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LLA 2012-516CITY of LA QUINTA Or�.�r No. Plan Set NO. E�scr. w No - Loan No. WHEN RECORDED MAIL TO: �4�6�3&2� r7a (`_rocti i—nh ��3. ��7T-Tr'iro Ceoic 414" DOC # 2013-0203224 04/30/2013 03:09P Fee:46,00 Page 1 of 8 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder l��III ��1�1I•� Ilfi I�III ��illi i�(Il�l�ll III I�I�I III Illf _ R U PAGE SIZE DA MISC LONG RFD COPY _ICI I I I I I I� GtTl & 6' [_,A QuralsA ?VBLrF i.joRZKS f ?e49.< CA«.E 1�,Mr�iCo M A t� QViN-74 ca g22s3 l�rr=g DOCUMENTARY TRANSFER TAX $ ............... .............. I ...... ................ --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. APN 764-350-005 & 764-270-062 465 1 426 1 PCOR NCOR MF NCH G Q�M C I iT: CT Y UNI (� 4 8$4 SPACE ABOVE THIS LINE FOR RECORDER'S USE Signature of Declarant orAgent determining tax - Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TLQ Partners, Inc., a California corporation, as to an undivided 70.30% interest and Ronald Minil Lee, a married man as his sole and separate property, as to an undivided 29.70% interest, as tenants -in -common hereby GRANT(s) to Michael J. Gurevitch and Lori Wynstock, husband and wife as joint tenants the real property in the City of La Quinta, County of Riverside, State of California, described as That portion of land in Lot "B" which is overlaid by the reconfigured shape of Lot "A" pursuant to LLA 2012- 516 , approved by the City of La Quinta. The reconfigured lots are described in Exhibits A and B attached hereto and made a part hereof. NOTE: This grant deed perfects the intent of Lot Line Adjustment 2012- 516 as approved by the City of La Quinta_ Dated: -beC . Sol STATE OF CALIFORNIA } COUNTY OF LO& Only before me, M - c-".h 44 Notary Public personally appeared ..youN�C who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the vAn Instrument and acknowledged to me that he/she/thep 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 that7ndand jolfi agraph is true and correct. WITNESS my i, �A Signature TLQ Partners, Inc., a California corporation and Ronald Minil Lee, a married man as his sole and separate property BY: / t- $ ; `"pro BY: 2-(/ 13 M. CHA[1IfA Cl MMISEiltft N f 990940 `'w Notary Public : California Loa Angeles iCounly my Comm. Eu iras nt t 9. 2016 (This area for official notarial seal) MAIL T TAT ENTS TO: Same as above CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 State of California County of On FE6 . 21 Sf 2013 before me, M ' C` '1-r-*-Ph4A 4 / ue C� Dale re Insert Name and Ttle of the Qfricer personally appeared D dk� - tJ M ! NJ I-z�EF Name(s) of Sf nat(s) M. CHADHA Commission # 1990840 z '# Notary Public - California 2 Los Angeles County My Comm. Expires Oct 9. 2016 J 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 paragraph_ia-� and correct. W ITN ial seal. Place Notary Seal Above S g ra of Notary fin oPrionra� Though the Information Wow is not required by law, It may pr le to persons relying on the document and could prevent fraudulent removal and reattachment off is form to another document Description of Attached Document _ Title or Type of Document: T D� Document Date: 0 a - 2 t - )-0 Q Number of Pages: I Signer(s) Other Than Named Above:.. Capaclty(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer - Title.(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General 7*7 El Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: . ❑ Corporate Officer — Title(s): ❑ Individual - ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: --w""". nv Y ­wfl - 1VaumlW1NU ery.Urg - 7-MW-U, NUTAHY (1-WU-576.66Y7) Item #5907 IIIIIIIIIIIVI�III�IIIIIIYIIIIIIIIIIIIIIIIIIuII-a'a�;°- EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2012 - 516 LOT "A": IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, LOT 128 OF TRACT MAP NO. 30023-1, AS SHOWN BY MAP ON FILE IN BOOK 329, AT PAGES 87 THROUGH 102, INCLUSIVE, OF MAPS, RIVERSIDE COUNTY RECORDS, TOGETHER WITH THAT PORTION OF PARCEL "C" OF LOT LINE ADJUSTMENT NO. 2005-441, RECORDED JANUARY 30, 2006 AS INSTRUMENT NO. 2006-0068729, O.R., BEING AN ADJUSTMENT OF LOT 143 OF SAID TRACT MAP NO. 30023-1, ALL BEING IN SECTION 34, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNARDINO BASE AND MERIDIAN, AND MORE PARTICULARLY DESCRIBED AS A WHOLE AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE EASTERLY LINE OF SAID LOT 128 AND THE SOUTHWESTERLY LINE OF THAT CERTAIN 60' IRRIGATION EASEMENT AS SHOWN ON SAID TRACT MAP NO. 30023-1, SAID POINT ALSO BEING ON THE WESTERLY LINE OF SAID PARCEL "C"; THENCE SOUTH 29"51'55" EAST ALONG SAID SOUTHWESTERLY LINE OF THAT CERTAIN 60' IRRIGATION EASEMENT, A DISTANCE OF 16.50 FEET; THENCE SOUTH 21 °07'35" WEST A DISTANCE OF 88.56 FEET TO THE SOUTHWESTERLY LINE OF SAID PARCEL "C"; THENCE ALONG THE SOUTHWESTERLY AND WESTERLY LINES OF SAID PARCEL "C" THROUGH THE FOLLOWING FOUR (4) COURSES: (1) THENCE NORTH 61-06-56" WEST A DISTANCE OF 97.40 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 418.50 FEET; (2) THENCE NORTHWESTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 02011'16", AN ARC DISTANCE OF 15.98 FEET TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, HAVING A RADIUS OF 24.50 FEET, A RADIAL LINE TO SAID POINT BEARS SOUTH 26°41'48" WEST; (3) THENCE NORTHERLY ALONG THE ARC OF LAST SAID CURVE, THROUGH A CENTRAL ANGLE OF 84°25'47", AN ARC DISTANCE OF 36.10 FEET; (4) THENCE NORTH 21-07-35" EAST A DISTANCE OF 18.65 FEET TO THE SOUTHWEST CORNER OF SAID LOT 128; PAGE 1 OF 4 IIIIINI�YII W����"`-P IIIrYrIiil�liWiii EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2012 - 516 THENCE ALONG THE NORTHWESTERLY, NORTHEASTERLY AND SOUTHEASTERLY LINES OF SAID LOT 128 THROUGHT THE FOLLOWING FOUR (4) COURSES: (1) THENCE CONTINUING NORTH 21-07-35" EAST A DISTANCE OF 14.46 FEET TO THE BEGINNING OF -A TANGENT CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 281.50 FEET; (2) THENCE NORTHEASTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 23032'56", AN ARC DISTANCE OF 115.70 FEET TO THE MOST NORTHERLY CORNER OF SAID LOT 128; (3) THENCE NON -TANGENT TO SAID CURVE SOUTH 29°51'55" EAST A DISTANCE OF 127.74 FEET TO THE MOST EASTERLY CORNER OF SAID LOT 128 AND THE BEGINNING OF A NON -TANGENT CURVE, CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 162.00 FEET, A RADIAL LINE TO SAID POINT BEARS NORTH 57027'28" WEST; (4) THENCE SOUTHWESTERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 02000'51", AN ARC DISTANCE OF 5.70 FEET TO THE POINT OF BEGINNING. SUBJECT TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF -WAY OF RECORD. ADJUSTED LOT "A" CONTAINING 17,622 SQUARE FEET OR 0.405 ACRES, MORE OR LESS. EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. PREPARED BY OR UNDER THE DIRECTION OF:b. 40Np.1-LA1Vps� G �° o ANTHONY MADDOX P.L.S.5476 * No.5476 EXP. 09/30/2014 DATED: ����� I�01� �. q�OFCA�l/ laAui�wi�omiii�PAGE iiiiuuu.... ....... uu =k 2 03 - : roof 8 - EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2012 - 516 LOT "B": IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, PARCEL "C" OF LOT LINE ADJUSTMENT NO. 2005-441, RECORDED JANUARY 30, 2006 AS INSTRUMENT NO. 2006-0068729, OFFICIAL RECORDS OF SAID RIVERSIDE COUNTY, BEING AN ADJUSTMENT OF LOT 143 OF TRACT MAP NO. 30023-1, AS SHOWN BY MAP ON FILE IN BOOK 329, AT PAGES 87 THROUGH 102, INCLUSIVE, OF MAPS, RIVERSIDE COUNTY RECORDS, BEING IN SECTION 34, TOWNSHIP 6 SOUTH, RANGE 7 EAST, SAN BERNARDINO BASE AND MERIDIAN. EXCEPTING THEREFROM THAT PORTION OF SAID PARCEL "C" MORE PARTI:G.ULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE EASTERLY LINE OF LOT 128 OF SAID TRACT MAP NO. 30023-1 AND THE SOUTHWESTERLY LINE OF THAT CERTAIN 60' IRRIGATION EASEMENT AS SHOWN ON SAID MAP, SAID POINT ALSO BEING ON THE WESTERLY LINE OF SAID PARCEL "C"; THENCE SOUTH 29051'55" EAST ALONG SAID SOUTHWESTERLY LINE OF THAT CERTAIN 60' IRRIGATION EASEMENT, A DISTANCE OF 16.50 FEET; THENCE SOUTH 21 °07'35" WEST A DISTANCE OF 88.56 FEET TO THE SOUTHWESTERLY LINE OF SAID PARCEL "C"; THENCE ALONG THE SOUTHWESTERLY AND WESTERLY LINES OF SAID PARCEL "C" THROUGH THE FOLLOWING FOUR (4) COURSES: (1) THENCE NORTH 61-06-56" WEST A DISTANCE OF 97.40 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 418.50 FEET; (2) THENCE NORTHWESTERLY ALONG THE' ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 02011'16", AN ARC DISTANCE OF 15.98 FEET TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, HAVING A RADIUS OF 24.50 FEET, A RADIAL LINE TO SAID POINT BEARS SOUTH 26°41'48" WEST; , (3) THENCE NORTHERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 84"25'47", AN ARC DISTANCE OF 36.10 FEET; 1 (4) THENCE NORTH 21-07-35" EAST A DISTANCE OF 18.65 FEET TO THE I' SOUTHWEST CORNER OF SAID LOT 128 AND AN ANGLE POINT IN THE f BOUNDARY LINES OF SAID PARCEL "C"; PAGE 3OF4 I 1 1 �111 ��1�11� 111� 1�111 ���11� 1�1 ll�ll�l IIl R�I�1 �1 @V3@!29 3 03!09P 111�11 5 of, 8 EXHIBIT "A" LOT LINE ADJUSTMENT NO. 2012 - 516 THENCE ALONG THE NORTHERLY AND WESTERLY LINES OF SAID PARCEL "C" THROUGH THE FOLLOWING THREE (3) COURSES: (1) THENCE SOUTH 68°52'38" EAST DISTANCE OF 119.50 FEET; (2) THENCE NORTH 21-07-35" EAST A DISTANCE OF 14.44 FEET TO THE BEGINNING OF A TANGENT CURVE, CONCAVE EASTERLY, HAVING A RADIUS OF 162.00 FEET; (3) THENCE NORTHERLY ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 09°24'06", AN ARC DISTANCE OF 26.58 FEET TO THE POINT OF BEGINNING OF THE HEREIN DESCRIBED EXCEPTION. SUBJECT' TO EXISTING EASEMENTS, COVENANTS, RIGHTS AND RIGHTS -OF -WAY OF RECORD. ADJUSTED LOT "B" CONTAINING 14.79 ACRES, MORE OR LESS. EXHIBIT "B" ATTACHED. HERETO AND BY THIS REFERENCE MADE A PART HEREOF. PREPARED BY OR UNDER THE DIRECTION OF: �j ��g� � D. lLk„ �`�R► . fII ❑ � `�� -t ANTHONY D. &DDOX P.L.S. 5476 * No.5476 EXP. 09/30/2014 DATED: O Q- ��oF mi�usiufluuuuPAGE uiniiui4um�ii..�1.,�� CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT 'B' I LOT LINE ADJUSTMENT NO. 2012-516 Gj aNY D. ,tiq O No. 5476 . A_ �OF CAL�� 42 PREPARED BY OR UNDER THE DIRECTION OF: atv� t nuam< ANTHONY ADDOX .L.S. 5476 DATMdI EXP. 09/30/2014 MSA CONSULTING, IDINC. Pr nWMG ■ CrM EKuD msxnvo ■ LArm S;R,;E Wa 34200 Eos Hops DxrvE ■ RAxcuo bft&GE ■ CA 92270 rxorrE (760) 3?A-98ll Fnx (760) 323 7893 J.N. 1538 SHEET 1 OF 2 ° CITY OF LA QUINTA - CERTIFICATE OF LOT LINE ADJUSTMENT EXHIBIT 'B' I LOT LINE ADJUSTMENT NO. 2012-516 Pew i / � J {� fN 45' 19'29" W 127 (R) 4�■co ' 15' PUE �e s, 128 LOT „C» LOT A" LLA 2005-441 �.... 0.405 AC., ..(ARJU.S.T..ED) ............. _................... _N... ......... 5..... 8" W � .... ... Sw .ccR: ........._ .... . ' LOT 128 C3 R LOT B — 14.79 AC (ADJUSTED) trN — LOT LINES TO y s$• — BE DELETED V � Cr _ LOT "Bp 3 EXCEPTION 4, AREA P.O.B. �J SW'LY LINE 60' ` IRRIGATION EASEMENT 8 W ^�. (R) ry �i 15' PUE 1-3 26 4 N LINE DATA NO. BEARING LENGTH L1 S 29'51'55" E 16.50' L2 N 21'07'35" E 18.65' L3 N 21'07'35" E 14.45' L4 N 21-07-35" E 14.44' 1-5N 21'07'35" E 33.10' CURVE DATA NO. DELTA RADIUS 1 LENGTH Cl 02'11'16" 418.50' 15.98' C2 84'25'47" 24.50' 36.10' C3 02*00*51 " 162.00 5.70' C4 09'24'06" 162.00' 26.58' STiQF�' LEGEND EXISTING LOT LINE TO BE DELETED — — — — EXISTING LOT LINE TO REMAIN NEW ADJUSTED LOT LINE (#) INDICATES RECORD DATA PER MB 329/87-102 TO BE DELETED MSA CONSULTING, INC. 34200 BoH hope DRm ■ RAxcxo MiRAae ■ CA 92270 To[ aPxom (760) 320-98U ■ FAx (760) 323-7893 J.N. 1538 SHEET 2 OF 2 or k! yI LARRY W. WARD Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000 sv Website: www.riversidcacr.cM 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. 764 -- 350 -- 005 I declare that the documentary transfer tax for this Property Address: 61-064 Desert Rose, La Quinta CA transaction is: $ If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROMDOCUMENTARY 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 l 1930. The conveyance is to the grantor's revocable living trust. 11. _ Other (Include explanation and authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Lxecu is day of Signature ofA ant Name of Firm (if applicable) 20 at City State Printed Name of Affiant Address of Affiant (including City, State, and Zip Code) G.` 6" 1 6 c) TeOplo"Ife Number of A cant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For RecoWer's Use: Affix PCOR Label Here ACR 521 (Rev. 03/2012) Available in Alternative Formats BOE-502-A (P1) REV. 11 (07-10) 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 form 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 add}tional recording fee of twenty dollars ($20), NOTICE: The property which you acquired may be subject to a supplemental assessment In an amount to be 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. LARRY W. WARD, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK - RECORDER PO BOX 12004, RIVERSIDE, CA 92502-2204 (951) 955-6200 www.dversideacr.com SELLER/TRANSFEROR ASSESSOR'S PARCEL NUMBER TLQ Partners 764-270-062 BUYER/TRANSFEREE BUYER'S DAYTIME TELEPHONE NUMBER Dr. Michael Gurevitch & Lori Wynstock { 626 ) 926-6160 b I KttI AUUKtSJ UK PFIYZjIOAL LLX)AI ION OF REAL PROPERTY 61-064 Desert Rose Drive, La Quinta, CA 92253 MAIL PROPERTY TAX INFORMX.nON TO (NAME) Dr. Michael Gurevitch & Lori Wynstock AUUKLbb 1026 Calle Azul Glendale [—]YES ❑✓ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy or intended occupancy. STATE I ZIP CODE CA 91208 DAY I YEAR PART 1. TRANSFER INFORMATION Please complete all statements. 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 (adcNion or removal of ❑ © a partner, death of partner, termination settlement, etc.). * C. This is a transfer between: ❑ parent(s) and children) ❑grandparent(s) and grandchild(ren). ❑ ✓❑ * D. This transaction is to replace a principal residence by a person 55 years. of age or older. Within the same county? ❑ YES ❑ NO ❑ ❑✓ * 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? ❑ YES ❑ NO ❑ © F. This transaction is only a correction of the name(s) ofthe person(s) holding title to the property (e.g., a name change upon marriage). If YES, please explain: ❑ ❑✓ 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: ❑ ❑✓ I. 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 ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. ❑ 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/grantor/trustor dies. ❑ 0 3. 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, ❑ V 4, to/from an irrevocable trust from which the property reverts to the creator/grantor/trustor within 12 years. ❑ 0 K. This property is subject to a lease with a remaining lease term of 35 years or more including written options LV( ❑ 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. ❑ M. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ LJ * 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 form 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 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 or acquisition price. Do not include closing costs or mortgage Insurance. I$ Down payment: tiff 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. B. The property was purchased: Through real estate broker. Broker name: Phone number: ! y Direct from seller ❑ From a family member Other. Please explain- 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 LJ Manufactured home Multiple -family residence. Number of units: ❑ Condominium ❑ Unimproved lot IJ Other. Description: (i.e., timber, mineral, water rights, etc.) Timeshare ❑ Commercial/Industrial B._]YES ©NO Personal/business property, or incentives, are included in the purchase price. Examples are furniture, farm equipment, machinery, club memberships, etc. Attach list if available. If YES, enter the value of the personal/business property: 5 C. PYES ✓❑ NO 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 ❑ NO The property produces rental or other income. If YES, the income is from: Leaseirent Contract ❑ Mineral rights I—] Other: E. The condition of the property at the time of sale was: Good FlAverage Fair Poor CERTIFICATION I certify (or declare) under penalty of perjury under the laws of the State of California 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 buyerlw! sferee_ _�7 10. F IVAILADDRESS OFFICER (PLEASE PRINT) DATE /b .- ME - ---- The Assessor's office may contact you far additional information regarding this transaction. City of La Quinta F Public Works Department 78-495 Calle Tampico rfy 9F 11 La Quinta, California 92253 (760) 777-7075 FAX: (760) 777-7155 APPLICATION FOR LOT LINE ADJUSTMENT APPROVAL Finance Code: W3 OFFICE USE ONLY LCN No._ Date Re v'd. Fee: Related Apps: Received LOT LINE ADJUSTMENT applications are reviewed and approved by the Public Works Director pursuant to Chapter 13.32 of the Subdivision Regulations. The purpose of the review is to allow reconfiguration of two or more adjoining lots into sizes or shapes appropriate for desired uses and in compliance with Municipal Code requirements. -•. .•. -•. .•. .•. .•. .•. -•. .•. .•. .•. .•. .•. .•. -•. -•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. .•. 4el .•. .•. .•. .•. .•. .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT MSA Consulting, Inc. MAILING ADDRESS (Print)34200 Bob Hope Drive CITY, STATE, ZIP Rancho Mirage, CA 92270 PROPERTY OWNERS *Owner "A" Name: Michael J. Gurevitch and Lori Wynstock Address: 1026 Calle Azul Glendale CA 91208 (City) (State) (Zip) *Owner "B" Name: TLQ Partners, Inc. and Ronald Mini l Lee Address: (city) *Owner "C" Name:_ Address: (City) *Attach sheet for additional owners PROPERTY DATA Property A: Property B Property C (State) (Zip) (State) (Zip) Assessor's Parcel Number: Street Address (if any): Assessor's Parcel Number: Street Address (if any): Assessor's Parcel Number: Street Address (if any): 764-350-005 Phone No. (760) 320-9811 Fax No. (760) 320-0977 Phone:_(62 6) 92 6 - 616 0 Phone: Phone: I - Drive CITY OF L� DO,N R PINANCF DFPT DESCRIPTION OF ADJUSTMENT REQUESTED: Adjust common lot lines between residential Lot 128 and a of Golf Course Lot 143 of Tract Map No. 30023-1 (LLA 2005-441 Parcel "C") REASON FOR REQUEST: To facilitate proposed residential improvements C:\Documents and Settings\azarco\Desktop\LLA.doc APPLICABILITY The following criteria must be met to approve a lot line adjustment: CF The adjustment shall not create a greater number of parcels than originally existed. J The resulting parcels shall conform with City Zoning and Building Codes. �J The adjustment shall not cause existing uses or improvements of the property to be out of compliance with any provision of the City Codes. MINIMUM SUBMISSION REQUIREMENTS: Existing grant deeds or title reports for all affected parcels. A description of each new parcel proposed. 16 Closing calculations for each new parcel proposed. 6 Original, unrecorded Grant Deeds for each new parcel with the following: 5 State on the Grant Deed when all affected parcels are under one ownership. 16 Assessor's Plat 16 Copy of record map which created or amended parcels or proof that the parcels were legally created (provide copy of Deed recorded prior to March 4, 1972) Lot Line Adjustment or Parcel Merger form completed with legal description, plat and site plan exhibits prepared by and signed/sealed by a Professional Land Surveyor or Registered Civil Engineer authorized to practice land surveying in the State of California C Grant Deeds for each new parcel Existing grant deeds or current title report for each parcel being amended Record maps showing the basis for the parcel dimensions, if available J Assessor's Plat of the parcels concerned El Proof that the parcels were legally created, if not shown on any record subdivision map (a deed for the property recorded prior to March 4, 1972 is acceptable) In Traverse closures showing area of each new parcel �] Please download, complete and submit the following required forms from the County of Riverside ACR website http://riverside.asrclkrec.com/io_More.asp ✓ Documentary Transfer Tax Affidavit (ACR 521) , ✓ Preliminary Change of Ownership Report (BOE 502 A) LEI A check made out to the County of Riverside http://riverside.asrcIkrec.com/I'nrms/FQ6,,Q2QSchedule.pdf for Basic Recording Fees to be calculated as follows: o First Page $15.00 o Each Additional Page $3.00 (Please refer to the County of Riverside I ink above for updated fee schedule information) GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged Owner A hereby GRANTS to Owner A The real property in the City of La Quinta County of Riverside State of California, described as (Property Description) See Exhibits A and B attached hereto and by reference made a part hereof. NOTE: This grant deed implements the revised lot configurations pursuant to Lot Line Adjustment _ - as approved by the City of La Quinta. All property subject to this lot line adjustment is owned by a single entity, hence ownership conveyance is a nonessential secondary function of this deed. The primary function of the deed is to provide constructive notice of the revised lot configurations pursuant to Government Code Section 66412 (d), and to perfect the intent of the Lot Line Adjustment - as approved. Lxl State on Grant Deed when affected parcels are under multiple ownership; C:\Documents and Settings\azarco\Desktop\LLA.doc GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Owner B hereby GRANTS to Owner A the real property in the City of La Quinta County of Riverside State of California, described as that portion of land in Lot B which is overlaid by the reconfigured shape of Lot A pursuant to LLA 2012- approved by the City of La Quinta. The reconfigured lots are described in Exhibits A and B attached hereto and made a part hereof. NOTE: This grant deed perfects the intent of Lot Line Adjustment2012_ as approved by the City of La Quinta. GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Owner A hereby GRANTS to Owner B The real property in the City of La Quinta County of Riverside State of California, described as (Property Description), that portion of land in Lot A which is overlaid by the reconfigured shape of Lot B pursuant to LLA - approved by the City of La Quinta. The reconfigured lots are described in Exhibits A and B attached hereto and made a part hereof. NOTE: This grant deed perfects the intent of Lot Line Adjustment _ as approved by the City of La Quinta. LI Attached to the Grant Deeds shall be Exhibits A and B, a metes and bounds legal description of the new parcels and a plat (8'/z" x 11 ") of the new parcels, respectively (see attached sample Exhibits A and B). lb If structures or other improvements exist on the affected parcel(s), provide separate plot plan showing dimensioned location in relation to new property lines. Lx] Filing fee for Lot Line Adjustment. If filing multiple applications, the most expensive application will be charged full fee, with remaining related applications discounted 50% for each. A Public Works Department plan check fee of $50.00 per lot shall be paid in addition to Lot Line Adjustment fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNATURE OF APPLICANT �,,,��A� r! DATE NAME OF APPLICANT MSA Consulting, In ny D. Maddox, Senior Surveyor (Print) SIGNATURE OF PROPERTY OWNER "A" IF NOT SAME AS APPLICANT: i• _ DATE NAME OF OWNER Michael J. Gurevitch d Lori Wy ock DATE (Print) SIGNATURE OF PROPERTY OWNER `B" IF NOT SAME AS APPLICANT: 11 NAME OF OWNER TLQ Partners, Inc. (Print) DATE DATE C:\Documents and Settings\azarco\Desktop\LLA.doc SIGNATURE OF PROPERTY OWNER "C" IF NOT SAME AS APPLICANT: NAME OF OWNER: (Print) DATE DATE (Separate written authority by owner to submit application may be provided) I hereby certify that all information contained in this application, including all plans and materials required by the City's application submission requirements, is, to the best of my knowledge, true and correct. FALSE OR MISLEADING INFORMATION GIVENIN THISAPPLICATIONSHALL BE GROUNDS FOR DENYING APPLICATION. I hereby grant the City authority to enter onto the property to conduct site inspections and to post required public notices. C:\Documents and Settings\azarco\Desktop\LLA.doc