandparent(s) and grandchild(ren). This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑ YES ❑ NO This transaction is to replace a principal residence b a person who is severely disabled as defined by Revenue and Taxation Code section 69.5. Within the same county? ❑ YES y❑ NO ❑ F. 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: ❑ ❑✓ G. The recorded document creates, terminates, or reconveys a lender's interest in the property. ❑ H. 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: ❑ ❑✓ I. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. J. This is a transfer of property: ❑ 1. to/from 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. ❑ 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. ❑ 0 4. to/from an irrevocable trust from which the property reverts to the creator/grantodtrustor within 12 years.. ❑ K. This property is subject to a lease with a remaining lease term of 35 years or more including written options. ❑ L. 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. ❑ ❑✓ M. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ 0 * N. This transfer is to the first purchaser of a new building containing an active solar energy system. * If you checked YES to statements C, D, or E, you may qualify for a property tax reassessment exclusion, which may allow you to maintain your previous tax base. If you checked YES to statement N, you may qualify for a property tax new construction exclusion. A claim form must be filed and all requirements met in order to obtain any of these exclusions. Contact the Assessor for claim forms. 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. 11 (07-10) PART 2. OTHER TRANSFER INFORMATION NSA 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 (including written options): ❑ Other. Please explain: C. Only a partial interest in the property was transferred. YES ❑ NO Remaining term in years (including written options): If YES, indicate the percentage transferred: % PART 3. PURCHASE PRICE AND TERMS OF SALE NSA Check and complete as applicable. A. Total purchase or acquisition price. Do not include closing costs or mortgage insurance. $ Down payment: $ Interest rate: % Seller -paid points or closing costs: Balloon payment: $ Loan carried by seller ❑ Assumption of Contractual Assessment* with a remaining balance of: $ *An assessment used to finance property -specific improvements that constitutes a lien against the real property. B. The property was purchased: Through real estate broker. Broker name: ❑ Direct from seller ❑ From a family member ❑ Other. Please explain: Phone number: C. Please explain any special terms, seller concessions, 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 NSA Check and complete as applicable. A. Type of property transferred Single-family residence 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 ❑ NO Personal/business property, or incentives, are included in the purchase price. Examples are furniture, farm equipment, machinery, club memberships, etc. Attach list if available. If YES, enter the value of the personal/business property: $ C. P 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 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 CERTIFICATION I certify (or declare) under penalty of perjury under the laws of the State of Callfomia 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. This declaration is binding on each and every buyer4wnsfgree. _ 0. ADDRESS OFFICER (PLEASE PRINT) The Assessor's office may contact you for additional information regarding this transaction.