PM 2016-0003RECORDING REQUESTED BY
CITY OF LA QUINTA
When recorded, return to:
CITY OF LA QUINTA
CITY CLERK
78-495 CALLE TAMPICO
LA QUINTA, CA. 92253
THIS AREA FOR RECORDER'S USE ONLY
l J
t 4 0; AM
***Customer Copy Label***
The Paper to which this label .is affixed
has not been compared with the
filedfrecorded document
Peter Aldana
County Of Riverside
Assessor -County Clerks -Recorder
CERTIFICATE OF PARCEL MERGER NO. 2016-0003
RECORD OWNERS
EXISTING PARCELS (Assessor Parcel Numbers)
Rodney F. Emery &
770-310-015
Pamela L. Emery
Rodney F. Emery &
770-310-005& 770-310-006
Pamela L. Emery
LEGAL DESCRIPTION OF MERGED PARCELS
See attached - Exhibit "A" and Exhibit "B"
SIGNATURE(S) OF RECORDED 'O R(S) (Must be Notarized)
Print Name/Title: Rodney F. Emery
1
Si nature: ti
Print Name/Title: Pamela L. Emery
Signature:
Print Name/Title:
Signature:
Print Name/Title:
Signature:
This/C ertificate of Parcel Merger reflects Parcel Merger No.2016 - 0003 as approved by the City of La Quinta.
Date: I,I
Tmothy R. Jor_ass'on, P'E/, Public Works Director/ City Engineer, R.C.E. No. 45843
NOTARY ACKNOWLEDGEMENT
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, t )
On"t_xrbefore me" (M,�
(Date) " i (Name and Title of officer) �
personally appeared w _A tzq n '_3 "' r )fig Yt"y-
3
( 0 (Name(s) of slgner(s))
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare 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.
1 certify under PENALTY OF PERJURY under the laws of the Sate of California that the foregoing paragraph is true and
correct.
WITNESS my hand and official seal
l ' r'A U C mP as 1gs20�
Notary Public
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 28 2018 before me, SUSAN M/\YSELS 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 hnexecuted the same in his
authorized capacity, and that by his signature on the instrument the p8rSoD,�__
or the entity upon behalf of which the person acted, executed the
| certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and nunoot.
WITNESS my hand and official S8Ri LS
17258
Commission 2017258
California Z
Notary Public
Riverside County
Signature "
DOCUMENT:
CERTIFICATE OF PARCEL MERGER NO. 2018-0003 re: APN 770-310-015,
770-31(}-005, and 770-310-006 — owner/a): Rodney F. Emery & Pamela L.
Emery
EXHIBIT i
LEGALO°.
CEITIFIC4TE OF PARCEL JUTUET. 2016-0003
That certain parcel of land located in the City of La Quinta, County of Riverside, State of California, being
all of Parcel B of City of La Quinta Lot Line Adjustment 98-279 as described in a Grant Deed recorded
May 18, 1998 as Instrument No. 190346, Official Records of said County, together with all of Lot 29 of
Tract Map No. 28470-1, as shown by a map on file in Book 263, Pages 76 through 90 inclusive of Maps,
Records of said County, more particularly described as a whole as follows:
BEGINNING at the most southerly corner of said Lot 29;
Thence along the boundary lines of the aforementioned parcels through the following courses:
North 33'07'29" West a distance of 99.17 feet to the beginning of a non -tangent curve, concave
northwesterly, having a radius of 443.50 feet, a radial line of said curve bears North 49'23'31"
West from said point;
Thence along said curve northeasterly an arc distance of 145.16 feet through a central angle of
18°45'13" to a point of compound curvature with a curve concave northwesterly, having a
radius of 518.50 feet, a radial line of said curve bears North 68'08'44" West from said point;
Thence along said curve northeasterly an arc distance of 194.97 feet through a central angle of
21'32'42";
Thence radially from said curve South 89'41'26" East a distance of 93.49 feet;
Thence South 24°57'57" East a distance of 150.50 feet;
Page 1 of 2
Thence South 06~S4'49"West adistance of126.OZfeet;
Thence South 18'12'03" West a distance of 109.49 feet;
Thence South 79'28'20" West a distance of 168.48 feet to the POINT OF BEGINNING.
CONTAINING: 67,632 Square Feet (LS54creo),more orless.
SUBJECT TO all Covenants, Rights, Rights -of -Way and Easements of record.
Graphically depicted on 'EXHIBIT "B" — PLAT', attached hereto and by this reference made a part
This Certificate of Parcel Merger reflects Parcel Merger No.2O1G-}D83, as approved by the City of La
This legal description was prepared
bymeorunder noydirection.
Benjamin Daniel Egan, PLS8756
Prepared: June 9, 2016
Page 2 of 2
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LEGEND:
EXISTING LOT LINE
DELETED LOT LINE
BOUNDARY OF PARCEL
- - - - - EASEMENT O.S.E.
— — — — EASMENT P.U.E.
() DENOTES RECORD
DATA
PER TRACT
/ ^
MAP NO. 28470-1
(MB
263/76-90)
/
[] DENOTES RECORD
DATA
PER LLA 98-279
/
PER GRANT DEED
REC.
5/18/1998 AS
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[S89°41'26"E
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(10 00_,) •��9m c�
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PARCEL B q-
N ; LLA 98- 279
1998-190346
APN 770-310-015
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INST. ##190346, O.R. / / PARCEL "A"
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BE DELETED
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LOT 29
TRACT 28.470- 1
MB 363/76-90
& 006- - �o APN 770310005
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— - - - - - VELOP ABBE NA�URA�
NDE EMEN1
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S'LY COR. LOT 29
,
I SHEET 1 OF 1
PREPARED BY:
BENJAMIN DANIEL tG-AN, PLS
LS 8756 DATE: 6/9/2016
PETER A Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
Website: www.riversideacr.com
DOCUMENTARY TRANSFER TAX AFFIDAVIT
HA_i2NING
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. 77/ ol - I declare that the documenlary transfer tax for this
Property Address: if transaction is: $
If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTIONISEXEMPT FROMDOCIIMENTARYTRANSF'ER TAX BECAUSE. (The
Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are takers
from Riverside County Ordinance 516). Please check one or explain in "Other".
1. Section 11911. The consideration or value of the property, exclusive of any liens and encumbrances is
$100.00 or less and there is no additional consideration received by the grantor.
2. Section 11911.
The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
3. Section 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 erpetual, permanent, or for life.
10. Section 9.
The document is a lease for a term of JULthan (35) years (including written options.)
11. Other
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PER.IIIRY THAT THE FOREGOING IS TRUE AND CORRECT.
Execu this_ / day of 20 % at ( try (�
City State
vN W1 e, r
Signature of ��an
Printed Name of Affiaht J
ifs i 1e ( ®x A
Name of Finn
( PP ) Address of Affiant (including City, State, and Zip Code)
9- o-Io
Telephone Number of Affiant (including area code)
This form is subject to the California PubHe Records Act (Government Code 6250 et. seq.)
For Recorder's Use:
Affix POOR Label Here
ACR 521 (Rev..11/ 20,14) Available in Alternate Formats
BOE-502-A(P1) REV. 12 (05-13)
To be be completed by the transferee (buyer) prior to a transfer of subject
property, in accordance with section 430.3 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.
NAME AND MAILING ADDRESS OF BUYERrrRANSFEREE
(Make necessary corrections to the printed name and mailing address)
r �
.
L J
e7w&e- ,r ems"
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY
ASSESSOR'S PARCEL NUMBER
P,t1 6 Y C-Y 02 V
SELLERWNO SFEFR
BUYER'S DAYTIME TELEPHONE NUMBER
BUYER'S EMAILADDRESS
MAIL PROPERTY TAX INFORMATION TO (NAME)
ADDRESS CITY STATE ZIP CODE
❑YES QNO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
or intended occupancy.
PART 1, TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
❑ R A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑ ® S. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of
a partner, death of a partner, termination settlement, etc.).
❑ * C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
❑ �* D. This transfer is the result of a cotenant's death. Date of death
❑ � * E. 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
❑ G. 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:
❑ H. The recorded document creates, terminates, or reconveys a lenders interest in the property.
❑ I. 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:
❑ ® J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
K. 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 transferors 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.
❑ ® 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.
❑ ® L. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
ICT ❑ W 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.
❑ U N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑ `� * O. This transfer is to the first purchaser of a new building containing an active solar energy system.
* Please refer to the instructions for Part 1,
Please provide any other information that will help the Assessor understand the nature of the transfer.
�. � • '° r age
BOE-502-A (P2) REV. 12 (05-13)
PART 2. OTHER TRANSFER INFORMATION -� Check and complete as applicable.
A. Date of transfer, if other than recording date:
B. Type of transfer: y
❑ 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 i years (including written options): Remaining term in years (including written options):
Other. Please explain: s & 6-1d �
C. Only a partial interest in the property was transferred. []YES N'NO If YES, indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.
A. Total purchase price $ Zr
B. Cash down payment or value of trade or exchange excluding closing costs Amount $ 7
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? DYES ❑ 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 nimproved 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. DYES U1,4O 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 Q NO The property produces rental or other income.
I,
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: 114_1 ,J &f,,o 7
CERTIFICATION
I certify (or declare) that the .for'egoing and all information hereon, including any accompanying statements or documents, is true and correct to
the bes'�of my k owlecge and belief.
SIGNATURE, `7= BUY RITRANSFEREE OR CORPORATE OFFICER DATE ° a TELEPHONE
NAME OF BUxY R/TRANSFEREE/LEGAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE EMAIL ADDRESS
R� -O. %C 6/
� � � '` 7 gy �,�i��°��"✓ > n ter,..
The Assessor's office may contact you for additional information regarding this transaction.
PETER ALDANA P.O. Boxr751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
r ' - ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000
rf -
a Website: www. rive i'sideacr.com
DOCUMENTARY 'TRANSFER TAX AFFIDAVIT
�I
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. ?o, -- �?/O -- Do 5— IpCV67 I declare that the documentary transfer tax for this
Property Address: ` r C transaction is: $
If this transaction is exempt from Documentary '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 with the exception of items 9 and 10 which are taken
from Riverside County Ordinance 516). Please check one or explain in "Other".
1. Section 11911. The consideration or value of the property, exclusive of any liens and encumbrances is
$100.00 or less and there is no additional consideration received by the grantor.
2. Section 11911.
The conveyance transfers to a revocable living trust by the grantor or from a revocable living
trust to a beneficiary.
3. Section 11921.
The conveyance was given to secure a debt.
4. Section 11922.
The conveyance is to a governmental entity or political subdivision.
5. :Z�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 S.
The easement is perpetual, permanent, or for life.
10. Section 9.
The document is a lease for a term of 10.Lthan (35) years (including written options.)
11. Other
(Include explanation and legal authority)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
— ' ' day e, 20 / � at
Executed this v of
( City State
Signature of A ian6� Printed Name of Affiant
� 55
Name of Finn (if appl le) Address of Affiant (including City, State, and Zip Code) d G�i AI 7- 0� 26' 12-
f9Y 9 2
Te`1'ephone 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 POOR Label Here
BOE-502-A(P1) REV. 12 (05-13)
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.
NAME AND MAILING ADDRESS OF BUYERfTRANSFEREE
(Make necessary corrections to the printed name and mailing address)
F_
t0V,tg
I IC 0 0
C1 1,0 1
L
it
K
�/0 - r ���
AS SSOR'S PARCEL NUMBER
r�
SELLER/rRANSFEROR
r ) - _
BUYER'S DAYTIME JTELEPHONE NUMBER
BUYERS EMAILADDIRESS'
❑YES r°°<. NO This property is intended as my principal residence. If YES, please indicate the date of occupancy MO DAY YEAR
or intended occupancy.
PART 1. TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
YES NO
❑
®
A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑
®
B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of
❑
®*
a partner, death of a partner, termination settlement, etc.).
C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
❑
❑
* D. This transfer is the result of a cotenant's death. Date of death
❑
,
" E. This transaction is to replace a principal residence 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 as defined by Revenue and Taxation Code
section 69.5. Within the same county? ❑ YES ❑ NO
❑
❑
G. 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).
❑
0
If YES, please explain:
H. The
recorded document creates, terminates, or reconveys a lender's interest in the property.
❑
❑
I. 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:
❑
®
J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
K. 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.
❑
❑
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.
L. This is
property subject to a lease with a remaining lease term of 35 years or more including written options.
®
❑
M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel
❑
El
being transferred remain exactly the same after the transfer.
N.
This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑
[ O. This transfer is to the first purchaser of a new building containing an active solar energy system.
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. 12 (05-13)
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-100-8)
❑ 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: r f-
C. Only a partial interest in the property was transferred. YES "/ NO If YES, indicate the percentage transferred:
LLJ
of
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? RYES ❑ 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-awn ❑ 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 ❑;7 NO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
DYES D 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: ( I , -o 2 -�
CERTIFICATION
l cert (or de re) that th regoing and all information hereon, including any accompanying statements or documents, is true and correct to
the be o my k le and belief.
SIGNATUR BUY RANSFEREE OR CORPORATE OFFICER DATE (���
11>
T`E�LggEPHONE
NAME OF 8UYER/T0}
R EREE/LEGAL REPRESENTATIVE/CORPORATE OFFICER (PLEASE PRINT) TITLE EMAILADDRESS
Q 7
E _
e Assessor's of, may contact you for additional information regarding this transaction. _
..'� OP R/p'.
Peter Aldana
Riverside County
Assessor -County Clerk -Recorder
2720 & 2724 Gateway Drive
Riverside, CA 92507
(951) 486-7000
www.riversideacr.com
Receipt: 16-224204
Product Name
Extended
567 LOT LINE ADJUSTMENT
$41.50
Document #
2016-0288722
# Pages
6
Total
$41.50
Tender (Check)
$41.50
Check # 1133
Comment JACOB
Paid By EGAN AND EGAN, INC
7/12/16 9:08 AM
Palm Desert