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HomeMy WebLinkAbout123077 v ,G, ;,,L.L..- c) }U Department of , {:-7S (16) Revenue Washington State 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) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. fl Name:LEO E.LOWE,Jr.and ELAINE YOUNGLOVE LOWE,Trustees II Name JESSICA E.LOWE,Trustee of the Lowe Irrevocable x of the Leo E.Lowe.Jr.and Elaine Y.Lowe Revocable Trust.dtd 411114 w Family Trust,u/a dtd.04/29/15 rx O az Mailing Address 1201 Hancock St.,#202 R Mailing Address 01? C• 1.604/1- Si 4 2$9 t4 g City/State/Zip Port Townsend,WA 98368 City/State/Zip SeWr71-6 NI$ 98161- Phone No.(including area code) Phone No.(including area code) ® Send all property tax correspondence to: 12 Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 953700417 ❑ $248,648.00 Mailing Address 62 70/Cr) City/State/Zip C Phone No.(including area code) 11 I aStreet address of property: 8393 Flagler Fit,Nordland,WA 98358 This property is located in Jefferson County f' ❑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 South 100'of the North 200'of Lot 9 lying West of the County Road in Glennan Improvement Company acreage tracts No.4, in Section 29,Township 30 North,Range 1 East. Situate in the County of Jefferson,State of Washington. ISelect Land Use Code(s): List all personal property(tangible and intangible)included in selling 19-Vacation and cabin I 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 ❑ 12 chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? IIIYES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ Fl WAC No. (Section/Subsection) 458-61A-210(2) Is this property classified as current use(open space,faun and ❑ 12 agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Is this property receiving special valuation as historical property ❑ Fl Transfer of real property into an irrevocable trust for no consideration per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document Quit Claim 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 4/29/15 classification as current use(open space,farm and agriculture,or timber)land, you must sign on(3)below.The county assessor must then determine if the Gross Selling Price $ 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 ❑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 $ (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 ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Grantor Gran Signature of Signature of C Grantor or Grantor's Agent Grantee or Grantee's Agent _) (_ aW< Name(print) LEO E.LOWE,Trustee Name(print) JESSICA E.LOW ,Trustee Date&city of signing: April 29,2015 at Port Townsend,WA Date&city of signing: April 29,2015 at Port Townsend,WA 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)). REV 84 0001a(1/9/14) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURE'' it ,';'Q!"::7 1 .7077 *4,e"."9,12015 10.00 1 2-1 0 1.-1 i 590962 PGS : 2 QCD 04/29/2015 11:23 AM $73.00 LAW OFFICE OF GERALD A SPRUTE Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor Eli RIC/MIN 411061 NIL 141110111610 11.111111 II II AFTER RECORDING RETURN TO: Gerald A. Sprute Law Office of Gerald A. Sprute P.O.Box 1657 Duvall,Washington 98019 Document Title: QUIT CLAIM DEED C)411111111111411\ Grantor(s): LEO E. LOWE,Jr. and ELAINE YO 0 i 0 ". ,as Trustees of the Leo E. Lowe, Jr. and Elaine . -.we ' ••• • e Trust, dated 3/17/14 Grantee(s): JESSICA E. LOWE, Trustee o the Lo e Irrevocable Family Trust, u/a dtd 04/29/2015, and its succes.•r Abbreviated Legal Description: GLENNAN SUB ' A , CRE BLK 4 LOT 9 S 100' OF N 200' W OF RD Tax/Parcel Number: 953700417 0 o &LIM DEED THE GRANTORS, L 'O d ELAINE YOUNGLOVE LOWE, as Trustees of the Leo E. Lowe, J . • 4 ' e Revocable Trust, dated 3/17/14, for and in consideration of trans - 'n 1 9 0.. o an irrevocable trust, hereby conveys and quit claims to JESSICA E. LOWE e4 , _-- o e owe Irrevocable Family Trust, u/a dtd 04/29/2015, and its successors, their en - • -res ' e following described real estate situated in the County of Jefferson, State of I •n, including any interest therein which Grantors may hereafter acquire: The Sou • IMO• the North 200' of Lot 9 lying West of the County Road in Gl• . l • . 'ement Company acreage tracts No. 4, in Section 29, Township 30 • 401 l East. Si- . - • the County of Jefferson, State of Washington. o known as: 8393 Flagler Road,Nordland,Washington 98358. - 1 - 699832 123077 *4/29/2015 10.00* 1 waJ,c L VI L VTl L•//LV I V 1 I.S% r1IY1 i DATED this �. day of April,2015. IrV (Xert.,..9: - LEO E. LOWE,Jr., ELAINE YOUNGL 0 Grantor-Trustee Grantor-Trustee STATE OF WASHINGTON ) 0 ) ss. COUNTY OF JEFFERSON ) On this day personally appeared befo - me Gran e " 0 E. LOWE, Jr. and ELAINE YOUNGLOVE LOWE, as Trustees of the -o . Lowe, Jr. and Elaine Y. Lowe Revocable Trust, dated 3/17/14, to me known to be the i .'vi► = s described in and who executed the within and foregoing instrument, and ackn• he tee .s, instrument was signed as a free and voluntary act and deed, for the uses at l p i - mentioned. U � GIVEN under my hand and al 's 29 day of April, 2015. O 41/4 -,---- ---- • x. �aRr . II GERALD A. SPRUTE,Notary Public LT 0 t Z ° In and for the State of Washington. %%°° aev�`�= 2= Residing at Duvall, Washington /i�'' 0%4,„,,0���„� •`5 My appointment expires: 08-19-2016 1 0 " ...\ -2-