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Home My WebLink About52176 Subm*to County Treasurer of the this form is your receipt when stamped LounAY in which property is located. .:REAL ESTATE EXCISE TAX0 by cashier. Pay by cash or certified y check to County Treasurer. CHAPTER 82.46 RCW PLtAE TYPE OR PRINT CHAPTER 458-81 WAC THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS 0 THROUGH 0 ARE FULLY COMPLETED 0 J f --; (y� A , t r Name �/�/ ! ( � (1 1 / l f 1 O Name ( Peeoe, cc tu rn 0 Street ! f /.+/f m i Street * 702 !. 'lit. f t+r l'i City r" AA l 0 State iet Zip � �'.' City J4 State (,/ Zip P " 0 AA ,, NEW OWNER'S Name Ill L". 1tt, )€ - ALL TAX PARCEL NUMBERS PERMANENT ADDRESS FOR ALL PROPERTY Street _ __ .M. ._ -. ._. �._-m �._ ._, TAX RELATED 4 kLEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED ) V COUNTY ❑ OR IN CITY OF I �r 0 Description of personal property if included in sale(furniture,ap- Is this property currently: YES NO ��+ Classified or designated as forest land? ❑ pliances,etc.) !T /t e— Chapter 84.33 RCW Classified as current use land(open space,farm and agricultural,or timber)? El El If exemption clai ed,explain —fa ((/ ea 1' KC 84.34 RCW CYN f n , 54( C Exempt from property tax under Chapter ❑ � 84.36 RCW?(nonprofit organizations) 1 "7 -c"-„642 Type of Document -. 1 C t De t Type Property: ❑ land only ❑ land with new building. Date of Sale I t { 6 { , J M land with previously used building Gross Sale Price 1/ $ `"` 0 SEE TAX OBLIGATIONS ON REVERSE SIDE Personal Property(deduct)2/ $ Taxable Sale Price $ ) NOTICE OF CONTINUANCE Excise Tax State 3/ $ Local 4/ $ If the new owner(s) of land that is classified or designated as current use or Delinquent Penalty 5/ $ forest land wish(es)to continue the classification or designation of such land, ^'""' the new owner(s) must sign below. If the new owner(s) do(es) not desire to Total Tax Due $ ' 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 assessor must be consulted.All new owners must sign. I,the undersigned,being first sworn,on oath state that the foregoing in- formation to the best of my knowledge is a true and correct statement of the facts pertaining to the transfer of the above described 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: /t Signature i A. ", (Specify:Gupta iNeulee/)(gent for css*w/Granf cc) Subscribed and sworn to me this 2 t day of , i r++ ' 4@.l, �, '?J` _.-t t..,'/ t ° t, ,Notary Public f r /j it 'r t This land ❑ does ❑ does not qualify for continuance. in and for the State)of ( 1/ � "�r r ,' S0til4ti Deputy t .;/f -`f,`( ,, Assessor Date residing at ?`" i `lr p tf, b r O The following optional questions are requested by RCW 82.45.120 x _ ._ e ..- together with �l.'XX`ft-be acquired estate. title.situated i u t d..in the tounty of Jefferson `S" 6'1 Y►ashington, ro�'rYt Ct7s�cribed real estate.s�tu�te the grantors) therein: -Beginning at the North Fast corner of the North West 1/4 of the North F'.act 1/4 of the South East 1/4 :of Section 30, Township 25 North, Range 2 West, Willamette Meridian; ' and running thence South 1`'37'47" East a distance of 272.4 feet along the Pmgt line of the West 1/2 of the North Fast 1/4 of the South 'Past 114 of said Section 30, t o the TRUE POINT OF BEGINNING OF THIS DESCRIPTION thence South 59 52'42" West a distance of 410.3 feet thence South -5ro59'28" East a distance of 415.9 feet; thence North 86o34'l8" East a distance of 40.4 feet; to a point on the Felt Line of said West 1/2 of the North East 1/4 of the South East 1/4 Section 30, lying South 1°37'47" East a distance of 459.8 fee from the true point of Beginning thence hbrth 1°37'47" West a distance of 459.8 feet to the true point of beginning. Containing 2 acres more or less ; At,L, Sri ' IN COUNTY, WASHINGTON, together with an easement for ingress and egress over other prope owned by Edward B. Andrews, a widower; or his heirs, personal representatives, successors ' and assigns, over and across the existing private roadway, twenty feet in width, running from the County road to the property hereinabove described; and ALSO grants to the grantee the right to file for cystic water rights on the remaining property of EdwardB. Andrews his heirs, successors and assigns, and to construct necessary pipeline at least one foot below ground to'effect.:�ate the use of said water:rights; all situated in Jefferson County, Washington. Together' with any and all of. grantors interest in and to that real estate contract Dated February 11, 1972, Jeff r iftvhatillitnr Dated I/ -�i .- •j , 19. 85. �� 3i /2, tina 212016, as amender by agreement filed under ilYl'��,• �i ,.. > �01' � Auditor's file No. 225968.