HomeMy WebLinkAbout123068 Department of ( al re `. -c151
Revenue v: . --,
Washington State b 3-`�
REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt
PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61A WAC when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
(See back of last page for instructions)
p Check box if partial sale of property If multiple owners,list percentage of ownership next to name.
0 Name • • . ' +s. • - - • • • A - m •• •s ® Name Federal Home Loan Mortaaae Corporation
o lei'}he4-1' 1 R /5 u5r r) rn (LI I W C'Freddie Mac"). a corporation oraanized and existina **
a z Mailing Address 108 1st Ave South. Suite 202 z Mailing Address 5000 Plano Parkway
City/state/zip Seattle. WA 98104 c City/State/zip Carrollton, TX 75010
Phone No.(including area code) )l = �p
� Phone No.(including area code)l) —►J -1l2
o
® Send all property tax correspondence to: GI Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s)
numbers—check box if personal property
Name A.P.N. 965701708 p
Mailing Address n (F 2-,LAP Q9 , .
�;City/State/Zip X19 I� I t(�J
Phone No.(including area code) n
0 Street address of property: 945 CALHOUN STREET PORT TOWNSEND,WA 98368
This property is located in Jefferson County
❑Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged.
Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit)
THE EAST 55 FEET OF LOT 7, BLOCK"L" KUHN'S RANCH, AS PER PLAT RECORDED IN VOLUME 2 OF
PLATS, PAGE 26, RECORDS OF JEFFERSON COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF
JEFFERSON, STATE OF WASHINGTON.
**under the laws of the United States of America
USelect Land Use Code(s): all personal property(tangible and intangible)included in selling
11-Household,single family units I price.
enter any additional codes: -0-
(See back of last page for instructions)
YES NO
Was the seller receiving a property tax exemption or deferral under ❑ NI
chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior
citizen,or disabled person,homeowner with limited income)?
If claiming an exemption, list WAC number and reason for exemption:
6 YES NO
Is this property designated as forest land per chapter 84.33 RCW? ❑ '4 WAC No. (Section/Subsection) 458-61 A-208(4)
Is this property classified as current use(open space,farm and ❑
agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption
Is this property receiving special valuation as historical property El 12 Foreclosure of Deed of Trust - 537607
per chapter 84.26 RCW?
If any answers are yes,complete as instructed below. Type of Document Trustees Deed Upon Sale
(1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE)
NEW OWNER(S):To continue the current designation as forest land or Date of Document 4/23/15
classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ 122,137.00
you must sign on(3)below.The county assessor must then determine if the
land transferred continues to qualify and will indicate by signing below.If the *Personal Property (deduct) $
land no longer qualifies or you do not wish to continue the designation or Exemption Claimed (deduct) $ 122.137.00
classification,it will be removed and the compensating or additional taxes will
be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00
84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00
your local county assessor for more information,
0.0050 Local $ 0.00
This land ❑does ❑does not qualify for continuance. *Delinquent Interest: State $
Local $
DEPUTY ASSESSOR DATE
*Delinquent Penalty $
(2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY)
NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 0.00
sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00
additional tax calculated pursuant to chapter 84.26 RCW,shall be due and
payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ 5.00
(3) OWNER(S)SIGNATURE Total Due $ 10.00
PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX
*SEE INSTRUCTIONS
0 I CERTIFY UNDER PENALTY OF RJURY THAT THE FOREGOING IS TRUE CORRECT.
Signature of yy� Signature of �
Grantor or Grantor's Agent 1''1 . " '-� '.. Grantee or Grantee's Agent �A1 ,, Q
Name(print) Janice Stavee Name(print) Sierra Herbert-West
Date&city of signing: 4/23/15 Seattle Date&city of signing: 4/23/15 Seattle
Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by
a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)).
THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER
698967 1 23068 3:4/27/2015 10.Ong
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