HomeMy WebLinkAbout52726 Submit to County Treasurer of the This form is your rb cash when stamped
county in v hick property is located REAL ESTATE EXCISE TAX by cashier. Pay by y cash or certified
` CHAPTER 82.45 RCW check to County Treasurer.
PLEASE TYPE OR PRINT CHAPTER 458-81 WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS 0 THROUGH 0 ARE FULLY COMPLETED
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Name Vivian H. Ritlaw 0.;; Name Vivian H. Ritl it
J F ' W w June Prange PROJ—i. �O —
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Street 1235 Landes Street °° Street 2166 - 14th
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City Port Townsend State WA zip 933613 City Port Tolansend State WA Zip 96388
3 NEW OWNER'S Name June Prange ALL TAX PARCEL NUMBERS
PERMANENT ADDRESS ..,
FOR ALL PROPERTY Street 2166 " 14th
TAX RELATED Port Townsend, WA
CORRESPONDENCE City/State Zip 93368
LINIAL TIOt4 Of PRIOPIERTY SITUATE IN UNINC014PORATED +"1 ❑ ON IN are OF
0 Description of personal property if included in sale(furniture,ap-
Is this property currently: YES NO
Classified or designated as forest land? CI pliances,etc.) none
Chapter 84.33 RCW
Classified as current use land(open space,
farm and agricultural,or timber)?
Chapter 84.34 RCW ❑ ❑ If exemption claimed,explain yes
Exempt from property tax under Chapter ❑ ❑
84.36 RCW?(nonprofit organizations) t,',
•Type of Document uit Claim Q
Type Property: ❑ land only ❑ land with new building. Date of Sale
❑ land with previously used building Gross Sale Price 1/ $ —Q—
Personal Property(deduct)2/ $ —0—
SEE TAX OBLIGATIONS ON REVERSE SIDE _A"
Taxable Sale Price $
0 % Excise Tax State 3/ $
NOTICE OF CONTINUANCE Local 4/ $ —0" ;
If the new owner(s) of land that is classified or designated as current use or Delinquent Penalty 5/ $ "0`
forest land wish(es)to continue the classification or designation of such land, Total Tax Due $ _p_
the new owner(s) must sign below. If the new owner(s) do(es) not desire to
continue such classification or designation, all compensating or additional tax (SEE 1-5 ON REVERSE SIDE)
calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due 0
and payable by the seller or transferor at the time of sale.To determine if the AFFIDAVIT
land transferred qualifies to continue classification or designation, the county I,the undersigned,being first sworn,on oath state that the foregoing in-
assessor must be consulted.All new owners must sign.
I formation to the best of my knowledge is a true and correct statement
`. of the facts pertaining to the transfer of the above describf real
estate,Any person willfully giving false information in this affidavit shall
Signature(s) be subject to the PERJURY LAWS of the State of Washington.
SEE 6/ON REVERSE FOR PENALTIES.
Signaturp
(Specify:Grantor/Grantee/Agent for Grantor/Grantee)
Subscribed and sworn to me this- day 1of— 1
9
elf- -,eV-,/ ,'-.. - '-, ,r ,Notary Public"
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This land ❑ does ❑ does not qualify for continuance. ,-' J
in and for th a State of +. >' a c1. _ "s ,
Deputy t'.+-'
Assessor Date residing at c
•
The following optional questions are requested by RCW 82.45.120 YES NO
e. Does conveyance involve a trade,partial
Is property at the time of sale: YES NO interest corporate affiliates,related parties, 1❑ 2
trust,receivership or an estate?
a. Subject to elderly,disability,or physical improvement
exemption? 1❑ 2❑ f. Is the grantee acting as a nominee for a third 1❑ 2 El
party? •
b. Does building, if any, have a heat pump or solar 1❑ 2❑
heating or cooling system?
g. Principal use:
i IA
c. Does this conveyance divide a current parcel of land? 1❑ 2❑
1 0 agricultural 2 ❑ condominium 3 ❑ resireati�nal
d. Does sale include current crop or merchantable 4 ❑ apt(4+ units) 5 ❑ industrial 6 ❑ residential
timber? 1❑ 2❑
7 ❑ commercial 8 ❑ mobile home 9 0 timber
i FOR TREASURER'S USE ONLY )
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REV sd 0030 (9/82) -465- a - - - COUNTY ASSESSOR
Parcel F of -i , recorded J .: 11, 1064, in Vol 6 of gf ;s,
122, * Auditor's File No. 287461, records of Jeff
Washington, described : foils :
Lot 5, EXCEPT the Easterly 9 feet thereof; and all of Lot 6, Block 2,66 (06,006
W.E. Hammond's Addition to the City of Port Townsend, as per plat
recorded in Volume 2 of Plast, page 37, records of Jefferson County, Washington;
TOGETHER WITH the Southerly 13.51 feet of vacated 15th Street that would
attach itself by operation of law;
EXCEPT Discovery County Road right-of-way as delineated by Survey recorded
in Volume 6 of Surveys, page 122.
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