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LLA 2021-0006 Parcel B - The QuarryOrder No. Escrow No. Loan No. WHEN RECORDED MAIL TO: Frank C. Wade & Bobbie Wade 79690 Tom Fazio Lane South, La Quinta, CA 92253 DOC # 2021-0391946 06/29/2021 03:48 PM Fees: $192.00 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: ESTHER #037 DOCUMENTARY TRANSFER TAX $......... (2................... 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 APYS: 766-045-002 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 FRANK C. WADE AND BOBBIE WADE, husband and wife as community property The real property in the City of LA QUINTA, County of RIVERSIDE, State of CALIFORNIA, described as Parcel `B" as described and shown on Exhibits "A" and 'B" attached hereto and by reference made a part hereof Being a portion of Lot 64 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 `B" 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 *:45ryan McKinney P. ., City Engineer RCE 49418, Exp. 9-30-2022 The Quarry at La Quinta, Inc., a California Non Profit Mutual Benefit Corporation By: A 14 MX Name: It's: General Manager T�L`c_, MAIL TAX STATEMENTS TO: Frank C. & Bobbie Wade DOC #2021-03911946 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 validity of that document. State of California ,�,II 1 County of -]21y PX S id Q, I On g I r 202 before me, Aly iSDV1 K?1A/V , N(} 04 P(AM,C , Date Here Insert Name and Title of the Officer personally appeared by) Il uTti`ew Nome(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. _-- _-- - - - - - ALLISON P. ROWE Notary Public - California E C----DComm. Riverside CountyCommission # 2315964 Expires Dec 16, 2023 E 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 T Signature of Notary Public yr 1 IVIVPAV 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: 020118 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 #2021-0391946 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: ROMANS , 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. 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. em NICHOLE ROMANE Notary Public - California Riverside CountyCommission A 2312710 y Comm. Expires Nov 16, 2023 Signature (seal) DOCUMENT: GRANT DEED LOT LINE ADJUSTMENT 2021-0006 re: APN 766-045-002 and 766-OEI0-017 - owner(s): THE QUARRY AT LA QUINTA, INC. DOC #2021-0391946 Page 4 of 7 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2021-0006 PARCEL "B" IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, A PORTION OF LOT 64 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 64 AREA 1 ", MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID LOT 64; THENCE ;SOUTH 23008-15" WEST, ALONG THE WESTERLY LINE OF SAID LOT 64, A DISTANCE OF 102.83 FEET; THENCE NORTH 67038'44" WEST, A DISTANCE OF 31.21 FEET; THENCE SOUTH 67021'16" WEST, A DISTANCE OF 7.07 FEET; THENCE NORTH 67038'44" WEST, A DISTANCE OF 2.7.27 FEET; THENCE NORTH 21043-50" EAST, A DISTANCE OF 91.98 FEET; THENCE NORTH 89039'47" EAST, A DISTANCE OF 4.1.07 FEET, TO THE POINT OF BEGINNING; LOT 64 AREA 1 CONTAINING 3,631 SQUARE FEET OR 0.083 ACRES MORE OR LESS. EXCEPTING THEREFROM THAT PORTION OF SAID LOT 64, DEPICTED ON EXHIBIT "B" AS "LOT 64 AREA 2" BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 64; THENCE NORTH 23008'15" EAST ALONG THE WESTERLY LINE OF SAID LOT 64, A DISTANCE OF 5.00 FEET; 1 OF 2 DOC #2021-0391946 Page 5 of 7 EXHIBIT "A" LEGAL DESCRIPTION LOT LINE ADJUSTMENT NO. 2021-0006 THENCE SOUTH 67038'44" EAST, A DISTANCE OF 16.79 FEET; THENCE SOUTH 22038'44" EAST, A DISTANCE OF 7.07 FEET TO A POINT" ON THE SOUTHERLY LINE OF SAID LOT 64; THENCE NORTH 67038'44" WEST ALONG SAID SOUTHERLY LINE, A DISTANCE OF 21.86 FEET, TO THE POINT OF BEGINNING; LOT 64 AREA 2 CONTAINING 97 SQUARE FEET OR 0.002 ACRES MORE OR LESS. TOTAL ADJUSTED AREA OF PARCEL "B" CONTAINS 25,169 SQUARE FEET OR 0.578 ACRES MORE OR LESS. SUBJECT TO EXISTING EASEMENTS, COVENANT'S, 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: CHARLES R. HARRIS P.L.S. 4989 DATED: e ZoZI 2OF2 pdvxg- CHARLES R. HARRIS a No. 4989 lSsj, \� \TF OF DOC #2021-0391946 Page 6 of 7 CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT •B• 1 LOT LINE ADJUSTMENT NO. 2021-0006 PAR. "B" LLA 2020-015 DOC. NO. 2020-0661120 REC. 12/28/2020, O.R. POR. OF LOT 68 M.B. 249/1-1:5 PARCEL 'D• 6,499,770 SQ. FT. 149.214• AC. OWNER: THE QUARRY AT LA QUINTA, INC. APN 766-050-017 .�65' 2g , SE,G NEW ADJUSTED LOT LINE LOT 64— AREA 1 3,631 SQ_ FT. SEE DETAIL •A• ON SHEET 2 - 0' 100' 200' P.O.B. LOT 65 AREA & a 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 �N �L LAI ND\ G O 9m CFIAR R.li�RRIS p n. �49 3%%'v= � SqT� OF DATED: K11l(lzo?I/ 3.880 S0. FT. , �1 S 07'46'24" E (R) MOST NORTHERLY CORNER LOT 63 NEW ADJUSTED LOT LINE /3 LOT 6:3 AREA N /N 5,850 SQ_ FT. 4, / /PARCEL 'AI' iV 32 575 SQ. F�. 63 I _ / LOT LINE TO / BE ADJUSTED /APN 766-045-001 / P.O.B. / LOT 63 AREA & 64 AREA 1 � SW COR LOT 63 h L1 / PARCEL •B' 25,169 SQ. FT. LOT LINE TO BE ADJUSTED 1 64 APN 766-045-002 64 AREA 2 97 SQ. FT. PARCEL •C' 31,340 SQ. FT. LOT LINE TO BE ADJUSTE 65 766_045-00�3,,� TOM FAZIO LANE SOUTH 18.5' H LLJ Z J 0 N LL i O 10' P.U.E. PER M.B.249/1-13 LEGEND EXISTING LOT LINE TO BE ADJUSTED — — — — EXISTING LOT LINE TO REMAIN MSA CONSULTING, INC. NEW ADJUSTED LOT LINE ��' 1 PLANNING ■ CNII, ENGINEERING (—) INDICATES RECORD DATA PER M.B. 249/1-13 LAND SURVEYING SEE SHEET 2 FOR LINE AND CURVE DATA ID J.N. 2679 SHEET 1 OF 2 DOC #2021-0391946 Page 7 of 7 CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT •B• 1 LOT LINE ADJUSTMENT NO. 2021-0006 LOT 65 Q) AREA / 3,880 SQ. FT. 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 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. LOT 64 ,AREA 2 /� 6 1 ��O 97 SQ. FT. v 44" w 2Q 00' �.� PARCEL •C• 31,340 SQ. FT. 0' 10' 20' SCALE 1"=10' MSA CONSULTING, INC. 1 PLANNING ■ CIVIL ENGINEERING LAND SURVEYING J.N. 2679 SHEET 2 OF 2 tfir�o . _... _ .... Recorder G PETER ALDANA PiO. Boz 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 N a (951) 486-7000 . r.. ASSESSOR -COUNTY CLERK -RECORDER : Website: www.riversideacccom 'c`��``� DOCUMENTARY TRANSFER TAX AFFIDAVIT 3ARNIN ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING*ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAXIS 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 --002 I declare that the documentary transfer tax for this Property -Address: 7t p g T FazIon, 1 6G�iiinta, : transa.ction is: $.p nn Cp 92j5N If this. transaction is exempt from Documentary rans er. ax, the reason must be identified below. ICLAIM THATTHISTRANSACTIONISEXEMPTFROMDOCUMENT,4RYTRANSFER-TAXBECAUSE. (The Sections listed below are taken from the. Revenue and Taacation Code with the exception of items 9 and I0-which are. taken from Riverside County Ordinance 51.6).. Please check one or:explain in "Other':: :. 1.. , x Section 1191T.. The consideration_ or value the property, exclusive of any liens and encumbrances is $100.00 :or less and there: is .no additional consideration received by the grantor... . 2... Section 119111. The conveyance transfers to a revocable living trust by the grantor or from a revocable living trust to a beneficiary. 3. Section 11921. The conveyance was -given to secure a debt. 4. :Section 11922. Th& conveyance is to a: governmental entityor political subdivision. 5. Section 115,25. The'transfer-is between individuals and a legal entityor partnership, or between legal entities and does not change the proportiohal interests held. 6'. Section 11926. The conveyance is "to a grantee who is the foreclosing benef ciary and the consideration paid by the foreclosing beneficiary does not -exceed the unpaid debt. 7. Section 1.19127. The conveyance relates to a dissolution of.marria,ge or legal separation. (A spouse must sign a wrid6n-recital in order to claim this exemption. This form maybe used for that purpose.) 8. Section 119130. The. conveyance is an inter vivos-gi$* 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 nit perpetual, permanent, or for life. 10. Section 9.. The document is -a lease for a term of Ethan (35) years (including. written options.) Jnclude ex lanation. and le al authorit (.. pl g . _... y)::. . I DECLARE UNDER PENALTY OFPERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Expen a this.. :.�2011 � .at IQuanta CA�ayof .. - City State _ .�. 'Fr4 Khan Signature of Affiant, .:. Printed Name of Affiant Nameof Firm (if applicable) 79720 S Tom F.a io an " La Oi tints-, CA 99953 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 BOE-502-A (P1) REV. 15 (02-21) PETER ALDANA, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK - RECORDER PRELIMINARY CHANGE OF OWNERSHIP REPORT PO BOX 751, RIVERSIDE, CA 92502-0751 To be completed by the transferee (buyer) prior to a transfer of subject (951) 955-7006 www.riversideacr.com 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 BUYER/TRANSFEREE (Make necessary corrections to the printed name and mailing address) ASSESSOR'S PARCEL NUMBER r -71 766-045-002 SELLER/TRANSFEROR Frank and Bobbie Wade BUYER'S (DAYTIME TELEPHONE NUMBER L J BUYER'S EMAILADDRESS bo bbiewade 1939@gmail.com STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY 79720 S Tom Fazio Lane, La Quinta, CA 92253 This property is intended as m principal residence. If YES, lease indicate the date of occupancy Mo DAY YEAR YES � NO p p y y p p p p y 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) Frank and Bobbie VI✓ade MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE 79720 S Tam Fazio Lane 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 L❑ 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.). FV * C. This is a transfer: between parent(s) and children) 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 0 * F. This transaction is to replace a principal residence by a person who is severely disabled. Within the same county? YES NO 0 *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: 1-1 ✓❑ I. The recorded document creates, terminates, or reconveys a fender's 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: ZK. 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 11registered 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. O. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions imposed by specified nonprofit corporations.. * R This transfer is to the first purchaser of a new building containing an active solar energy system. a 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 (02-21) PART 2. OTHER TRANSFER INFORMATION A. Date of transfer, if other than recording date: B. Type of transfer: Check and complete as applicable. ❑ 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: 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 payment $ Due date: E. Was an Improvement Bond or other public financing assumed by the buyer? ❑YE.S ❑ 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: $ EYES M NO The manufactured home is subject to local property tax. If NO, enter decal number: D. ❑YES ❑ NO They 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: l certify (or declare) that the We-tw,st of my krpaopledge al OF NAME OF BUYER/TRANSFEREE/PERSO CERTIFICATION and all information hereon, including any accompanying statements or documents, is true and correct to R CORPORATE OFFICER REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) ITITLE IS The Assessor's office may contact you for additional information regarding this transaction. TELEPHONE l J EMAILADDRESS hobbi e wad e- ra 34? 9rAbal • cow, PETER ALDANA Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 Website: wwwAversidgacr.com DOCUMENTARY TRANSFER TAX AFFIDAVIT VAW-Mad WWI ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACTFOR 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. 7Q6 --05Q - - --017 I declare that the documentary transfer tax for this Property Address: One Quarry 1 n, I a Quintal CA 92993 transaction is: $ fl Oo If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTIONIS EXEMPT FROMDOCUMENi'ARY 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. 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. 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 ag.Lperpetual, permanent, or for life. 10. Section 9. The document is a lease for a term of I,than (35) years (including written options.) 11. Other (Include explanation and legal authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRITE AND CORRECT. Executed this�� day ofat La Qtlinta CA q _ City State Don Hurtpr Signature of Affiant Printed Name of Affiant The LL uinta, Inc One QuarryLait-, La Quinta,SA 0253 Name of Finn (if applicable) Address of Affiant (including City, State, and Zip Code) 1 lip- 11'1- 1100 Telephone Number of Affiant (including area code) For Recorder's Use: This form is subject to the California Public Records Act'(Government Code 6150 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 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 BUYERITRANSFEREE (Make necessary corrections to the printed name and mailing address) r L STREETADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY One Quarry Lane, La Quinta, CA 92253 PETER ALDANA, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK - RECORDER PO BOX 751, RIVERSIDE, CA 92502-0751 (951) 955-7008 www.hversideacr.com ASSESSOR'S PARCEL NUMBER 766-050-017 SELLER/TRANSFEROR The Qaurry at La Quinta, Inc. BUYER'S DAYTIME TELEPHONE NUMBER ( 760 ) 777-1100 J BUYER'S EMAILADDRESS dhurter@thequarrygc.com YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY �YEAR or intended occupancy. YES [ONO 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) The Quarry at La Quinta, Inc. MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE I ZIP CODE One Quarry 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 F1❑ A. This transfer is solely between spouses (addition orremoval of a 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 of a partner, termination settlement, etc.). ❑ Q * C. This is a transfer n between parent(s) and child(ren) n 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 ❑ F7 * 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 ❑ NO ❑ k/1 *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 0 ❑✓ H. This transaction is only a correction of the name(s) of the persons) holding title to the property (e.g., a name change upon marriage). If YES, please explain: ❑ Wl I. The recorded document creates, terminates, or reconveys a lender's interest in the property. 0 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: Q F,(� 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 nregistered domestic partner. 2. to/from an irrevocable trust for the benefit of the F-Icreator/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. O. 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 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 (02-21) 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: 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 ❑ 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: ❑ Condominlium ❑ 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 ofpersonal property are furniture, farm equipment; machinery, etc. Examples of incentives are Gub 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 l 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. Q`j►.V( Tln4­9 ( If iL ( ( 442 ) 256-6535 NAME'OF BUY.ERr„rRANSFEIREE/PERSONAL REPRESENTATIVE/CORPORATE-OFFICER (PLEASE PRINT) TITLE' - EMAILADDRESS Don Hurter, General Manager 11111NWA GAA dhurter@thequanrygc.Corn The Assessor's office may contact you for additional information regarding this transaction.