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HomeMy WebLinkAbout123082 ) tV[department nt of evenue REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt Y P I1LEASE 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. IIII Name FANNIE MAE A/K/A FEDERAL NATIONAL © Name VERBA ABBOTT AND LEON ABBOTT, MORTGAGE ASSOCIATION HUSBAND AND WIFE AS JOINT TENANTS LL) P.O.Box 650043 w W 210 CONDON LANE z Mailing Address z Mailing Address City/State/Zip Dallas,TX 75265-0043 City/State/Lip PORT LUDLOW,WA98365 Phone No (including area code) Phone No (including area code) © Send all property tax correspondence to:CI Same as Buyer/Grantee List all real and personal property tax parcel account List assessed valu numbers—check box if personal property Name . 959500007 n \ Q Mailing Address .X_Jl�� ❑ City/State/Zip n Phone No (including area code) © Street address of property: 100 HIGHLAND GRN UNIT 1 PORT LUDLOW,WA 98365 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 FOR LEGAL DESCRIPTION ® Select Land Use Code(s): III List all personal property(tangible and intangible)included in selling ('id Residential condominiums price. enter any additional codes: (See back of last page for instructions) YES NO Is this property exempt from property tax per chapter ❑ 0 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? ❑ El Is this property classified as current use(open space,farm and ❑ p WAC No. (Section/Subsection) 458-61A-205(2) agricultural,or timber)land per chapter 84.34? Reason for exemption Is this property receiving special valuation as historical property ❑ 0 per chapter 84.26 RCW? C;C)VFRNMFNT TRANSFFR/C;OVFRNMFNT SRI FR If any answers are yes,complete as instructed below. (1) NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) Type of Document SPECIAL/LIMITED WARRANTY DEED NEW OWNER(S):To continue the current designation as forest land or 4/27/15 classification as current use(open space,farm and agriculture,or timber) Date of Document land,you must sign on(3)below.The county assessor must then determine 96,100.00 if the land transferred continues to qualify and will indicate by signing below. Gross Selling Price $ 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) $ 96,100.00 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 El 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, 0.00 sign(3)below.lithe new owner(s)does not wish to continue,all Subtotal $ 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. (3) OWNER(S)SIGNATURE *Affidavit Processing Fee $ Total Due $ 10.00 PRINT NAME A MINIMUM OF 810.00 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 C _ Grantee or Grantee's Agent — Name(print) ANGELINA GALLO Name(print) ANGELINA GALLO Date&city of signing: IRVINE CA 4/27/2015 Date&city of signing: IRVINE CA 4/277711Th 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 0001ae(07/07/09) THIS SPACE-TREASURER'S USE ONLY COUNTY ASSESSOI i n 7t 10402 123082 . 4, 291;`'t_t1 5 1.n zi_I0: 1 Z (i°E3 _. DocuSign Envelope ID:09DAF2BA-4324-40D9-9D2A-8F5FE52AA796 Order No.: JC-101217 Exhibit "A" THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Apartment No. 201 in Building No. 2 a residential apartment in Highland greens according to Survey and set plans thereof filed under Auditor's File No. 255300, recorded in Volume 1 of Condominiums plans at page 60 through 81 inclusive, together with 2.722 percentage of undivided interest in the common and limited common areas and facilities appurtenant thereto as described in the declaration of condominium Linder the horizontal property regimes act of the State of Washington, as recorded on the 18th day of January, 1979, under Auditor's File No. 255301, at Volume 112 of official records, page 683 to 730,records of Jefferson County,Washington, and as amended under Auditor's File No. 292820, recorded December 20, 1984, and Auditor's File No. 293422, recorded January 30, 1985. The description of the Land, as provided in R.C.W. 64.32.090, is as follows: That portion of the Southwest 1/4 of the Northwest 1/4 of Section 21, Township 28 North, Range 1 East, W.M.,described as follows: nl Beginning at the Southeast corner of Lot 15 of South Bay 1, as per plat recorded in Volume 6 of Plats on Page 1 to 3 inclusive,Records ofJefJerson County; Thence South 45 Degrees,42'40" West 232.26 feet; Thence South 48 Degrees, 59'20" West 289.55 feet; Thence South 59 Degrees, 51'27" West 179.21 feet; Thence South 77 Degrees, 03'00" West 94.67 feet; Thence North 84 Degrees, 26'20" West 142.90 feet; Thence North 19 Degrees, 00"46 East 159.30 feet; Thence North 46 Degrees, 41'20" East 280.12 feet; Thence North 46 Degrees, 46'41" East 162.96 feet; Thence North 20 Degrees, 25'13" East 96.33 feet to the Southwest corner of Lot 16 of said plat; Thence along the Southerly limits of said Lot 16, South 82 Degrees 01'52" East 160.46 feet; Thence North 24 Degrees 31'16" East 86.85 feet; Thence South 56 Degrees 28'05" East 50.63 feet; Thence South 24 Degrees 31'16" West 60.29 feet to the Southwest corner of said Lot 15; Thence along the Southerly limits of said Lot 15, South 65 Degrees 51'09" East 168.76 feet to the IIue Point of Beginning. Situate in the County of Jefferson, State of Washington.