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LLA 2021-0006 Parcel A - The QuarryDOC # 2021-0394730 06/30/2021 10:53 AM Fees: $192.00 Page 1 of 7 Recorded in Official Records Order No. County of Riverside Escrow No. Peter Aldana Loan No. Assessor -County Clerk -Recorder WHEN RECORDED MAIL TO: Douglas Weitman and Ellen Weitman **This document was electronically submitted 3727 Serra Road, to the County of Riverside for recording" Receipted by: ALEJAN DRA#1 032 Malibu, CA 90265 DOCUMENTARY TRANSFER TAX $......... ................... 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 Detenninine tax — Firm Name APN'S: 766-045-001 and Por. 766-050-017 GRANT DEED LLA 2021-0006 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 DOUGLAS 1V[. WEITMAN, Trustee of The Ellen Weitman 2012 Special Trust, dated December 24, 2012, and DOUGLAS WEITMAN AND ELLEN WEITMAN, Co -Trustees of The Weitman Family 1989 Trust, dated January 26, 1989 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 Lot 63 of Tract No. 27728, as shown by map on file in Book 249 of Maps, at Pages 1 through 13, inclusive, Riverside County records, together with that portion of land in Parcel `B" as described in Document No. 2020-0661120, recorded December 28, 2020, official records, which is overlaid by the reconfigured shape of Parcel "A" pursuant as LLA 2021-0006 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 2021-0006 as approved by the City of La Quinta LLA 2021-0006 Approved by the City of La Quinta By: yan McKinney P.E., CityEngineer RCE 49418, Exp. 9-30-2022 MAIL TAX STATEMENTS TO: Douglas & Ellen Weitman Tate Quarry at La Quinta, Inc., a California Non Profit Mutual Benefit Corporation By: AW #AV Name: It's: GeneralManager la{0,0V,4, DOC #2021-0394730 Page 2 of 7 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 valiclity of that document. State of California 1 County of _I"1Vi51 On k))A 15 , U2-1 before me, AU l Sb y) UUR— ay- Pobb e , Date u Here Insert Name and Title of the Officer personally appeared —ploy) _kkW+-ex Name(s) of Signer(s) 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. I certify under PENALTY OF PERJURY under the — — — — — — — laws of the State of California•that the foregoing ALLISON P. ROWE paragraph is true and correct. Notary Public - California <� = Riverside County s; Commission p 2315964 WITNESS my hand and official seal. a•"� My Comm. Expires Dec 16, 2023 E Signature Place Notary Seal and/or Stamp Above Signature of Notary Public 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(iies) 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 #2021-0394730 Page 3 of 7 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 29-2021 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 _ �,Ma rsf NICHOLE ROMANE Notary Public - California Z W = Riverside County �. Z Commission B I312710 My Comm. Expires Nev 16, 2023 (seal) DOCUMENT: GRANT DEED LOT LINE ADJUSTMENT 2021-0006 re: APN 766-045-001 and 766-050-017 - owner(s): THE QUARRY AT LA QUIINTA, INC. DOC #2021-0394730 Page 4 of 7 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2021-0006 PARCEL "A" IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, LOT 63 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 BERNARDINO MERIDIAN: TOGETHER WITH THAT PORTION OF PARCEL "B" AS DESCRIBED IN GRANT DEED FOR LOT LINE ADJUSTMENT NO. 2020-015 RECORDED DECEMBER 28, 2020 AS DOCUMENT NO. 2020-0661120, OFFICIAL RECORDS OF SAID COUNTY, BEING A PORTION OF LOT 68 OF SAID TRACT MAP NO. 27728 DEPICTED ON EXHIBIT "B" AS "LOT 63 AREA ", MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 63; THENCE SOUTH 89039'47" WEST, A DISTANCE OF 41.07 FEET; THENCE NORTH 21 °43'50" EAST, A DISTANCE OF 6-1.38 FEET; THENCE NORTH 22013'07" EAST, A DISTANCE OF 225.37 FEET; THENCE NORTH 23001'18" EAST, A DISTANCE OF 113.49 FEET TO THE MOST NORTHERLY CORNER OF SAID LOT 63; THENCE SOUTH 18020'18" WEST, ALONG THE WESTERLY LINE OF SAID LOT 63, A DISTANCE OF 380.76 FEET; THENCE SOUTH 45°20'13" EAST, CONTINUING ALONG SAID WESTERLY LINE, A DISTANCE OF 12.00 FEET, TO THE POINT OF BEGINNING; LOT 63 AREA CONTAINING 5,850 SQUARE FEET OR 0.134 ACRES MORE OR LESS. TOTAL ADJUSTED AREA OF PARCEL "A" CONTAINS 32,575 SQUARE FEET OR 0.748 ACRES MORE OR LESS. SUBJECT TO EXISTING EASEMENTS, COVENANT'S, RIGHTS AND RIGHTS -OF - WAY OF RECORD. 1 OF 2 DOC #2021-0394730 Page 5 of 7 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2021-0006 AS DEPICTED ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. PREPARED BY OR UNDER THE: DIRECTION OF: z ze CHARLES R. HARRIS DATED: 0111,Z61 �4 Z/ P.L.S. 4989 20F2 % c s\ G 0 CHARLE RR. HARRIS No. 4989 1� \TF OF CPS-�F��/ DOC #2021-0394730 Page 6 of 7 CITY OF LA QUINTA -CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT 'B' 1 LOT LINE ADJUSTMENT NO. 2021-0008 PAR. "B" LLA 2020-015 DOC. NO. 2020-0661120 REC. 12/28/2020; O.R. POR. OF LOT 68 M.B. 249/1-13 PARCEL •D• 6,499,770 SQ. FT. 149,214 AC. OWNER: THE QUARRY AT LA QUINTA, INC. APN 766-050-017 1� �6S ' R Zg, SSG NEW ADJUSTED LOT LINE LOT 64—\ AREA 1 3,631 SQ. Fr. SEE DETAIL •A• ON SHEET 2 - 0' 100' 200' P.O.B. LOT 65 AREA & d SCALE 1"=100' LOT 64 AREA 2 SW COR LOT 64 NW COR LOT 65— NEW ADJUSTED LOT LINE MOST WESTERLY LOT 65 CORNER LOT 65 AREA jr- aPL LAINn s� � OF DATED: 6//6 Zd 2 ) LEGEND 3,880 SQ. FT. , �1 I S 07'46'24" E N 89'57'35" W (R) MOST NORTHERLY CORNER LOT 63 M NEW ADJUSTED LOT LINE / 3 I LOT 6:3 AREA /N 5,850 SQ. Fr. 4, / c0 , I 18.5 /PARCEL •A iV 32,575 SQ. Flf. 63 _ / LOT LINE T� / BE ADJUSTED /APN 766-045-001 / P.O.B. / LOT 63 AREA & '. ,IOT 64 AREA 1 SW COR LOT 6; h L1 / PARCEL •B• c' /� 25,169 SQ. Fr. LOT LINE TO / \ BE ADJUSTED \I 64 APN 766-045-002I OT 64 AREA 2 97 SQ. FT. PARCEL •C• 31,340 SQ. Fr. LOT LINE TO BE ADJUSTEI 65 AAP 5-0—0051 TOM FAZIO LANE SOUTH EXISTING LOT LINE TO BE ADJUSTED — — — — EXISTING LOT LINE TO REMAIN NEW ADJUSTED LOT LINE (—) INDICATES RECORD DATA PER M.B. 249/1-13 SEE SHEET 2 FOR LINE AND CURVE DATA 18.5' H Z Q J 0 N LL O H 10' P.U.E. PER M.B.249/1-13 MSA CONSULTING, INC. PLANNING ■ CIVIL ENGINEERING IB F LAND SURVEYING J.N. 2679 SHEET 1 OF 2 DOC #2021-0394730 Page 7 of 7 CITY OF LA .QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT •B• 1 LOT LINE ADJUSTMENT NO. 2021-0006 LOT 65 AREA 3,880 SQ. FT. 1 LOT 64 AREA 1 3,631 SQ_ FT. P.O.B. LOT 65 AREA & / LOT 64 AREA 2 / SW COR LOT 64 / NW COR LOT 65 / N DETAIL •A• 1 ' = 10' LINE DATA NO. BEARING LENGTH L1 S 89'39'47" W 41.07' L2 N 21'43'50" E 61.38' L3 N 23'01 ' 18" E 113.49' L4 S 45'20' 13" E 12.00' L5 IS 23.08' 15" W 102.83' L6 N 67'38'44" W 3.21' L7 S 67'21 ' 16" W 7.07' L8 N 67'38'44" W 27.27' L9 N 21'43'50" E 91.98' L10 N 67'38'44" W 16.79' L11 IS 22'38'44" E 7.07' L12 N 67'38'44" W 21.86' L13 N 23*08'15" E 5.00' L14 N 21'43'50" E 16.88' L15 N 21'43'50" E 1 170.24' CURVE DATA NO. DELTA RADIUS LENGTH Cl 60 29'46" 210.00' 221.73' C2 58 35'47" 250.00' 255.67' PARCEL •B• 25,169 SQ. FT. .6 LOT 64 ,AREA 2 6r3844., 00 97 SQ. FT. .00, S 62'05'43" E \ PARCEL •C• 31,340 SQ. FT. 010' 20' SCALE 1"=10' MSA CONSULT'ING, INC. PLANNING ■ CIVIL ENGINEERINGIB V LAND SURVEYING J.N. 2679 SHEET 2 OF 2 OF aft, PETER ALDANA Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 �- ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000 �._ -,P:• Website: wmv.rivcrsideacr.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 --045 — M - I declare that the documentary transfer tax for this Property Address: 79750 S Tom Fazio n, I Quintal q transaction is: $ n nr1 l? rYT- nsfeP, If this transaction is exempt from Documenta ions er ax the reason must be identified below. I CLAIM THAT THIS TRANSACTIONIS Eh EMPT FROMDOCUMENTARYTRANSFER 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. x Section 111911, 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. 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 written 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 (donorlgrantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service. The easement is =,perpetual, permanent, or for ]life. The document is a lease for a term of kLi than (35) years (including written options.) (Include explanation and legal authority) DECLARE UNDER PENALTY FPERJURYTHAT THE FOREGOING IS TRUIT RREC'T ecuted this day of 20, L at L ity State 5' afore 'AHi t Printed ame of ASant 7975n S Torn Fazio -an ., La. 01 iinta, CA 92253 Name of Firm (if applicable) Address of Affhant (including City, State, and Zip Code) For Recorder's Use: 31 11-562-32. P Telephone Number of Affiant (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. 15 (02-21) 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 Report must be filed with each conveyance In the County Recorder's office for the county where the property Is located. NAME AND MAILING ADDRESS OF BUYERITRANSFEREE (Make necessary conections to the printed namo and mailing address) r L STREETADDRESS OR PHYSICAL LOCATION OF'REAL PROPERTY 79750 S Tom Fazio Lane, La Quinta, CA 92253 PETER ALDANA, COUNTY OF RIVERSIDE ASSESSOR -COUNTY CLERK -RECORDER PO BOX 751, RIVERSIDE, CA 92502-0751 (951) 955-7006 www.dversideacr.com ASSESSOR'S PARCEL NUMBER 766-045-001 SELLER/TRANSFEROR Doug and Ellen Weitman BUYER'S DAYTIME TELEPHONE NUMBER ( 310 ) 562-3269 BUYER'S EMAILADDRESS flydoug@gmail.com This roe Is intended as m principal residence. If YES, lease indicate the date of occupancy MO DAY YEAR YES ❑✓ NO property nY � Y P P P p Y or intended occupancy. YES R 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 Afiairsl MAIL PROPERTY TAX INFORMATION TO (NAME) Doug and Ellen Weitman MAIL PROPERTYTAX INFORMATION TO (ADDRESS) CITY STATE I ZIP CODE 79750 S Tom Fazio Lane I 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 spouse, death of a spouse, divorce settlement etc.). a B. This transfer is solely between domestic partners currently' registered with the California Secretary of State (addition orremoval of a partner death ofa partner, termination settlement, etc:). �✓ ' C. This is a transfer: between parent(s) and child(ren) between grandparent(s) and grandehild(ren). Was this the transferor/grantor's principal residence? ❑ YES F1 NO ✓� D. This transfer is the result of a cotenants death. Date of death ❑ 0 * E_ This transaction is to replace a principal residence owned by a person 55 years of age or older. Within the same county? ❑ YES FNO a* F. This transaction is to replace a principal residence by a person who is severely disabled.. Within the same county? ❑ YES .F] NO *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 lenders interest in the property. 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:. ✓0 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 0 the transferor's spouse F1registered domestic partner. 2. to/from an irrevocable trust for the benefit of the creator/grantor/trustor and/or 7grantors/trustor's spouse 0 grantor's/trustor's registered domestic partner. aM. 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. ✓0 O. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions imposed by specked nonprofit corporations.. �0 * P. This transfer is to the first purchaser of a new building containing an active solar energy system. Q. 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. 15 (102-21) 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-100-8) Contract of sale. Date of contract: Inheritance. Date of death: Salefleaseback ❑ 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: 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 $ 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 C] 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 ❑ 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 ENO 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 ENO 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 F 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: nGood Average Fair n Poor Please describe: CERTIFICATION / certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the, bestof my knowledge;and belief. SIG - U E OF BUY R M rOR'CORPORATE OFFICER DATE IF- TELEPHONE 310) 562-3269 wAi�fdbi: BU ERrrRANSFEREEWERSONAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE EMAILADDRESS' Doug eitman flydoug@gmail.com The Assessor's office may contact you for additional information regarding this transaction. PETER ALDANA Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 4`. Websitc: wwAy.rlyesidcacr.com �r''-"). 1A, 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 --050 --,017 I declare that the documentary transfer tax for this Property Address: One Quar Tn, I a Q, linta. CA 9995S transaction is: $0 no 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 front Riverside County Ordinance 516). Please check one or explain in "Other". 1. X Section l l9l l . 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 fonn may be used for that purpose.) 8. Section 11930. The conveyance is an inter vivos gift* or a transfer by death. hPlease 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 ugUerpetual, permanent, or for life. 10. Section 9. The document is a lease for a term of JaLthan (215) years (including written options.) 11.. Other (Include explanation and legal authority) 1 DECLARE CINDER PENALTY OF PERJURY THATTHE FOREGOING IS TRl1E AND CORRECT. Executed this day,of �� � U� at La Ouinta CA Xzc '�City State Don Hurter Signature of Affiant Printed Name of Affiant Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code) -luo-111- 1100 Telephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorders Use: Affix PCOR Label Here CG 1 ii: ; ir`.- i 11 Available in Alternate 1=ormats BOE-502-A (P1) REV.15 (02-21) PETER ALDANA, COUNTY OF RIVERSIDE PRELIMINARY CHANGE OF OWNERSHIP REPORT ASSESSOR , RIVER IDE, CA -RECORDER PO BOX 751, RIVERSIDE, CA 92502-0751 To be completed by the transferee (buyer) prior to a transfer of subject (951) 955-7006 "w.riversideamcom property, in accordance with section 480.3 of the Revenue and Taxation Code. A Preliminary Change of Ownership Report must be fi led with each conveyance in the County Recorder's office for the county where the property is located. NAME AND MAILING ADDRESS OF BUYERrTRANSFEREE (Make necessary corrections to the printed name and mailing address) ASSESSOR'S PARCEL NUMBER r 766-050-017 SELLER/TRANSFEROR The Qaurry at La Quinta, Inc. BUYER'S DAYTIME TELEPHONE NUMBER ( 760 ) 777-1100 L BUYER'S EMAILADDRESS dhijrter@thequarrygc.com STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY One Quarry Lane, La Quinta, CA 92253 This roe Is intended as m principal residence. If YES, lease indicate the date of occupancyMO DAY YEAR YES � NO property rtY Y P� P P or intended occupancy. YES [ NO Arayou a disabled veteran or a unmarried surviving spouse of a disabled veteran who was compensated at 100% by the Department of Veterans Affairs? MAIL PROPERTYTAX INFORMATION TO (NAME) The Quarry at La Quinta, Inc. MAIL PROPERTYTAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE One Quarry Lane La Quinta =]CA 92253 PART 1. TRANSFER INFORMATION Please complete al/ statements. This section contains possible exclusions from reassessment for certain types of transfers. YES NO 0 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 orremova/of a partner, death of a partner termination settlement, etc.). 0 FV * C. This is a transfer. 7 between parent(s) and children) 7 between grandparent(s) and grandchild(ren). Was this the transferor/grantor's principal residence? ❑ YES NO 0 * D. This transfer is the result of a cotenant's death. Date of death 7. 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 t F. This transaction is to replace a principal residence by a person who is severely disabled. Within the same county? YES P NO 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? F YES NO H. This transaction is only a correction ofthe name(s) ofthe person(s) holding title to the property (e.g., a name change upon marriage). If YES, please explain: 0 1. The recorded document creates, terminates, or reconveys a lender's interest in the property. 7 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: 0 K. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. L. This is a transfer of property: 0 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. tolfrom 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. ZM. This property is subject to a lease with a remaining lease term of 35 years or more including written options. 0 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. 0 ✓Z 0, This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions imposed by specified nonprofit corporations.. Z' P. This transfer is to the first purchaser of a new building containing an active solar energy system. © Q. 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 SOE-502-A (P2) REV. 15 (02-21) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, if other than recording date: Type of transfer: ❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, :stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Date of contract: ❑ Sale/leaseback ❑ Creation of a lease ❑ Assignment of a lease Original term in years (including written options): ❑ Other. Please: explain: ❑ Inheritance. Date of death: ❑ Termination of a lease. Date lease began: Remaining term in years (including written options): 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 A, Total purchase price Check and complete as applicable. B. Cash down payment or value of trade or exchange excluding closing costs C. First deed of trust @ % interest for years. Monthly payment $_ ❑ 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 $_ ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: $ Amount $. Amount $ Amount $ E. Was an Improvement Bond or other public financing assumed by the buyer? [:]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 ihcl_uded 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 ❑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. OFFICER 1 I ( 442 ) 256-6535 NAME OF BUYERITRANSFEFIEE/PERSONAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE & EMAIL ADDRESS Don Hurter, General Manager IN+NM 6AA I dhurter@thequarrygc.cm The Assessor's office may contact you for additional information regarding this transaction.