LLA 2021-0005 Parcel A - Madison ClubRECORDING REQUESTED BY:
MAIL TAX STATEMENTS AND
WHEN RECORDED MAIL TO:
Come Back One Year LLC
Gal Asher, Manager
53432 Ross Ave
La Quinta, CA 922E53
APN: 779-380-004 TRA:020-205
THE UNDERSIGNED GRANTOR(S) DECLARE(S):
DOC # 2021-0318019
05/24/2021 05:00 PM Fees: $104.00
Page 1 of 6
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
THIS LINE IS FOR RECORDER'S USE
GRANT DEED
LLA 2021- 0005
DOCUMENTARY TRANSFER TAX IS $ 0.00
Computed on full value of property conveyed, or
Computed on full value less liens and encumbrances remaining at time of sale.
Unincorporated area _x_ City of _La
For valuable consideration, receipt of which is hereby acknowledged,
Come Back One Year LLC, a California limited liability company
hereby GRANT(S) to
Come Back One Year, LLC a California limited liability company
the following real property in the City of La Quinta, County of Riverside, State of California:
Parcel "A" (Adjusted Lot 8) of Lot Line Adjustment 2021-0005 approved by the City of La Quinta, as
described on Exhibit "A" and depicted on Exhibit "B", attached hereto and by this reference, made a part
hereof.
NOTE: This Grant Deed perfects the intent of Lot Line Adjustment 2021-0005 as approved by the City of La
Quinta.
Come Back One 'Year, LLC
a Califo is li ited liability company
-S11d
Gal A er, Manager 6atecY
ApprovE;d by the City of La Quinta
B an VV. McKi y, P.E. Dated
Public Works Director / City Engineer,
RCE No. 49418
MAIL TAX STATEMENTS AS DIRECTED ABOVE
DOC #2021-0318019 Page 2 of 6
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 MAY 20, 2021 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 narne 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 pE;rson, or
the entity upon behalf of which the person acted, executed the instrument.
certify under PENALTY OF PERJURY underthe laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
�Sw °t rti� NICHOLE ROMANE
Notary Public . California =
= W Riverside County sr
Commission k 2312710
Signature ` _ °��' MY Comm. Expires Nov 16, 2023 y
(seal)
DOCUMENT:
GRANT DEED LOT LINE ADJUSTMENT 2021-0005 re: APN 779-380-004 -
owner(s): COME BACK ONE: YEAR, LLC
DOC #2021-0318019 Page 3 of 6
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
SS.
COUNTY OF ���Zx�d _ )
On / / cW,;2/ before me, _UScz �/. u� rG'� Notary Public, personally
appeared R.f 11Z4
who proved to me onU 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.
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 offipial seal.
gnature
LISAJ. BARRETT
Notary Public • California
Z = Riverside County T.
+ Commission # 231971u
�LrsOFM�r My Comm. Expires Feb 21'., 2024
DOC #2021-0318019 Page 4 of 6
EXHIBIT "A"
LOT LINE ADJUSTMENT NO.2021-0005 .
LEGAL DESCRIPTION'
PARCEL "A" (ADJUSTED LOT 8, TRACT NO. 33076-1)
LOT 8 OF TRACT NO. 33076-1, IN THE CITY OF LA QUINTA., COUNTY OF RIVERSIDE, STATE
OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGES 57 THROUGH 79 OF
MAPS IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY OF RIVERSIDE,
EXCEPTING THEREFROM THE SOUTHERLY 6.00 FEET OF SAID LOT 8.
THE ABOVE DESCRIBED PARCEL, "A" CONTAINS 34,689.58 S.F. OR 0.796 AC., MORE OR LESS.
FOR GRAPHICAL PURPOSES SEE EXHIBIT `B" ATTACHED HERETO AND BY THIS
REFERENCE MADE A PART HEREOF.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS,
RIGHTS OF WAY, EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY.
PAGE 1 OF 2 PAGES
DOC #2021-0318019 Page 5 of 6
EXHIBIT "A"
LOT LINE ADJUSTMENT NO. 2021-0005
LEGAL DESCRIPTION
PARCEL "B" (ADJUSTED LOT 9, TRACT NO. 33076-1)
LOT 9 OF TRACT NO.33076-1, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE
OF CALIFORNIA, AS SHOWN BY MAP ON FILE IN BOOK 388, PAGES 57 THROUGH 79 OF
MAPS IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY OF RIVERSIDE,
TOGETHER WITH THE SOUTHERLY 6.00 FEET OF LOT 8 OF SAID TRACT NO.33076-1.
THE ABOVE DESCRIBED PARCEL "'B" CONTAINS 37,549.83 S.F. OR 0.862 AC., MORE OR LESS.
FOR GRAPHICAL PURPOSES SEE EXHIBIT `B" ATTACHED HERETO AND BY THIS
REFERENCE MADE A PART HEREOF.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS,
RIGHTS OF WAY, EASEMENTS, OR EXCEPTIONS OF RECORD, IF ANY.
PREPARED BY:
0
WAYNE A. McGEE, L.S. 5479 DATE
EXPIRES 9/30/22
PAGE 2 OF 2 PAGES
DOC #2021-0318019 Page 6 of 6
NOTE
THIS PLAT WAS PREPARED FROM RECORD DATA AND
60 0 30 60
EXIT T
DOES NOT REPRESENT A SURLY OF THE PROPERTY
SHOWN HEREON, IRIS IAAP HAS BI[EN APPROVED
UPON THE EXPRESSED CONDITION THAT 811ILOING
L 0 T LINE ANUS TMENT
PERMITS SHALL NOT BE ISSUED FOR ANY DEVELOPMENT
WITHIN AIIS ADJUSTMENT PLAT UNTIL NECESSARY
L. L. A. 2021-0005
DEDICATIONS, 1F ANY, TIAVE OCCURRED.
( IN FEET )
NOTE:
THERE MAY BE EASEMENTS OF
I inch = 60 ft.
RECORD DELINEATED AND REFERENCED
ON THE UNDERL PING MAP, OR THERE
MAY BE EASEMENTS WITHIN THE AREA
BEING ADJUSTED .THAT ARE NOTSHOW
ON THIS DOCUMENT THAT COULD
ENCUMBER SAID PARCEL HEREIN.
CURVE TABLE
Cl
4200'
8.86'
1205"24"
C2
100.00'
79.51'
45UJ'20"
C3
346.00'
82.63'
13'40 59"
C4
546.00'
76.29'
P23759"
C5
346.00'
5.34'
0103100"
C6
346.00'
24. 65'
04 07'09"
C7
2.74. 00'
113.36'
2'3 42 20"
C8
346.00'
31.22'
570'09"
LEGEND:
LOT LINE TO REMAIN
LOT LINE TO BE REMOVED —
ADJUSTED LOT LINE
4
v El Mz�k
9y
Ls 5479
!R
z
s
LOT 7
M.B. 388/57-79
'47"W I(R)I I
� QP o�96 DRAIN
N25 06 51 "W
LOT 8
ld.B. 588/57-79
�6.00, A.P.N. 779-380-004
N12 28'S2"
N3G 46 29 "W
} N30 46 29
6.19' ( 244.38'
Nl 125 5_=)
via
Q P 086� POi
l
LOT 9
M.B. 388/57-79
A.P.N. 779-380-005
A'34 09
LOT 10
M.B. 388/57-79
10' PUE
22' llD E.SM'T/PUE
1T LA 0R^APE/
DRAINAGE t"SM I
280, 72' I
N3141103" W
ADJUSTMENT ILA T - CITY OF LA OUINTA
PREPAP,ED BY: APPLICANT -
DISCOVERY BUILDERS OF CALIFORNIA
CIO Mc GEE SURVEYING, INC.
a�¢ 45-100 GOLF CENTER PKWY" STE. G
INDIO, CA 92201
WA YNE A. McGEE DA TE
L. S. 5479
-40'l l "W (Ri
BOE-502-A(P1) REV. 15 (02-21) ASSR-70 (REV. 2-21)
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. APreliminary Change of Ownership Reportmust be filed with each
conveyance in the County Recorder's office for the county where the
property is located.
NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address)
5337 a /Z.os-s A-��
COUNTY OF LOS ANGELES • OFFICE OF THE ASSESSOR
500 WEST TEMPLE STREET ROOM 225
LOS ANGELES, CA 90012-2770 • Telephone 213.974.3211
' Email: Oservices@assessor.lacounty.gov
JBFFRrY PRANG Website: assessor.lacounty.gov
Assessor Si desea ayuda en Espanol, Ilame al nitmero 213.974.3211
77'9 • Poi
ASSESSOR'S PARCEL NUMBER
SELLER/TRANSFEROR
BUYER'S DAYTIME TELEPHONE NUMBER
L f� J BUYER'S EEMAILADDRESS
G1 GLY `L" � & aik �C / �.
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
5Z 5 �r2o ,'w 4 7 Z r✓
YES ZNO This property is intended as my principal residence. If YES, please indicate the date of occupancy Mo DAY YEAR
or intended occupancy.
YES L °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)
Clp�h.Q
MAIL PROPERTY TAX INFORM TION TO (ADDRESS) CI STATE ZIP CODE
�33 d 47Z7-*5
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 orremoval of
a partner, death of a partner, termination settlement, etc.).
C. This is a transfer: between parent(s) and child(ren) ❑ between grandparent(s) and grandchild(ren).
Was this the transferor/grantor's principal residence? YES NO
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
/* F. This transaction is to replace a principal residence by a person who is severely disabled.
Within the same county? YES ENO
G. This transaction is to replace a principal residence substantially damaged or destroyed by a wildfire or natural disaster for which
the Governor proclaimed a state of emergency. Within the same county? ❑ YES ❑ NO
❑ H. 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:
I. The recorded document creates, terminates, or reconveys a lender's interest in the property.
V J. 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:
K. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
L. 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 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.
M. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
N. 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.
tv0. This is a transfer subject to subsidized low=income housing requirements with governmentally imposed restrictions, or restrictions
imposed by specified nonprofit corporations..
�* P. This transfer is to the first purchaser of a new building containing an active solar energy system.
Q. 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
BOE-502-A (P2) REV. 15 (02-21) ASSR-70 (REV. 2-21)
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:
On final t imr� i years (/ luding writt n optior
Other. Please explain: L.r'ru
C. Only a partial interest in the property was transferred. nYES ❑ NO
Remaining term in years (including written options):
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 payment $ - Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? RYES ❑ NO Outstanding balance $
F. Amount, if any, of real estate commission fees paid by the buyer which are notincludedin the purchase price $
G. The property was purchased: ❑/
Through real estate broker. Broker name: � f Phone number:
❑ Direct from seller ❑ From a family member -Relationship
n Other. Please exDlain:
u
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: $
OYES NO The manufactured home is subject to to roperty tax. If NO, enter decal number:
D. ❑YES. ❑ NO The property produces rental or er income.
If YES, the income is from: ❑ Lease/re Contract ❑ Mineral rights ❑ Other:
E. The condition of the property at the me of sale was: Good Average Fair 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 gfjmy knowledge and belief.
11� 714ATURE'OF BUYER/TRANSFEREE OR CORPORATE OFFICER I DATE TELEPHONE
NAME OF
The Assessor's office may contact you for additional information regarding this transaction.
PETER ALDANA P.O. Bler
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000
Website: www.riversideacr.com
DOCUMENTARY TRANSFER TAX A►FFIDAVIT
WARNING
ANY PERSON WHO ]MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR'THE PURPOSE OF AVOIDING ALL OR ANY PART
OF THE DOCUMEN17ARY 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. 77q -- 004 I declare that the documeiq�%.y transfer tax for this
Property Address: ass 14-w-- transaction is: $
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSA CTIONIS EXEMPT FROMDOCUMENTAIRY TRANSFER TAXBECA 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 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 119:21.
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
Me Form 709 (Federal Gift Tax Return) with the Internal Revenue Service.
9. Section 8.
The easement is nat perpetual, permanent, or for fife.
10. Section 9.
The document is a lease for a term of less than (35) years, (including written options.)
11. x Other
(Include explanation and legal authority) Lo -j- cdr
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.rEC
Executed is� 41, ay of 20' ( at���.P> h tc,7
4 �Ci;y�� State
Qature of Affiant Printe Name of Affiant
_ aa7o�ssc L,rQ �ZZ
Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code)
For Recorder's Use:
Telephone Number of Afflant (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