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HomeMy WebLinkAbout123069 , Department of Lk) YV� 7 ��-'� evenue REAL ESTATE EXCISE TAX AFFIDAVIT (���f `� ��'�""�`'`'"���� 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) 0 Check box if partial sale of property If multiple owners,list percentage of ownership next to name. Name Quality Loan Service Corp.of Washington ® Name Wilmington Trust,National Association,as successor Trustee to` rx AP,A" `\,C.l`�a r ""� sup " `'=°�: C/O NATIONSTAR MORTGAGE LLC a Mailing Address 108 1st Ave.South,Suite 202 u4 z Mailing Address 8950 CYPRESS WATERS BLVD w v City/State/Zip Seattle WA 98104 m ae City/State/Zip COPPELL TX 75019 Phone No.(including area code) Phone No.(including area code) .7' 1 —6T Lit 7 6ZD © Send all roe tax corres ondence to: Fl Same as Bu er/Grantee List all real and personal property tax parcel account p p p y numbers-check box if personal property List assessed value(s) Name A.P.N.: 962114323 Mailing Address n 1 Z''l/T)9) City/State/Zip 3)S-12— n Phone No.(including area code) (l © Street address of property: 201 N STROMBERG AVE 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) LOTS 10 THROUGH 14,BLOCK 143, IRONDALE, DIVISION NO.6,ACCORDING TO THE PLAT RECORDED IN VOLUME 2 OF PLATS,PAGE 139,RECORDS OF JEFFERSON COUNTY,WASHINGTON.SITUATE IN THE COUNTY OF JEFFERSON,STATE OF WASHINGTON. "Citibank,N.A.,as Trustee for First Franklin Mortgage Loan Trust,Mortgage Loan Asset-Backed Certificates,Series 2005-FF12 ® Select Land Use Code(s): a List all personal property(tangible and intangible)included in selling (11-Household,single family units price. enter any additional codes: -0- (See back of last page for instructions) YES NO Is this property exempt from property tax per chapter ❑ is 84.36 RCW(nonprofit organization)? 6 YES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ S Is this property classified as currentuse(openspace,farmand ❑ Fl WAC No, (Section/Subsection) 458-61A-208(4) agricultural,or timber)land per chapter 84.34? Reason for exemption Is this property receiving special valuation as historical property ❑ Fl Foreclosure of Deed of Trust-503581 per chapter 84.26 RCW? If any answers are yes,complete as instructed below. (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) Type of Document Trustees Deed Upon Sale NEW OWNER(S):To continue the current designation as forest land or classification as current use(open space,farm and agriculture,or timber) Date of Document 4/23/15 land,you must sign on(3)below.The county assessor must then determine Gross Selling Price $ 251,229.75 if the land transferred continues to qualify and will indicate by signing below. If the land no longer qualifies or you do not wish to continue the designation *Personal Property (deduct) $ or classification,it will be removed and the compensating or additional taxes Exemption Claimed(deduct) $ 251,229.75 will be due and payable by the seller or transferor at the time of sale.(RCW 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Taxable Selling Price $ 0.00 your local county assessor for more information. Excise Tax : State $ 0.00 This land ❑ does ❑does not qualify for continuance. 0.0050 Local $ 0.00 *Delinquent Interest: State $ DEPUTY ASSESSOR DATE Local $ (2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY) *Delinquent Penalty $ NEW OWNER(S):To continue special valuation as historic property, sign(3)below.If the new owner(s)does not wish to continue,all Subtotal $ 0.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due *State Technology Fee $ 5.00 and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ 5.00 (3) OWNER(S)SIGNATURE g Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AN► _ORRECT. Signature of _ Signature of Grantor or Grantor's Agent L .e Grantee or Grantee's Agent \. _ „1;• II 'API '4- 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(1C)). THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER 123069 '2015 10.0;:4: rv,� 1 227Di