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HomeMy WebLinkAbout123070 L �)C> Departtgent Dt • Revenue(e- Wasniffan State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-6IA 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) ❑Check box if partial sale of property If multiple owners,list percentage of ownership next to name. 0 Name Federal Home Loan Mortaaae Corporation A Name Sharon E.Rader.an unmarried woman ee 0 z Mailing Address 5000 Plano Parkway >- Mailing Address 534 Cook Avenue Ext. city/state/zip Carrollton_Texas 75010 m City/State/Zip Port Townsend WA 98368 Phone No.(including area code) Phone No(including area code) © Send all property tax correspondence to:0 Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 999-007-603 n $197.174 Mailing Address PID:43744 n City/State/Zip Tibbal's Lake ="7(p n Phone No.(including area code) `r4J .- n MA.F. V' IIIStreet address of property: 534 Cook Avenue Ext Port Townsend WA 98368 Ir.t kt 4 - 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) See Attached Exhibit A Select Land Use Code(s): List all personal property(tangible and intangible)included in selling x11-Household.single family units price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ 0 chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? ® 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? ❑ 0 WAC No.(Section/Subsection)458-61A-217 Is this property classified as current use(open space,farm and ❑ 0 agricultural,or timber)land per chapter 84.34? Reason ordingxemption Is this property receiving special valuation as historical property ❑ 0 34 f per chapter 84.26 RCW? Qs-co G5 2 2rt �.J l If any answers are yes,complete as instructed below. Type of Document Special/Limited Warranty Deed (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 3/24/15 classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ 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) $ 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 Odoes ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) 0.00 NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 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 SI0.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) Christin Newton Name(print) Angela Little Date&city of signing: Port Angeles 4/27/15 Date&city of signing: Port Angeles 4/27/15 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 P•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 ASSESSOR 696969 123070 *4/27/2015 10,00.*. 'f� 1 Order No.: JC-101141 Exhibit "A" THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: That portion of Block 76, Captain Tibbals Lake Park,according to the supplementary plat thereof, recorded in Volume 2 of Plats,page 3, lying Southeasterly of Cook Avenue Extension; Together with vacated roads and alleys adjoining as vacated by Jefferson County Commisisoners Resolution No. 103-99,as recorded under Auditor's File No. 429823,records of Jefferson County, Washington, being a portion of Section 4,Township 30 North,Range I West,W.M.,Jefferson County, Washington,described as follows: Beginning at the North 1/4 corner of said Section 4: Thence North 88 degrees 25' 29" West along the North line of the Northwest 1/4 of said Secton 4, a distance of 1,325.01 feet to a point on the East margin of vacated Elm Street;Thence continuing North 88 degrees 25'29" West along said North line, a distance of 52.79 feet to a point on the Southeasterly margin of Cook Avenue; Thence South 45 degrees 38' 58" West along said Southeasterly margin,a distance of 160.77 feet to the True Point of Beginning;Thence continuing South 45 degrees 38' 58" West along said Southeasterly margin,a distance of 224.84 feet; Thence South 43 degrees 01' 52" East, a distance of 112.40 feet; Thence South 85 degrees 46' 05" East, a distance of 110.64 feet; Thence North 35 degrees 18' 01" East, a distance of 42.07 feet; Thence South 88 degrees 23'28" East,a distance of 102.35 feet to a point on the East margin of vacated Elm Street; Thence North 02 degrees 36'03" East,a distance of 136.43 feet;Thence North 88 degrees 22' 35" West, a distance of 82.58 feet; Thence North 44 degrees 40' 11" West,a distance of 108.85 feet to a point on the Southeasterly margin of Cook Avenue and the True Point of Beginning.Also known as Parcel B of Survey recorded November 19, 2008 under Auditor's File No. 538810,records of Jefferson County,Washington. Situate in the County of Jefferson, State of Washington.