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LLA 2020-0015 Parcel A - The QuarryOrder No. Escrow No. Loan No. WHEN RECORDED MAIL TO: City of La Quints 78495 Calle Tampico La Quinta, CA 92253 DOC # 2020-0661120 12/28/2020 10:46 AM Fees: $185.00 Page 1 of 8 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: TERESA #134 DOCUMENTARY TRANSFER TAX $......... V.................... 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'S 766-044-003 and 766-050-017 GRANT DEED LLA 2020-0015 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, The Quarry at La Quinta, Inc., a California Non Profit Mutual Benefit Corporation Herby GRANT(S) to Joseph L. Guerra, Trustee of the 2020 Joseph L. Guerra Living Trust The real property in the City of LA QUINTA, County of RIVERSIDE, State of CALIFORNIA, described as Parcel "A" as described and shown on Exhibits "A' and `B" attached hereto and by reference made a part hereof Being that portion of land in Parcel `B" which is overlaid by the reconfigured shape of Parcel "A" pursuant as LLA 2020-0015 approved by the City of La Quinta. The reconfigured parcels are described in Exhibits A and B attached hereto and by this reference hereof. Note: This grant deed perfects the intent to Lot Line Adjustment 2020-0015 as approved by the City of La Quinta 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. LLA 2020-001 `_i Approved by the City of La Quinta By: Bilain McKinney P.E., City Engineer RCE 49418, Exp. 9-30-2022 MAIL TAX STATEMENTS TO: Joseph L. Guerra The Quarry at La Quinta, Inc., a California Non Profit Mutual Benefit Corporation By: a'o Name/ VbX_ _ 1161__ It's eneral Manager Joseph L. Gu a By:4� , Trustee of e 0 Joseph L. Guerra Living Trust DOC #2020-0661120 Page 2 of 8 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 DECEMBER 23, 2020 before me, NICHOLE ROMANE , 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) •,, NIC14OLE ROMANE W� Noury Public . California z r Z z Riverside County s: Commission 8 2312710 My Comm. Expires Nov 16, 2023 DOCUMENT: GRANT DEED LOT LINE ADJUSTMENT 2020-0015 re: APN 766.-044-003 and 766-OEIO-017 — owner(s): THE QUARRY AT LA QUINTA, INC DOC #2020-0661120 Page 3 of 8 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 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 _RIMSO11. On 0 a 'Uwbefore me, AhSW RWe, N(M nA N bl l C Date A �t Here Insert Name and Title of the fficer personally appeared AMY* 1,� uyy�as S c )n 0 .4hCA (A4 Nome(s) of Signer(s) DS2.;?y� am S wm 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 he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ° ALLISON P. ROWE ' Notary Public - California Riverside County > ` y Commission # 2315964 ` a•" My Comm, Expires Dec 16, 2023 Place Notary Seal and/or Stamp Above 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 Signature of Notary Public Vr I lwlv/Y Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(lies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ©2018 National Notary Association Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: DOC #2020-0661 120 Page 4 of 8 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2020-0015 PARCEL "A" IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, LOT 3 AS SHOWN ON TRACT MAP NO. 27728 ON FILE ON BOOK 249 OF MAPS, PAGES 1 THROUGH 13, INCLUSIVE, RECORDS OF THE RIVERSIDE COUNTY RECORDER, LOCATED IN THE NORTH HALF OF SECTION 29, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN 13ERNARDINO MERIDIAN: TOGETHER WITH THAT PORTION OF PARCEL "B" AS DESCRIBED IN GRANT DEED FOR LOT LINE ADJUSTMENT NO, 08-491 RECORDED DECEMBER 19, 2008 AS DOCUMENT NO. 2008-06635411, OFFICIAL RECORD:i OF SAID COUNTY, BEING A PORTION OF LOT 68 OF SAID TRACT MAP NO. 27728 DEPICTED ON EXHIBIT "B" AS "LOT 68 AREA 1", MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 3; THENCE ALONG THE NORTHERLY LINES OF SAID LOT 3, THE FOLLOWING THREE (3) COURSES: THENCE NORTH 89015'02" WEST, A DISTANCE OF 7!3.48 FEET; THENCE SOUTH 43010'57" WEST, A DISTANCE OF 166.38 FEET; THENCE NORTH 89047'25" WEST, A DISTANCE OF 27.33 FEET; THENCE LEAVING SAID NORTHERLY LINES, NORTH 43°10'57" EAST, A DISTANCE OF 182.45 FEET; THENCE SOUTH 89015'02" EAST, A DISTANCE OF 95.86 FEET TO A POINT ON THE WESTERLY LINE OF LOT 2 OF SAID TRACT MAP NO. 27728; THENCE SOUTH 00012'35" WEST, ALONG SAID WESTERLY LINE, A DISTANCE OF 11.60 FEET, TO THE POINT OF BEGINNING; LOT 68 AREA 1 CONTAINING 4,505 SQUARE FEET OR 0.103 ACRES MORE OR LESS. 1 OF 2 DOC #2020-0661120 Page 5 of 8 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2020-0015 ALSO TOGETHER WITH THAT PORTION OF PARCEL "B" AS DESCRIBED IN GRANT DEED FOR LOT LINE ADJUSTMENT NO. 08-491 RECORDED DECEMBER 19, 2008 AS -DOCUMENT NO. 2008-0663541, OFFICIAL RECORDS OF SAID COUNTY, -BEING A PORTION OF LOT 68 OF SAID TRACT MAP NO.27728 DEPICTED ON EXHIBIT "B" AS."LOT.68 AREA 2", MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 3; THENCE NORTH 89047'25" WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 68, A DISTANCE OF 54.00 FEET; THENCE NORTH 00012'35" EAST, A DISTANCE OF 30.00 FEET; THENCE SOUTH 89047'25" EAST, A DISTANCE OF' 54.00 FEET TO THE MOST WESTERLY NORTHWEST CORNER OF SAID LOT 3, THENCE SOUTH 00012'35" WEST, ALONG THE WESTERLY LINE OF SAID LOT 3, A DISTANCE OF 30.00 FEET TO THE POINT OF BEGINNING; LOT 68 AREA 2 CONTAINING 1,620 SQUARE FEET OR 0.037 ACRES MORE OR LESS. TOTAL ADJUSTED AREA OF PARCEL "A" CONTAINS 30,649 SQUARE FEET OR 0.704 ACRES MORE OR LESS. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF - WAY OF RECORD. AS DEPICTED ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. PREPARED BY OR UNDER THE DIRECTION OF: Q CHARLE3 R. HA Is 1 1 CHARLES R. HARRIS P.L.S. 4989 7C No.4889 7� DATED:11 /24/2020 20F2 DOC #2020-0661 120 Page 6 of 8 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2020-0015 PARCEL "B" IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, PARCEL "B" AS DESCRIBED IN GRANT DEED FOR LOT LINE ADJUSTMENT'NO. 08- 491 RECORDED DECEMBER 19, 2008 AS DOCUMENT NO. 2008-0668541, OFFICIAL RECORDS OF SAID COUNTY, BEING A PORTION OF LOT 68 AS SHOWN ON TRACT MAP NO. 27728 ON FILE ON BOOK 249 OF MAPS, PAGES 1 THROUGH 13, INCLUSIVE,. RECORDS OF THE RIVERSIDE COUNTY RECORDER, LOCATED IN THE NORTH HALF OF SECTION 29, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNAR.DINO MERIDIAN: EXCEPTING THEREFROM THAT PORTION OF SAID PARCEL "B" OF LOT LINE ADJUSTMENT NO.08-491 DEPICTED ON EXHIBIT "B" AS "LOT 68 AREA 1", MORE PARTICULARLY DESCRIBED PAS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 3; THENCE ALONG THE NORTHERLY LINES OF SAID LOT 3, THE FOLLOWING THREE (3) COURSES: THENCE NORTH 89015'02" WEST, A DISTANCE OF 79.48 FEET; THENCE SOUTH 43010'57" WEST, A DISTANCE OF 1136.38 FEET; THENCE NORTH 89047-25" WEST, A DISTANCE OF 27.33 FEET; THENCE LEAVING SAID NORTHERLY LINES, NORTH 43-10-57" EAST, A DISTANCE OF 182.45 FEET; THENCE SOUTH 89015'02" EAST, A DISTANCE OF 95.86 FEET TO A POINT ON THE WESTERLY LINE OF LOT 2 OF SAID TRACT MAP NO. 27728; THENCE SOUTH 00012'35" WEST, ALONG SAID WESTERLY LINE, A DISTANCE OF 11.60 FEET, TO THE POINT OF BEGINNING; LOT 68 AREA 1 CONTAINING 4,505 SQUARE FEET OR 0.103 ACRES MORE OR LESS. 1 OF 2 DOC #2020-0661120 Page 7 of 8 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2020-0015 ALSO EXCEPTING THEREFROM THAT PORTION OF SAID PARCEL"B" OF LOT LINE ADJUSTMENT NO.08-491 DEPICTED ON EXHIBIT "B" AS "LOT 68 AREA 2", MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 3; THENCE NORTH 89047'25" WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 68, A DISTANCE OF 54.00 FEET; THENCE NORTH 00012-35" EAST, A DISTANCE OF 30.00 FEET; THENCE SOUTH 89047'25" EAST, A DISTANCE OF 54.00 FEET TO THE MOST WESTERLY NORTHWEST CORNER OF SAID LOT 3, THENCE SOUTH 00012'35" WEST, ALONG THE WESTERLY LINE OF SAID LOT 3, A DISTANCE OF 30.00 FEET TO THE POINT OF BEGINNING; LOT 68 ,AREA 2 CONTAINING 1,620 SQUARE FEET OR 0.037 ACRES MORE OR LESS. TOTAL ADJUSTED AREA OF PARCEL "B" CONTAINS 6,513,131 SQUARE FEET OR 149.520 ACRES MORE OR LESS. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF - WAY OF RECORD. AS DEPICTED ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. PREPARED BY OR UNDER THE DIRECTION OF: M;YaO 18 O CHAR R. HARRIS Lai � CHARLES R. HARRIS P.L.S. 4989 * No. 4989 OF CAUF°�/ DATED: 11 /24/2020 20F2 w 4- 9 00 a� 0) cu a 0 N 0 b 0 H H PAR. "B" LLA 08-491 DOC. NO. 2008-0663541 REC. 12/19/2008, O.R. POR. OF LOT 68 M.B. 249/1 —13 LINE DATA NO., BEARING LENGTH L1 N 89' 15'02" W 79.48' L2 N 89'47'25" W 27.33' L3 S 89' 15'02" E 95.86' L4 S 00' 12'35" W 11.60' L5 IN 89-47'25" W 45.62' L6 S 00' 12'35" W 30.00'_ L7 N.89'47'25" W. 54.00' L8 N 00' 12'35" E 30.00' L9 S 89'47'25" E 54.00' LSO t&\ It KRIM O (L No. 4989 ' CAL\FO��? DATED: 11 /24/2020 LOT 68 AREA 1 L3 4,505 SQ. FT. _ 0.103 AC', PARCEL 'B' 6,513,131 SQ. FT. 149.520 AC. L9 L5 �r L2 LOT LINE T( Ile— �BE�iDJ-USTE LOT 68 AREA 2 1,620 SQ. FT. 0.037 AC. 01 .• SCALE .. N .y�, LOT LINE TO BE ADJUSTEI h� 4h Q) %` PARCEL 'A' �-y 24,524 SQ. FT. 0.563 AC. LOT 3 M.B. 249/ 1-13 J NW COR. LOT 2 P.O.B. LOT 68 AREA 1 NE COR. LOT 3 LOT 2 M.B. 249/1-13 TOM FAZIO LANE SOUTH P.O.B. LOT 68 AREA 2 SW COR. LOT 3 LEGEND EXISTING LOT LINE TO BE ADJUSTED— — EXISTING LOT LINE TO REMAIN NEW ADJUSTED LOT LINE (-) RECORD PER M.B., 249/1-13 MSA CONSULTING, INC. > PLANNING > CIVIL ENGINEERING > LAND SURVEYING 34200 BOB HOPE DRIVE, RANCHO MIRAGE, CA 92270 760.320.9811 MSACONSULTINGINC.COM J.N. 2624 SHEET 1 OF 1 BOE-502-A (P1) 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 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. r L STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY 79390 Tom Fazio Lane South La Quinta, CA 92253 PETER ALDANA, COUNTY OF RIVERSIDE ASSESSOR -COUNTY CLERK -RECORDER PO BOX 751, RIVERSIDE, CA 92502-0751 (951) 955-0400 www.riversideacr.com ASSESSOR'S PARCEL NUMBER 766-044-003 and 766-050-017 SELLERrrRANSFEROR The Quarry at La Quinta, Inc., BUYER'S DAYTIME TELEPHONE NUMBER ( 678 ) 873-6315 _J BUYER'S EMAILADDRESS guerrajlg@gmail.com I YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy or intended occupancy. ❑ YES ❑✓ NO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran who was compensated at 100% by the Department of Veterans Affairs? MAIL PROPERTY TAX INFORMATION TO (NAME) Joseph L. Guerra MAIL PROPERTY TAX INFORMATION TO (ADDRESS) 79390 Tom Fazio Lane South PART 1. TRANSFER INFORMATION DAY CITY STATE ZIP CODE La Quinta CA 92253 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.). ❑ B. 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.). ❑ ❑✓ * C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandehild(ren). ❑ ✓❑ * D. This transfer is the result of a cotenant's death. Date of death ❑ ❑✓ * E. This transaction is to replace a principal residence owned by a person 55 years of age or older. Within the same county? ❑ YES ❑ NO ❑ 0 * F. 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 ❑ ❑✓ 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: ❑ 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 an irrevocable trust for the benefit of the ❑ creator/grantor/trustor and/or ❑ grantors/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. ❑� J 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. ❑ F,( N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions imposed by specified nonprofit corporations. ❑ * O. This transfer is to the first purchaser of a new building containing an active solar energy system. R Other. This transfer is to Consideration is less than $100 * 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. 13 (06-17) 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-100-13) ❑ 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 exDlain: C. Only a partial interest in the property was transferred. ❑YES ❑ NO If YES, indicate the percentage transferred: % PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase price Is B. Cash down payment or value of trade or exchange excluding closing costs Amount $ C. First deed of trust @ % interest for years. Monthly payment $ Amount ❑ FHA (_Discount Points) ❑ 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 $ Amount $ ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payments Due date: E. Was an Improvement Bond or other public financing assumed by the buyer? F 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 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, 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 personal/business 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 n 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 E Poor Please describe: CERTIFICATION I 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. SIGNATURE OF BUY RANSFEREE OR CORPORATE OFFICER DATE TELEPHONE NAME OF BUYS EREEIPERSONAL REPRESENTATiVEICORPCRATE OFFICER ( LEASE PRINT] T� EMAILADDRESS oS L• r� uC,�/'� I/:•, �N3 //LtS1rc u toy lit, ►V4. I • Ca ►tit The Assessor's office may contact you for additional information regarding this transaction. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 11 ,51 �1}kfl1. PETER ALDANA Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR —COUNTY CLERK —RECORDER (951) 486-7000 Website: www.riversideaer.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. 766 -- 4�--003 I declare that the documentary transfer tax for this Property Address: Z,q39DSDM EAZIO. LN- L -Quints transaction is: $ () QC) If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTIONISEXEMPT FROMDOCUMENTARYTRANSFER TAXBECAUSE. (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". X 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. Section 11911. The conveyance transfers to a revocable living trust by the grantor or from a revocable living trust to a beneficiary. Section 11921. The conveyance was given to secure a debt. Section 11922. The conveyance is to a governmental entity or political subdivision. 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. 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. 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 exemption. This form may be used for that purpose.) 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. Section 8. The easement is BQLperpetual, permanent, or for life. Section 9. The document is a lease for a term of jCILthan (35) years (including written options.) Other (Include explanation and legal authority) I DECLARE UNDER PENALTY OFJ�PERJURY THAT THE FOREGOING IS/TR� UE T. AND CORRECT Executed this day of JJ tCt'� . 20 w at Call C A City State ugPIA L - ,-, c! SigasturcofAffian Printedd-N ofAffiant Utb>n a Sf Ejqn Fa-�o Lax►.e. S. La viV1+-a CA Name a Firm (if applicable) Ad ess of AM t (ir1cl in City, Scat e Code) Te eplime Number of Affiant (inclsulizs/v g area code) For Recorder's Use: This form is subject to the California Public Records Act (Government Code 6250 et. seq.) Affix PCOR Label Here I22S3 ACR 521 (Rev. 11/2014) Available in Alternate Formats