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LLA 2020-0019 Parcel C - AndalusiaOrder No. Escrow No. Loan No. WHEN RECORDED MAIL TO: City of La Quinta 78-495 Calle Tampico La Quinta, California, 92253 DOCUMENTARY TRANSFER TAX $............. `,1..................................... 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. determining tax - Firm Name APN'S: 764-671-013, 764-200-098 DOC # 2021-0201431 03/31/2021 10:12 AM Fees: $176.00 Page 1 of 5 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: TERESA #134 GRANT DEED LLA 2020-0019 SPACE ABOVE THIS LINE FOR RECORDER'S Signature of Declarant or Agent FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ANDALUSIA COUNTRY CLUB, LLC, a Delaware limited liability company hereby GRANT(S) to BART L. ROSS and SUZANNE J. ROSS, Trustees of the Ross Family Trust under Declaration of Trust Established May 6, 2005, as Amended and Fully Restated December 15, 2015 the real property in the City of La Quinta, County of Riverside, State of California, described as that portion of land in Parcel "D" which is overlaid by the reconfigured shape of Parcel "C" pursuant to LLA 2020-0019 approved by the City of La Quinta. The reconfigured parcels are described in Exhibits A and B attached hereto and by this reference made a part hereof. Note: This grant deed perfects the intent of Lot Line Adjustment 2020-0019 as approved by the City of La Quinta. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF C IFORNIA ) COUNTY OF IN VeV S�'cl ) On A�Ch�3 a411 before �- personally appeared I b� f I K I� ♦' Who proved to me on the basis of satisfactory evidence to be the person($) whose name(s) is/aro subscribed to the within instrument and acknowledged to me that he/st6/th6y executed the same in his/hbr/Wieir authorized capacity(i( e6),and that by his/hkr/th6ir signature($) 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. Signature ' 9cw MAIL TAX STATEMENTS TO: ANDALUSIA COUNTRY CLUB, LLC, ��ware limited` bili�an�� By: Phillip K mith Jr. It's: /�1"�s��p�-w✓� AP P VED BY CITY OF LA QUINTA B n McKinney, P.E., ity Engineer RCE 49418, Exp. 9-30-2022 JUANITA M. A. GAMA a . Notary Public • California Riverside County >_ Commission # 2274810 My Comm. Expires Feb Place Notary Seal Above DOC #2021-0201431 Page 2 of 5 NOTARY 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 California ) County of Riverside ) On MARCH 29, 2021 before me, MONIKA RADEVA, 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. *m! MONIKA RADEVA Notary Public - California Riverside County Commission # 2334260 i/y Comm. Expires Oct 22, 2024 Signature: (notary seal) DOCUMENT: GRANT DEED LOT LINE ADJUSTMENT 2020-0019 re: APNs 764-671-013 and 764-200-098; Owner(s): ANDALUSIA COUNTRY CLUB, LLC DOC #2021-0201431 Page 3 of 5 EXHIBIT "A" LOT LINE ADJUSTMENT NO.2020-0019 PARCEL "C" LOT 41 AND A PORTION OF LOT "B" OF AMENDMENT NO. 4, TRACT NO. 31681-3, AS SHOWN BY MAP ON FILE IN BOOK 469 OF MAPS, AT PAGES 18 THROUGH 32, INCLUSIVE, RECORDS OF RIVERSIDE COUNTY, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, MORE PARTICULARLY DESCRIBED AS A WHOLE AS FOLLOWS: BEGINNING AT THE NORTHWESTERLY CORNER OF SAID LOT 41; THENCE S490 37' 41"E, A DISTANCE OF 65.94 FEET; THENCE S500 04' 51"W ALONG THE NORTHEASTERLY PROLONGATION OF THE SOUTHEASTERLY LINE AND THE SOUTHEASTERLY LINE OF SAID LOT 41, A DISTANCE OF 203.47 FEET TO THE SOUTHEASTERLY CORNER OF SAID LOT 41; THENCE N540 45' 44"W ALONG THE SOUTHWESTERLY LINE OF SAID LOT 41, A DISTANCE OF 41.18 FEET TO THE SOUTHWESTERLY CORNER OF LOT "V" OF SAID TRACT; THENCE N41 ° 42' 59"E ALONG THE SOUTHEASTERLY LINE OF SAID LOT "V", A DISTANCE OF 26.00 FEET TO THE NORTHEASTERLY CORNER OF SAID LOT "V" AND THE BEGINNING OF A NON -TANGENT CURVE, CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 2,238.00 FEET, WITH A BEGINNING RADIAL BEARING OF N41 ° 42' 59"E; THENCE NORTHWESTERLY ALONG SAID CURVE AND THE NORTHEASTERLY LINE OF SAID LOT "V", THROUGH A CENTRAL ANGLE OF 00 33' 17", AN ARC LENGTH OF 21.66 FEET TO THE SOUTHWESTERLY CORNER OF SAID LOT 41; THENCE N500 04' 51"E ALONG THE NORTHWESTERLY LINE OF SAID LOT 41, A DISTANCE OF 180.43 FEET TO THE POINT OF BEGINNING. AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. SAID "PARCEL "C" CONTAINS 12,775 SQUARE FEET MORE OR LESS. THIS DOCUMENT WAS PREPARED BY ME OR UNDER MY DIRECTION BASED ON RECORD INFORMATION L D W. WATSON DA eRoFESS/ N0.26662 m � x� EXP.3-31-22 �} crvi�. .e- 9F CAO DOC #2021-0201431 Page 4 of 5 EXHIBIT „B„ PAGE 1 OF 2 PAGES LOT LINE ADJUSTMENT NO.2020-0019 LOTS 39, 40, 41, AND "B" OF AMENDMENT NO. 4, TRACT NO. 31681-3 400' 600, 800' 1200' SCALE: 1" = 400' ( IN FEET) 1600' QROF ESS / ' W\ �G O m No.26662 A EXP. 3-31-22 CI V l l- U i C y C\f PREPARED UNDER THE SUPERVISION OF: CIVIL ENGINEERING • LAND PLANNING�j`'d 83-793 PAC SUR 922 LLOYD W. WATSON DATE INDIO, CA 92203 PH: (760) 275-1553 P.E. 26662 EXP. 3/31 /22 DOC #2021-0201431 Page 5 of 5 EXHIBIT „B„ PAGE 2 OF 2 PAGES LOT LINE ADJUSTMENT NO.2020-0019 LOTS 39, 40, 41, AND "B" OF AMENDMENT NO.4, TRACT NO. 31681-3 0 60' 90' 120' 180, SCALE: 1" = 60' >> >> AMENDED NO.4 TRACT 31681-3 ( IN FEET) L 0 T B MB 469/18-32 3 } APN 764-200-098 - 26.87 AC "D" ��0� PARCEL N 44°10'43" (R) o0 o ml FP Cc- �- �� N 49037'41"W 169.94' r 45°08'03" (R) clx) C1--- �I G12 a� 94' 38.05' C3 A L1 H DETAIL SCALE: 1 "=10' 3 10' PUBLIC. UTILITY EASEMENT Z 65.94' C10 C9-� C 11 PA L '' ', 13.60's RSE P.O.B. _ -G6 3: �/ate ►� �I �d 42 M � cy) N O�cO- O e- a LL No 0�0 �- m Oi LL C0 `-WCfl,C) AILLr) :- amp OWoC Nui aZ� o a�� Q �' a a of � Q o SEE DETAIL d I PARrFI "R" C r.v.o. L1 �j - G2 (' 4.05' L 28°36'39"E (R) W cfl 801N QO �LL NU) Nl� GO111C°N zj: CD ") L) "T Cn O Qz�- 0 !r' o 0 aQ WI co rI LOT NpA�USIA J pFtIVA1E0RIVEl CURVE TABLE CURVE DELTA RADIUS LENGTH TANGENT Cl 3°49'17" 960.00' 64.03' 32.03' C2 11°45'41" 190.00, 39.00' 19.57' C3 3°48'24" 190.00, 12.62' 6.31' C4 0057'20" 903.00' 15.06' 7.53' C5 0047'25" 167.00' 2.30' 1.15, C6 19035'33" 149.00' 50.95' 25.73' C7 4037'48" 190.00, 15.35' 7.68' C8 0033'17" 2238.00' 21.66' 10.83' C9 8°07'59" 179.00' 25.41' 12.73' C10 13038'42" 167.00' 39.77' 19.98' C11 14026'07" 167.00' 42.07' 21.15' C12 16023'29" 190.00, 54.35' 27.36' C1 m w 10' PUBLIC LI)i I KUTILITY EAS ENT I N LOT "WV; co I 30' WIDE WATER PIPELINE EASEMENT OF USA REC. AS INST. NO. 2005-0313110 4/21/05, O.R. LINE DATA COURSE BEARING LENGTH L1 N 48°16'35"W 1.43' L2 N 41 °29'53"E(R) 26.00' L3 S 54045'44"E 72.72' L4 S 54045'44"E 41.18' L5 N 41 °42'59"E(R) 26.00' I FrFNn ----- EXISTING LOT LINE TO BE ADJUSTED EXISTING LOT LINE TO REMAIN ADJUSTED LOT LINE OF R ��O PETER ALDANA Recorder 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 r` Website: W%�w 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. 764 --671 -- 013 I declare that the documentary transfer tax for this Property Address: 81 66R Andalusia I aQ, fintn.CA 99953 transaction is: $0_ If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTIONIS EXEMPT FROMDOCUMENTARY TRANSFER TAX BECAUSE. (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 1 ] 911. 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 exemption. This form may be used for that purpose.) 8. 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. 9. Section 8. The easement is not perpetual, permanent, or for life. 10. Section 9. The document is a lease for a term of jgvb_than (35) years (including written options.) 11. __�Other -N.o-Monies are -involved (Include explanation and legal authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Ex this-231CL_day of March 12021 ate Ouinta GA City State Phillip K Signature of Af iant /ram PrintedName fAffitant Name of Finn (if applicable) Address of Affiant (including City, State, and Zip Code) 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. 11/2014) Available in Alternate Formats DocuSign Envelope ID: OCADFFOA-65FE-4F20-9. A7DFE7A36225 Boas-sot-A(PI)REV 13(Wt7) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be ow"ted by the transteras @vyer) prior to a transfer of &&fect Prop", In a=rdaMe vrffi section 480.3 of 0% Revarure and Texatlon Code. A PrellmbTary Change of Ownerahpr Report must be filed with each corrveyanca In the County Recorder's office for the county whom the property b located, FOR ASSESSOR'S USE ONLY r L iMMTET.t-ET•sEs: 6R N*tl&L R(FrA ON OP REAL PROPERTY 81668 Andalusia La Qu(nta, CA 92253 PETER ALDANA, COUNTY OF RIVERSIDE ASSESSOR -COUNTY CLERK -RECORDER PO BOX 751, RIVERSIDE, CA 92502,0751 (961) 9560400 WWW.mvarsldeacr,00m AM630R9 PARCEL Ntn=F1 �LLesrTwuesr•Enon Andalusia Country Club, LLC aUYeRT1OAYfr 9T )EPH0WiWBER ( 760 j 406 0108 J 9ihERSE1WLAOTTFhE na p a"a nda I us iamco(n ❑ YES Lfj NO Ttvs properly is intended as my prkrclpal residence If YES. Please In&Ae the date o1 occupanry orIa%ded occupancy. ❑ YES ®NO Are you a disabled veteran Ora unmarried surviving spousa of a disabled veteran whowas aoalpe MEW at tOD% by iha D paWmnt of veterans Atfa[ra? MAllMP MM TAX 46FWThONTOtrWrE) Sunrise LQ, LLC MAIL PROPERTY TAX INFORMATION TO (ADonEBB) 81570 Carboneras La quints. PART 1. TRANSFER INFORMATION Please complete am statements. YES NO ins This section contapossible exclusions from reassessment for certain types of tranafam. MO DAY T'M STATE ' MPOOOE CA 192253 ❑ ❑� A This transfer is solely between spouses (ed0on or removal ofs Spouse, death of a spouse, do SefUemen� etc.). ❑ © B. This transfer is solely between domlrstc partners currently registered with the Cafitomla Secretaryof State (ada5}Jon orrwnovarof a perftw,, doatlr o(a partner, Termination Selderrrant, eft). ❑ ❑✓ `C- This is a transfer. ❑ between paranf(s) and chlid(ren) ❑ from grandparent(s) to grandchitd(ren), ❑ ❑✓ • D. This transfer Is to result of a coterienra death. Date of death ❑ O • E. N trans same Is to � rice owned by a person 55 years of age or older. [:]YES ❑ Q' F. This transaction is to replace a principal residence by a personwhols severely disabled as defined by Revenue and Taxation Code sac6Dn 69.5- Within the sauna county? []YES 0 ❑ G. This transaction Is oriy a correction of this names) of the persons) holding title to the properly (e.g., a name change upon marrTege). ❑ ❑✓ If YES, please wouln: H. The recorded document creases, terminates, or reconveys a lenders Interest In the property. ❑ 0 1. This transaction is recorded only as a requirement for ltnerhcing purposes or to create, terminate, or reconvey a security interest (e.g., cosVmO. If YES, please explain: ❑ Q J. The recorded document subtstAutas a INSW of trust, mortgage, or other similar document K. This is a transfer of properl)r: ❑ O 1, to/from a n wocahie trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, andlor ❑ the transfarar's spouse j j regi3*red domestic partner. ❑ ✓❑ 2. ladfro n an irrevocable trust for the berrelit of the I creatvr(grantorltruslor andlor ❑ granwo&uster's spouse ❑ grantoeslbustoes rogiatafed domestic partner. ❑ © L. This property Is Subject to a base with a remaining lease term of 3$ years or more Including written options. ❑ 0 M. This is a transfer between parties In which proporti of Interests of the transferors) and transferees) In each and everyparcel being transferred remain exactly the same alter the transfer ❑ Q N. This Is a transfer subject to subsidized low-irrcame housing requirements with governmentally Imposed restrictions, or resirictiorre imposed by specitisd nonprofll corporatism. ❑ Q • O. This transfer Is to the first purchaser of a now building contairrhrg an active solar energy system. © ❑ P. Other. This transfer Is to -perform LLA with lot and Aolf course No t win Involved Please refer to the Instructions for Pad 1. Please provlda any other Infonmatlon that will help the Assessor understand the nature of the t"fer. THIS DOCUMENT 18 NOT SUBJECT TO PUBLIC INSPECTION DocuSign Envelope ID: OCADFFOA-65FE-4F20-00 A7DFE7A36225 I&M-507-A (P2) REV 13 08-17) PART Z. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, if other than recording date:.. S. Type of transfer. ❑ Purchese ❑ Foreclosure ❑ Gilt ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form SOE-100-13) ❑ Contract of sale, Date of contra«: '] Inheritance. Date of death: ❑ Selelleaseback ❑ Creation of a tease ❑ Assignment of a lease ❑ Termination of abase. Date lease began: 10 final term !n years {lrxalud7 1vrI1len opions): Rerrlaining term 1n yeas (hrdrrdUng wri(ten options): - — Other. Please explain: C. Only a partial Interest In the property was tnensferred, ❑YES ❑ NO If YES, indlcate the percentage transferred; % PART 3. PURCHASE PRICE AND TERMS OF SALE Check end complete as appik-01e, A. Total purchase price S D B. Cash down payment or value of trade or exchange excluding closing costs Amount $ C. Flnl deed of trust a % Inlerest for yearn Monthly paymani $ Amount 3 ❑ FHA LDlaoounh Punic) Cal -Vial ❑ VA �phc,�unl POirtta} f Flied ra E® Variable refs ❑ ftnklSevings & LoanlCradit Union ❑ Loan carded by m9er — ❑ Balkan payment S Due data: D. Second deed of trust Q 96 Interest for years. Monthly payment $,_ Amount S ❑ Fixed rate ❑ %%dabie rate ❑ BankMavings 3 Loan/Credh Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: E. VVas an lmprm wnent Bond or other public financing assumed by the buyer? []YES ❑ NO Outstanding balance S F. Amount, If any, of real estate commission fees paid by the buyer which are not Included in the purchase price S G. The property was purchased: ❑Through real estate broker. Broker name:. _ Phone number. ( ) ❑ Direct from seller ❑ From a family member-Retatkurship Q Other. Please explain:. LLA. No morales Inyot yed. H. Please explain any special terms, sellarconcessbns, brokedagent fees walved, l nanokQ. and any other information (a g , buyer assumed the existing loan balance) that would assist the Assessor In the valuation of your property. PART 4. PROPERTY INFORMATION Check and complelig as applicable. A. Type of property transferred ❑ Single-family resldenos ❑ Co-oplOwn-your-own Lf Manufactured home ❑ Multiple -family resldenoe_ Number of units ❑ Condominium ❑ Unimproved lot Other. Desglptbn: ((e„ timber, mineral, water rights, etc.) ❑ Timeshare ❑ Commerdellindustrial LLA -No monles Involved. B ❑YES ONO Persona Ilbusirms propeNor Incantives, provided by salter to buyer are Included In the purchase price. Examples of personal property arefumiture, farm equipnh A machhery, etc- Examples of incentives are dub memberships, etc. Attach Nst Nevabble, If YES, enter the value of the personsUbusiness property $ Incentives : C.❑YES ONO A manufactured home is included In the purchase price If YES, enter the value attributed to the manufactured home; $ []YES 0NO The manufactured home Is subject to local property tax. If NO, anterdecal number. D. ❑ YES 0 NO The property produces rental cr other Income. If YES, the Income Is from; [I Leaseyrenl ❑ Contract ❑ Mineral rights ❑ Oaar. - — — E. The condition of the property at the line of sale was: QGood ❑Average ❑ Felt ❑Poor Please descn'bw CERTIFICATION I ced y (or declare) that the foregoing and aN Informakri hereon, Including any acconhpanyfnq statements or dbcurna tad is blre and owwt to Me best of my xnowiedge and beNel. 10. DATE 3/23/2021 TELEPHONE ( 760) 831-6059 *iu+ - 1 � tfF1PERSONAL REPRESIrrATIVIAMRPQR,ATE QFFICEA ( EASEPROM THE EMAIACOREBS Bart Ross i I bartr747@aol.com The Assessor's office may contact you for addlilcnal information regarding titfa transaction.