LLA 2021-0001 Parcel B - 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 $ ..........0.......................................
USE
Computed on the consideration or value of property conveyed; OR
Computed on the consideration or value less liens or encumbrances
remaining at time
determining tax - Firm Name
APN'S: 764-210-02 3
GRANT DEED
LLA 2021-0001
DOC # 2021-0205359
04/01 /2021 02:00 PM Fees: $42.00
Page 1 of 7
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
"This document was electronically submitted
to the County of Riverside for recording"
Receipted by: NADIA #948
SPACE ABOVE THIS LINE FOR RECORDER'S
Signature of Declarant or Agent
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SUNRISE LQ, LLC, a
Delaware limited liability company
hereby GRANT(S) to SUNRISE LQ, LLC, a Delaware limited liability company
the real property in the City of La Quinta, County of Riverside, State of California, described as:
Parcel "B". See Exhibits A and B attached hereto and by reference made a part hereof.
Note: This grant deed implements the revised lot configurations pursuant to Lot Line Adjustment 2021-0001 as
approved by the City of La Quinta. All property subject to this lot line adjustment is owned by a single entity,
hence ownership conveyance is a nonessential secondary function of this deed. The primary function of the
deed is to provide constructive notice of the revised lot configurations pursuant to Government Code Section
66412 (d), and to perfect the intent of the Lot Line Adjustment 2021-0001 as approved.
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF C FORNIA I
COUNTY OF u it &5(OI P )
On ,r(:4 009before
me L) (Aarrot&t t'1p R 6ctn�ct� /U otA r yL
personally appeared 1� �� 11�/- cJ i l n �� V
Who proved to me on the basis of satisfactory evidence to be the person($)
whose name(s) is/we subscribed to the within instrument and acknowledged
to me that he/sja2/they executed the same in his/bef/ttieir authorized
capacity(ies),and that by his/her/their signature(s) on the instrument the
person(&), or the entity upon behalf of which the person(g) 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.
ITN
ESS h d d ffcal seal
i
W my an an o
SUNRISE LQ, LLC, a Delaware limited
Liability company
By: Phillip K. Smith, Jr
It's: President
ZZW
QUINTA
Brya cKinney, P.E., City Engineer
RCE 49418, Exp.. 9-30-2022
► JUANITA M. A. GAMA
. �, Q�7 Notary Public - California
Signatur Riverside County >
Commission # 2274310
" My Comm. Expires Fepjpjp ry Seal
MAIL TAX STATEMENTS TO:
DOC #2021-0205359 Page 2 of 7
LARRY W. WARD Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA92SM-Ont
ASSESSOR -COUNTY CLERK -RECORDER (951)486.7000
www.rivaskimr.com
NOTARY CLARITY
Under the provisions of Government Code 27361.7, 1 certify under the penalty of perjury
that the notary seal on the document to which this statement is aitached reads as
follows:
Name of Notary: '' of iv. ,ryl -A . G-ck mck—
Commission #: J 0
Place of Execution: _b00�nC f r rcaelPa W1 2a a -+—
Date Commission Expires: 6d2T -VA(y ' 2. 2 Q a ?)
Date: MOL ( Ckk -a) I, a d o_ I
Signature: _17 • (�J.
ACR 186P-AS4RE0 (Rcv. 09/2006) Available in Alternate Formals
DOC #2021-0205359 Page 3 of 7
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.
MONIM RADEVA
Notary Public . California
*my
Riverside County
Commission X 2334260
Signature: Comm. Expires Oct 22, 2024
e
DOCUMENT:
GRANT DEED LOT LINE ADJUSTMENT 2021-0001
re: APN 764-210-023; Parcel B
Owner(s): SUNRISE LQ, LLC
DOC #2021-0205359 Page 4 of 7
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2021-0001
PARCEL "B"
PARCEL "A" OF LOT LINE ADJUSTMENT NO. 2017-0002, RECORDED SEPTEMBER 21, 2017, AS
INSTRUMENT NO. 2017-0392729, OFFICIAL RECORDS OF RIVERSIDE COUNTY, BEING A PORTION OF
THE SOUTHEAST QUARTER OF SECTION 27, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN
BERNARDINO MERIDIAN, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF
CALIFORNIA:
EXCEPT THEREFROM THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SAID
SECTION 27.
ALSO EXCEPT ANY PORTION LYING WITHIN TRACT NO. 31681-2, IN THE CITY OF LA QUINTA, AS
SHOWN ON MAP RECORDED IN BOOK 397, PAGES 34 THROUGH 44, OF MAPS, IN THE OFFICE OF THE
COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA.
ALSO EXCEPT ANY PORTION LYING WITHIN AMENDMENT NO. 3, OF TRACT 31681-3, IN THE CITY
OF LA QUINTA, AS SHOWN ON MAP RECORDED IN BOOK 452, PAGES 39 THROUGH 53 OF MAPS, IN
THE OFFICE OF THE COUNTY RECORDER OF RIVERSIDE COUNTY, CALIFORNIA.
ALSO EXCEPT THAT PORTION DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST NORTHERLY CORNER OF LOT 98 OF SAID TRACT NO. 31681-3
AMENDMENT NO. 3, SAID CORNER LYING ON A CURVE CONCAVE SOUTHEASTERLY, HAVING A
RADIUS OF 195.00 FEET, WITH A BEGINNING RADIAL BEARING OF N19° 16' 38"W;
THENCE SOUTHWESTERLY ALONG SAID CURVE AND THE NORTHWESTERLY LINE OF SAID LOT
98, THROUGH A CENTRAL ANGLE OF 01 ° 14' 47", AN ARC LENGTH OF 4.24 FEET TO THE TRUE
POINT OF BEGINNING;
THENCE CONTINUING ALONG SAID CURVE AND THE NORTHWESTERLY LINE OF SAID LOT 98,
THROUGH A CENTRAL ANGLE OF 11 ° 42' 43", AN ARC LENGTH OF 39.86 FEET;
THENCE N570 45' 52"E, A DISTANCE OF 20.00 FEET;
THENCE N69° 28' 35"E, A DISTANCE OF 20.00 FEET TO THE TRUE POINT OF BEGINNING.
EXCEPTING THAT PORTION INCLUDED IN TRACT NO. 37790, AS SHOWN BY MAP ON FILE IN BOOK
475, PAGES 4 THROUGH 9 OF MAPS, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA;
ALSO EXCPTING THAT PORTION OF SAID PARCEL "A", MORE PARTICULARLY DESCRIBED AS
FOLLOWS;
BEGINNING AT THE NORTHEASTERLY CORNER OF LOT 94 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, STATE OF CALIFORNIA, AND THE BEGINNING OF A NON -
TANGENT CURVE CONCAVE NORTHWESTERLY, HAVING A RADIUS OF 205.00 FEET, WITH A
BEGINNING RADIAL BEARING OF S290 24' 21"E;
PAGE 1 OF 2 PAGES
DOC #2021-0205359 Page 5 of 7
THENCE SOUTHWESTERLY AND NORTHWESTERLY ALONG SAID CURVE AND THE
NORTHWESTERLY LINE OF SAID LOT 94, THROUGH A CENTRAL ANGLE OF 16° 29' 23", AN ARC
LENGTH OF 59.00 FEET;
THENCE S77 05 02 W ALONG THE NORTHWESTERLY LINE OF LOT 94, LOT 95 AND LOT 96 OF SAID
TRACT, A DISTANCE OF 221.48 FEET TO THE BEGINNING OF A CURVE CONCAVE
NORTHWESTERLY, HAVING A RADIUS OF 141.00 FEET;
THENCE SOUTHWESTERLY ALONG SAID CURVE AND THE NORTHWESTERLY LINE OF SAID LOT
96, THROUGH A CENTRAL ANGLE OF 0° 40' 04", AN ARC LENGTH OF 1.64 FEET TO THE
NORTHWESTERLY CORNER OF SAID LOT 96;
THENCE N730 58' 47"E, A DISTANCE OF 92.16 FEET;
THENCE N73° 02' 43"E, A DISTANCE OF 189.32 FEET TO THE POINT OF BEGINNING.
ALSO EXCEPYING THAT PORTION OF SAID PARCEL "A", MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGINNING AT THE SOUTHWESTERLY CORNER OF LOT 112 OF SAID TRACT;
THENCE N54° 44' 54"E, ALONG THE SOUTHERLY LINE OF SAID LOT 112, A DISTANCE OF 74.67 FEET
TO THE BEGINNING OF A CURVE, CONCAVE NORTHWESTERLY, HAVING A RADIUS OF 30.00 FEET;
THENCE NORTHEASTERLY ALONG SAID CURVE AND THE SOUTHWESTERLY LINE OF SAID LOT
112, THROUGH A CENTRAL ANGLE OF 55° 53' 20", AN ARC LENGTH OF 29.26 FEET, TO A POINT ON
THE EASTERLY LINE OF SAID LOT 112;
THENCE SO I* 08' 26"E, ALONG THE SOUTHEASTERLY PROLONGATION OF THE EASTERLY LINE OF
SAID LOT 112, A DISTANCE OF 29.00 FEET;
THENCE S62° 09' 50"W, A DISTANCE OF 83.95 FEET TO THE POINT OF BEGINNING.
AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF.
SAID "PARCEL "B" CONTAINS 54.15 ACRES MORE OR LESS.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS OF WAYS,
EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY.
THIS DOCUMENT WAS PREPARED BY ME OR UNDER
MY DIRECTION BASED ON RECORD INFORMATION.
6;�- 1
�LLYD W. WATSON RC 26662 DA E
�FESSI
P �'W
-+ z
►mil 0� No. 26662 mX
EXP.3-31-22 �}
CIVIC- �Q
OFCAL1
PAGE 2 OF 2 PAGES
CENTER SECTION
LINE, SECTION 27
64
6
39 40 41 42
3Y36 /35T34 1 33 132 131
0
1
EXHIBIT "B"
LOT LINE ADJUSTMENT NO.2021-0001
LOT 112 OF TRACT 31681-3, M.B. 469/18-32
AND A PORTION OF PARCEL "A" OF LOT LINE ADJUSTMENT NO.2017-0002
555 116 TRACT 37790 70
5 17 MB 475/4-9 71 72
5 18 73
67 5 19 PARCEL "A"
51 LLA 2017-0002 74
484 50 20 REC.9/21/17, 75
INST. NO. 76
2017-0392729, 77
3 28 27 26 25 24 23 22 21 O.R.
7 78
PARCEL "B" 80
APN 764-210-022
54.15 AC
88 87 86
11
91 90 89 RON P 11
92 116
11 PARCEL "B� 117
11 111 APN 764-210-023 118
)810 119
PARCEL "A" 120
SEE SHEET 2 121
122
123
124
125 I 13
132
126 132
127
28
PAGE 1 OF 2 PAGES
1\ // /19b
115 158160 6110
166
167
168
AMENDMENT NO. 4 169
TRACT 31681-3 170
48 MB 469/18-32 171
47 146 172
145 PARCEL "B" 173
APN 764-210-030
144 174
Z 143 175
142 176
141 F
1
31%"— LOT"K"
NUE
PARCEL "A"
LLA 2017-0002
REC. 9/21/17,
INST. NO.
2017-0392729,
O.R.
177 C
178
179
180
181
182
183
184 0
185
186
187
188
189
190
191
193 192
1600' OFESS/�\
SCALE: 1" = 400' No. 26662
( IN FEET) * EXP. 3-31-22
�T9 CIVIC-
PREPARED UNDER THE SUPERVISION OF: OF CALF
CIVIL ENGINEERING • LAND PLANNING
83-793 PACIFICA SUR INDIO, CA 92203 LL YD W. WATSON DATE
��'
PH: (760) 275-1553 P.E. 26662
EXP. 3/31 /22
0
600, 800,
1200'
EXHIBIT „B„ PAGE 2 OF 2 PAGES
LOT LINE ADJUSTMENT NO.2021-0001
LOT 112 OF TRACT 31681-3, M.B. 469/18-32
AND A PORTION OF PARCEL "A" OF LOT LINE ADJUSTMENT NO.2017-0002
10' PUBLIC
�rl
UTILITY
EASEMENT
MI
o -
�I
_ RONDA &D
_�
60 —Z
(PRIVATE DR- IVE M
I
00
10' PUBLIC
UTILITY
EASEMENT
7110
^h
W
a
111
�QAZ lb
C2
L2
62°09'50°E
83.95'
0 60' 90' 120' 180'
SCALE: V = 60'
( IN FEET)
CURVE TABLE
CURVE
DELTA
RADIUS
LENGTH
TANGENT
C1
3028'57"
1373.00'
83.45'
41.74'
C2
55°53'20"
30.00'
29.26'
15.91'
C3
3034'29"
1373.00'
85.66'
42.85
PARCEL "B"
APN 764-210-023
AMENDED N0.4 TRACT 31681-3
MB 469/18-32
LINE DATA
COURSE
BEARING
LENGTH
L1
N 01 °08'26"W
29.00'
L2
N 54044'54"E
74.67'
LEGEND
----- EXISTING LOT LINE TO BE ADJUSTED
EXISTING LOT LINE TO REMAIN
ADJUSTED LOT LINE
PETER ALDANA Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
o s ASSESSOR -COUNTY CLERK -RECORDER (951)436-7000
+` Website: N�vvwriversideacr.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 DOCUMENTARI' TRANSFER TAX IS GUILTY OF A NIISDEMEANOR LINDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY
OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL NO. 764 --210 --023 I declare that the documentary transfer tax for this
Property Address: _a.iinta. transaction is: $0
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECA 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 l 1911.
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. X 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 Nwitten 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 not perpetual, permanent, or for life.
The document is a lease for a term of JULthan (35) years (including written options.)
(Include explanation and legal authority) 1�c0_related
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AAID CORRECT.
t d his .3day o{ � F" '^- ) 21 at La Ouinta CA
j7 City State
Signature ofAffia Printed Name ofAniant
81570 Q — aneras La Cluint CA 92253
Name of Finn ff applicable) Address of AfFant (including City, State, and Lip Code)
For Recorder's Use
760 772 7227
Telephone Number of Atliant (including area code)
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
Affix PCOR Label Here
ACR 521 (Rev 11/2014) Available in Alternate Formats
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.
FOR ASSESSOR'S USE ONLY
IN
L
STREETADr3AESs OR PHYSICAL LOCATIONOF REAL PROPERTY
81-669 Ronda La Quinta, CA 92253
PETER ALDANA, COUNTY OF RIVERSIDE
ASSESSOR -COUNTY CLERK -RECORDER
PO BOX 751, RIVERSIDE, CA 92502-0751
(951) 955-0400 vwwv.riversideacr.com
ASSESSOR'S PARCEL NUMBER
764-210-023
SELLER1TRANSFEROR
Sunrise LQ, LLC
BUYER'S DAYTIME TELEPHONE NUMBER
760 ) 408 0106
J BUYER'S ELWLADMESS
nsparks cD_andal.usiacc.com
❑ YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy Mo DAY lrivitiR
or intended occupancy.
F_ 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)
Sunrise LQ, LLC
MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE
81570 Carboneras La Quinta CA 92253
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.).
❑ ❑ 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 grandchild(ren).
❑ ✓I * 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
❑ L�! * 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
F1 v 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.
❑ C1 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 transferor's spouse ❑ registered domestic partner.
❑ IJ, 2. to/from an irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor'sitrustor'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.
❑ ❑ 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.
❑ * O. This transfer is to the first purchaser of a new building containing an active solar energy system.
❑ ❑ P. Other. This transfer is to perform LLA with lot and golf course. No monies involved
* 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-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): Remaining term in years (including written options):
❑✓ Other. Please explain: LLA. We own all Darcels. Na monies involved.
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 $ 0
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 payment $ Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? YES FINO 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: LLA. We own all parcels. No monies involved.
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
LLA. We own all parcels. No monies involved.
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 F✓ NO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
YES L�J 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: W Good Average Fair Poor
Please describe:
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.
S1GNA OF Bt1YER(TRAHS EREE [3R C gRATE OFFICER, DATE TELEPHONE
' �- �� 3 rZ3 . 2021 ( 760 ) 772 7227
NAME OF LI ERITRANS REEIPERSONAL REAfiESEHTATIVEI pRpORATE OFFICER (PLEASE PRINT) TITLE EMAILADDRESS
Phillip K Smith President nsmith(a�sunrisPrn rn
The Assessor's office may contact you for additional information regarding this transaction