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LLA 2012-513 Lot A DOC # 2013-0253687RECORDING REQUESTED BY WHEN RECORDED MAIL TO NAME City of La Quinta ADDRESS 78-496 Calle Tampico CITY La Quinta, STATE & ZIP CA 92253 Attn: City Clerk k-1 rY of LA QUINTA Plan Set No. GRANT DEED DOC # 2013-0253687 05/29/2013 01:37 PM Fees: $40.00 Page 1 of 6 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "This document was electronically submitted to the County of Riverside for recording— Receipted by: SGOMEZ TITLE ORDER NO. 10311807 ESCROW NO. APN NO. 764-270-065 THE UNDERSIGNED GRANTOR(s} DECLARE(s) DOCUMENTARY TRANSFER TAX is $ - 0 - CITY TAY, $ ® computed on full value of property conveyed, or ❑ computed on full valve fens value of liens or encumbrances remaining at lime of sale, ❑ Unincorporated area: ❑ City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TLQ Partners, Inc., A California Corporation as to an undivided 70.30% Interest hereby GRANT(s) to Mark J. Raider and Maureen A. Raider, Co -Trustees of the Mark J. Raider and Maureen A. Raider Revocable Living Trust, dated August 25, 2006, as amended the following described real property in the City of La Quinta, County of Riverside, State of California: That portion of Lot 142 of Tract No. 30023-1 contained in reconfigured Lot A pursuant to LLA 2012-513 approved by the City of La Quinta. The reconfigured lots are described In Exhibits "A" and "B" attached hereto and made a part hereof. r� LU Note: this grant deed perfects the intent of Lot Line Adjustment 2012-513 as approved by the City of La Quinta, a TLQ Partners, Inc. alifornia Corporation Dated By. State of California 3 / 20 / 13 Title; County of �16 1 ) 't L �"N SUSAN M. DUNN, NOTARY PUBLIC -t'.3 before me, (here insert name and title of the officer Young Cho who proved to me on the basis of satisfactoryevidence to l,e the )� personally appeared h t person(s) whose names) islare su6scrib to the within instrument and acknowledged to me that helshe4hey executed the same in his/herAheir authorized capacity(ies), and that by hislherf#tfeir signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY -GE. ERJIURY under the laws of the State of California that the foregoing paragraph is true and correct. -� WITNESS my hand Dill s { t T 1 SUSAN M. DUNN Signatur �-` > I/�.l {] COMM. # 1989286 (Seal) {'j NOTARY PUBLIC -CALIFORNIA Li SUS��! M. DUNN, NOTARY PUBLIC . ; LOS ANGELES COUNTY 0 I `t*i„ COV11. FY.PIRES SEPT. 23, 201F oocw+I hrrPROVIDEDersTEWARTTME oFcwXoRNIA JNo. DRNroEED Lu 129 L" .Doc DOC #2013-0253687 Page 2 of 6 05/29/2013 01:37 PM State of California County of Riverside On May S, 2013, before me, SUSAN MAYSELS, Notary Public, personally appeared TIMOTHY R. JONASSON 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/ 'A S" t• t Susan Maysels, Commis `on #2017258, Expires April Riverside County, California SUSAN MAYSEtS F" Commission # 2017258 a 'F-+: Notary Public - California z z10, Riverside County I My Comm. > xpi,es Apr 13, 20171 13, 2017 (seal) DOCUMENT: GRANT DEED from TLQ Partners to Reider 70.3% re: Lot A of Lot 142 of Tract 30023-1, APN 764-270-065, to perfect the intent of Lot Line Adjustment 2012-513. DOC #2013-0253687 Page 3 of 6 05/29/2013 01:37 PM EXHIBIT" A ) SHEET 1 OF 2 SHEETS LOT LINE ADJUSTMENT NO. 2012-513 LOTS 129 AND 142 TRACT NO. 30023-1 M.B. 329/87-102 LOT A LOT 129, AS SHOWN BY TRACT MAP NO. 30023-1, IN THE CITY OF LA QUINTA, AS FILED IN BOOK 329, PAGES 87 THROUGH 102, INCLUSIVE, OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA; TOGETHER WITH THAT PORTION OF LOT 142, AS SHOWN BY SAID TRACT NO. 30023-1, DESCRIBED AS FOLLOWS: COMMENCING AT THE MOST NORTHERLY CORNER OF SAID LOT 129; SAID CORNER BEING A POINT ON A CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 438.00 FEET, A RADIAL LINE THROUGH SAID POINT BEARS NORTH 59'35'32" WEST; THENCE SOUTHWESTERLY ALONG THE WESTERLY LINE OF SAID LOT 129, AND SAID CURVE THROUGH A CENTRAL ANGLE OF 1'57'37', AN ARC LENGTH OF 14.99 FEET, TO THE POINT OF BEGINNING; THENCE LEAVING SAID WESTERLY LINE, SOUTH 28'26'51" WEST, 78.31 FEET; THENCE SOUTH 11'54'09" WEST, 41.29 FEET; THENCE SOUTH 80'30'00" EAST, 121.24 FEET, TO A POINT ON THE SOUTHEASTERLY LINE OF SAID LOT 142, SAID POINT ALSO BEING A POINT ON A NON -TANGENT CURVE, CONCAVE NORTHWESTERLY, HAVING A RADIUS OF 24.50 FEET, A RADIAL LINE THROUGH SAID POINT BEARS SOUTH 56'54'03" EAST; THENCE NORTHEASTERLY ALONG SAID SOUTHEASTERLY LINE, AND SAID CURVE THROUGH A CENTRAL ANGLE OF 11'58'22", AN ARC LENGTH OF 5.12 FEET; THENCE CONTINUING ALONG SAID SOUTHEASTERLY LINE, NORTH 21'07'35" EAST, 12.68 FEET, TO THE SOUTHEAST CORNER OF AFOREMENTIONED LOT 129; THENCE NORTH 66'33'07' WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 129, A DISTANCE OF 119.60 FEET, TO THE SOUTHWEST CORNER OF SAID LOT 129; THENCE NORTH 21'07'35" EAST, ALONG THE WESTERLY LINE OF SAID LOT, 15.58 FEET, TO THE BEGINNING OF A TANGENT CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 438.00 FEET; THENCE NORTHEASTERLY ALONG SAID CURVE THROUGH A CENTRAL ANGLE OF 7'19'16", AN ARC LENGTH OF 55.97 FEET, TO THE POINT OF BEGINNING. SAID LOT A CONTAINS 12,856 SQUARE FEET, MORE OR LESS. AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF -WAY OF RECORD. Np, LANp�G PREPARED UNDER THE SUPERVISION OF J. o a L.S.6588 7D Exp. 12-31-13 CHRIS J. BER04, L.S. 6 8 DATE EXPIRATION DATE: 12/3 /2013 9 �CF CAI_\F 1:\82700\LLA 129-142 10-26-12 DOC #2013-0253687 Page 4 of 6 05/29/2013 01:37 PM u EXHIBIT " A" SHEET 2 OF 2 SHEETS LOT LINE ADJUSTMENT NO. 2012-513 LOTS 129 AND 142 TRACT NO. 30023-1 M.B. 329/87-102 LOT B LOT 142, AS SHOWN BY TRACT MAP NO. 30023-1, IN THE CITY OF LA QUINTA, AS FILED IN BOOK 329, PAGES 87 THROUGH 102, INCLUSIVE, OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA; EXCEPTING THEREFROM THAT PORTION OF SAID LOT 142, DESCRIBED AS FOLLOWS: COMMENCING AT THE MOST NORTHERLY CORNER OF SAID LOT 129; SAID CORNER BEING A POINT ON A CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 438,00 FEET, A RADIAL LINE THROUGH SAID POINT BEARS NORTH 59'35'32" WEST; THENCE SOUTHWESTERLY ALONG THE WESTERLY LINE OF SAID LOT 129, AND SAID CURVE THROUGH A CENTRAL ANGLE OF 1'57'37", AN ARC LENGTH OF 14.99 FEET, TO THE POINT OF BEGINNING; THENCE LEAVING SAID WESTERLY LINE, SOUTH 28'26'51" WEST, 78.31 FEET; THENCE SOUTH 11'54'09" WEST, 41.29 FEET; THENCE SOUTH 80'30'00" EAST, 121.24 FEET, TO A POINT ON THE SOUTHEASTERLY LINE OF SAID LOT 142, SAID POINT ALSO BEING A POINT ON A NON -TANGENT CURVE, CONCAVE NORTHWESTERLY, HAVING A RADIUS OF 24.50 FEET, A RADIAL LINE THROUGH SAID POINT BEARS SOUTH 5654'03" EAST; THENCE NORTHEASTERLY ALONG SAID SOUTHEASTERLY LINE, AND SAID CURVE THROUGH A CENTRAL ANGLE OF 11'58'22", AN ARC LENGTH OF 5.12 FEET; THENCE CONTINUING ALONG SAID SOUTHEASTERLY LINE, NORTH 21'07'35" EAST, 12.68 FEET, TO THE SOUTHEAST CORNER OF AFOREMENTIONED LOT 129; THENCE NORTH 66'33'V' WEST, ALONG THE SOUTHERLY LINE OF SAID LOT 129, A DISTANCE OF 119.60 FEET, TO THE SOUTHWEST CORNER OF SAID LOT 129; THENCE NORTH 21'07'35" EAST, ALONG THE WESTERLY LINE OF SAID LOT, 15.58 FEET, TO THE BEGINNING OF A TANGENT CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 438.00 FEET; THENCE NORTHEASTERLY ALONG SAID CURVE THROUGH A CENTRAL ANGLE OF T 19' 16", AN ARC LENGTH OF 55.97 FEET, TO THE POINT OF BEGINNING. SAID LOT B CONTAINS 19.03 ACRES, MORE OR LESS. AS SHOWN ON EXHIBIT "B" ATTACHED HERETO AND MADE A PART HEREOF. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF -WAY OF RECORD. PREPARED UNDER THE SUPERVISION OF: L' 0 � 3P CHRIS J. BE H, L.S. 588 DATE EXPIRATION DATE: 12/31/2013 LAlVp� 5� J. S L.S. 6588 1 * Exp. 12-31-13 CA" 1:\82700\LLA 129-142 10-26-12 DOC #2013-0253687 Page 5 of 6 05/29/2013 01:37 PM » EXHIBIT B » SHEET 2 OF 2 SHEETS LOT LINE ADJUSTMENT NO. 2012-513 LOTS 129 AND 142 TRACT NO. 30023-1 M.B. 329/87-102 P.O.C. N.W. CORNER LOT 129 P.O.B. `'/ SEE SHEET 1 LOT B�'�� 19.03 AC. C 142 a -A 130 .Sys, . , F SCALE 1 40 �I N 6 nSo. I7— 129 ��a LOT A _ Ar 12,856 S.F <r s� r�60, S 80',30,00„ . E 121.24, C� ULRICH DRIVE (PRIVATE STREET) LINE DATA No. BEARING DISTANCE L1 N 21'07'35 E (12.68' L2 N 21'07'35 E 15.58' L3 S 21'07'35 W 20.42' L4 S 21'07'35 W 33.10' EXISTING LOT LINE TO BE REMOVED EXISTING LOT LINE TO REMAIN NEW LOT LINE PER THIS ADJUSTMENT 55 OLD LOT NUMBER C Cd CURVE DATA No. DELTA RADIUS LENGTH Cl 1'57'37' 438.00' 14.99' C2 7' 19' 16" 438.00' 55.96' C3 9' 16'53" 438.00' 70.95' C4 11'58'22" 24.50' 5.12' C51 72'27'25" 1 24.50' 30.98' C6 84'25'47' 24.50' 36.10' A NEW PARCEL DESIGNATION ( ) INDICATES RECORD DATA PER TRACT NO. 30023-1 78-900 Avenue 47 PREPARED UNDER THE SUPERVISION OF: M O R S E Suite 208 La Ouinta, CA 92253 Voice: 760-771-4013 , SCHULTZ FAX: 760-7714073 rp mdoloqulnlaomdawneuRing.nel CHRIS J. B GH, L.S116588 DATE PLANNERS ENGINEERS SURVEYORS EXPIRATION DATE: 12 3112013 1:\82700\LLA 129-142 10-26-12 DOC #2013-0253687 Page 6 of 6 05/29/2013 01:37 PM EXHIBIT B$j SHEET 1 OF 2 SHEETS LOT LINE ADJUSTMENT NO. 2012-513 LOTS 129 AND 142 TRACT NO. 30023-1 M.B. 329/87-102 SCALE 1" =300' 1 1 TRACT NO. 30023-1 M.S. 329/87-102 60' BOR IRRIGATION EASEMENT \ TRACT NO. 30023-4 fM.B.365/96-107 135 �pRi�,�re S�Ne �Eer� DR LEGEND --------------- EXISTING LOT LINE TO BE REMOVED EXISTING LOT LINE TO REMAIN NEW LOT LINE 55 OLD LOT NUMBER 1 NEW PARCEL NUMBER ( ) INDICATES RECORD DATA PER TRACT NO. 30023-1 78-900 Avenue 47 M O R S E Suite 208 La Quinla, CA 92253 Voice: 760-771 ri013 SCHULTZ FAX: 760.771 A073 in and laqulnlaOmd. wRing.nel PLANNERS ENGINEERS SURVEYORS LOT B 19.03 AC. 142 ULRICH DRIVE (PRIVATE STREET) PREPARED UNDER THE SUPERVISION OF: Pj L. � - 6 bl*� 3 t I Is CHRIS J. BEVGH, L.S. 588 OATE EXPIRATION DATE: 12/731 /2013 LOT A (SEE SHEET 2) Atvn �C ti r C i L.S. 65L�8 ; Tk Exp. 12-31.13 1 q21��F 1:\82700\LLA 129-142 10-26-12 LARRY W. WARD Recorder P.O. Box 731 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR-COUNTY CLERK -RECORDER (95t)486-7000 Website: wcvw.riversideacr.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. I declare that the documentary transfer tax for this Property Address: dGrr transaction is: $� If this transaction is exempt from Docurn entary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECAUSE: (The Sections listed below are taken from the Revenue and Taxation Code. Please check one or explain in "Other'.) 1. Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options). 2. _ Section 11911. The easement is not perpetual, permanent, or for life. 3. _ Section 11921. The instrument 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 between legal entities, and does not change the proportional interests held. 6. Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. _ 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. 10. Section 11930. The conveyance is to the grantor's revocable living trust. 11. ? Other (Include explanation and authority) Tn dex.t'It.e..tTe Lea #- L►k; A-" usfiwt+, t- ?.c7 ri- - -513 otd "-D av-ed I DECLARE UNDER PENALTY OfF� PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Executed this i day of l UL6l�VG�`- 20 t at 4�f/�46IW1 G, C t City State 5ignatureot'Aff m Name of Firm (if applicable) (Lc; ea-y Printed Name of Afiiant 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. 03/2012) Available in Alternative Formats LEGAL DESCRIPTION That portion of Lot 142 of Tract No. 30023-1 which is described as Lot B pursuant to LLA 2012-513 approved by the City of La Quinta. The reconfigured Lots A & B are described in Exhibits "A" and "B" attached hereto and made a hart hereof. -- , ,.., 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. Please answer all questions in each section, and sign and complete the certification before filing. This farm may be used in all 58 California counties. If a document evidencing a change in ownership is presented to the Recorder for recordation without the concurrent filing of a Preliminary Change of Ownership Report, the Recorder may charge an additional recording fee of twenty dollars ($20). NOTICE: The property which you acquired may be subject to a supplemental assessment in an amount to he determined by the County Assessor. Supplemental assessments are not paid by the title or escrow company at close of escrow, and are not included in lender impound accounts. You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. SELLERITRANSFEROR I L►(►4 r#AXII-W . JA^.e . 40L [+A-C' orP A$ 0 V„k VKOLA WAj�LojapVC37r tUkAA a tio�„rtlL (t4.w.i 4t� e� �urr'§ �tftL, 14,4 'Sole �!�e ar.&__ asf+► a., BUYERMIANSFEREEMArl. T,�,_;,Ulr ? 1L(�u,u-e�h 1� i? der. Saes e-.(fK W4�c5�efl �lilllgt>t.VPtr- A. WdGGsJ!__._, �!Q STREETADDRESSOR PHYSICAL LOCATION OF REAL PROPERTY (e� A.L'TO dAti� C.rti Q�n [ LT 1.ti c Adig is 2a (Z? ^S MAIL PROPERTY TAX INFOR�Uy TIONTO(NAM J ADDRESS ... - CITY .._.....__..... _. 610Z -*CLr } lace D r j (tea Qw LARRY W. WARD, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK - RECORDER PO BOX 12004, RIVERSIDE, CA 92502-2204 (951) 955-6200 www.riversideacr.com PARCEL NUMBEr f &i( - zi Q ]YMS DAYTIME TELEPHONE NUMBER 11120) S6tf - gS219 ZIP CODE q zzs :1 BYES U NO This property is intended as my principal residence. If YES, please indicate the date of occupancy "� DAY IYEAR or intended occupancy_iJV+l3uaw( f~ [,tip.{ys{ er�d -?oft 17-2; 1 Z06i PART 1. TRANSFER INFORMATI TT6N-- Please complete all statements. 64L tv- Cif,{ n� L-A- 'WA YES NO L�J A. This transfer is solely between spouses (addillon or removal of spouse, death of spouse, divorce settlement, etc.). F 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.). D C. This is a transfer between: parent(s) and child(ren) grandparentw and grandchild(ren). K7* D. This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑ YES EJ1Na * E. 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? 7 YES F1 NO ❑ X F. 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: �J L� G. The recorded document creates, terminates, or reconveys a lender's interest in the property. H. 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. 1. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. J. 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 LINJ IJ the transferor, and/or ❑ the transferor's spouse registered domestic partner. QO7 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the creator/grantorltrustor dies. lJ RJ 3. to/from an irrevocable trust for the benefit of the 1 creator/grantor/trustor and/or grantor's/trustor's spouse n grantor's/trustor's registered domestic partner. 4. to/from an irrevocable trust from which the property reverts to the creator/grantorltrustor within 12 years. ❑ Z K. This property is subject to a lease with a remaining lease term of 35 years or more including written options. LJ JW1 L. 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. K This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. * N, This transfer is to the first purchaser of a new building containing an active solar energy system. " If you checked YES to statements C, D, or E, you may qualify for a property tax reassessment exclusion, which may allow you to maintain your previous tax base. If you checked YES to statement N, you may qualify for a property tax new construction exclusion. A claim farm must be filed and all requirements met in order to obtain any of these exclusions. Contact the Assessor for claim forms. 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. 11 (07-10) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, if other than recording date: B. Type of transfer: Purchase n 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 n Termination of a lease. Date lease began: Original term in years (including written options): Remaining term in years (including written options): Other. Please explain: U44- ?,OI Z —.g 0 T '{.� b r�J u wr' 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 or acquisition price. Do not include closing costs or mortgage insurance. $ B. Down payment: $ Interest rate: % Seller -paid points or closing costs: $ Balloon payment: $ Loan carried by seller Assumption of Contractual Assessment* with a remaining balance of: $ "An assessment used to finance property -specific improvements that constitutes a lien against the real property. The property was purchased Through real estate broker. Broker name: Direct from seller n From a family member FJ Other. Please explain: Phone number. C. Please explain any special terms, seller concessions, 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 F1 CommercialHndustrial B. gYES ❑ NO PersonaVbusiness property, or incentives, are included in the purchase price. Examples are furniture, farm equipment, machinery, club memberships, etc. Attach list if available. ZS 00 d If YES, enter the value of the personal/business property: $ C. []YES © NO A manufactured home is included In the purchase price. If YES, enter the value attributed to the manufactured home: $ AYES �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 CERTIFICATION I certify (or declare) under penalty of perjury under the laws of the State of Califomia 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. This declaration is binding on each and every buyer/transferee. 0-103 NAME OOF,19U"YE REEILEGALREPRESENTATIVEI ❑ PORATE OFFt❑ER LEASE PRINT) TrrE E-MAIL AQO ESS The Assessor's office may contact you for additional information regarding this transaction LEGAL DESCRIPTION That portion of Lot 142 of Tract No. 30023-1 which is described as Lot B pursuant to LLA 2012-513 approved by the City of La Quinta. The reconfigured Lots A & B are described in Exhibits "A" and "B" attached hereto and made a part hereof.