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12/16/2025 12:54 PM $311 .50 JEFFERSON COUNTY COMMISSIONERS
Jefferson County WA Auditor's Office - Brenda Huntingford: Auditor
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RETURN NAME and ADDRESS
JEFFERSON COUNTY
P.O. BOX 1220
PORT TOWNSEND, WA 98368
Please Type or Print Neatly and Clearly All Information
Document Title(s)
ILA CLALLAM COUNTY JEFFERSON COUNTY KITSAP COUNTY AND SALISH BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANIZATION
Reference Number(s) of Related Documents
Grantor(s) (Last Name,First Name,Middle Initial)
JEFFERSON, CLALLAM AND KITSAP COUNTY
Grantee(s) (Last Name,First Name,Middle Initial)
SALISH BEHAVIORAL HEALTH
Legal Description (Abbreviated form is acceptable,i.e.Section/Township/Range/Qtr Section or Lot/Block/Subdivision)
Assessor's Tax Parcel ID Number
The County Auditor will rely on the information provided on this form. The Staff will not read the document
to verify the accuracy and completeness of the indexing information provided herein.
Sign below only if your document is Non-Standard.
I am requesting an emergency non-standard recording for an additional fee as provided in RCW 36.18.010.
I understand that the recording processing requirements may cover up or otherwise obscure some parts of
the text of the original document. Fee for non-standard processing is$50.
Signature of Requesting Party