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Home My WebLink About123088 (W9;:13 Depart of to@i L., (— Revenue Washington State REAL ESTATE"EXCISE TAX AFFIDAVIT This fonn 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. 5 NameCarol A.Burch,Trustee Carol A.Burch Revocable ®Name,l Christopher I nngridga and Earn!A Rureh x Living Trust 8/4/1998 and J.Christopher Longridge 4.1 Revocable Living Trust 4/29/2015 xo 5 Mailing Address 1428 Monroe Street Mailing Address 1428 Monroe Street city/state/zip Port Townsend,WA 98368 m city/state/zip Port Townsend WA 98368 Phone No.(including area code)206 713-0133 Phone No.(including area code)206 713-0133 IIList all real and personal property tax parcel account Send all property tax correspondence to:['Same as Buyer/Grantee numbers—check box if personal property List assessed value(s) Name 984601202 0 51 7 Mailing Address n City/State/Zip n Phone No.(including area code) rl ▪ Street address of property:1410 Monroe Street This property is located in Port Townsend 0 ❑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) West 25 feet of Lots 3 and 4,and all of Lots 5 and 6 in Hock 12 of Al Pettygrove's Addition to the City of Port Townsend,as per plat recorded in Volume 1 of Plats,on page 7,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. n Select Land Use Code(s): �y ®List all personal property(tangible and intangible)included in selling iii-Household,single family units 0I 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)WAC 458-61A-211 CD Is this property classified as aurentuse(open space,farm and ❑ 0 agricultural,or timber)land per chapter 8434? Reason for exemption Putting into a Revocable Living Trust • Is this property receiving special valuation as historical property ❑ 0 per chapter 84.26 RCW? ►�� If any answers are yes,complete as instructed below. Type of Document vX . (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) ttt__‘1j1llllll (i' `5 NEW OWNER(S):To continue the current designation as forest land or Date of Document l classification as current use(open space,faint 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 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 0 your local county assessor for more information. 0000 Local $,,,. 0 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 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. Signature of / 1.- Signature of �2—• Grantor or Grantor's Agent ' vh 621.Sl.20'. Grantee or Grantee's Agent Name(print) (q1 4 /.fe,e�9 �613v—e.i_.- Name(print) 1/Doves/tes-vii' 02,7 Date&city of signing: i .' 4 ' 7/ . Date&city of signing:' Z9 /t' Pp/C7 7;1404/1°60.41, 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)). REV 84 0001a(04/28/15) THIS SPACE-TREASURER'S USE ONLY DEPT.OF REVENUE /��J('�/ .700443' 123088 *4/29/20i c fi z_r0* pet?, 1 6 When recorded return to: J.Christopher Longridge/Carol A.Burch,Trustees J.Christopher Longridge and Carol A.Burch Revocable Living Trust 1428 Monroe Street Port Townsend,WA 98368 QUIT CLAIM DEED THE GRANTOR(S)Carol A.Burch,Trustee of the Carol A.Burch Revocable Living Trust,dated August 4th,1998 and John C.Longridge,husband of Carol A.Burch,as tenants in common,for and in consideration of no dollars in hand paid,conveys and quit claims to the J.Christopher Longridge and Carol A.Burch Revocable Living Trust,dated April 29,2015 the following described real estate,situated in the County gf Jefferson, State of Washington together with all after acquired title of the grantor(s)herein:kus re& I.t 'JRls rofNEc L,OWGR.104e w0L(i ,4 6UILGf./ Tieusree Y"Kt,sreF The West 25 feet of Lots 3 and 4,and all of Lots 5 and 6 in Block 12 of AI Pettygrove's Addition to the City of Port Townsend,as per plat recorded in Volume 1 of Plats,on page 7,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Abbreviated Legal: (Required if full legal not inserted above.) W 25'Lts 3&4,AND ALL LTS 5&6,BLK 12,AL PETTYGROVE'S ADD Tax Parcel Number(s): 984601202 Dated: yfz9�24,JS &,ed& ,4, 7i,ec/v/ J5 r Jomv Oftiwroos'ER Lo/veg./.06� STATE OF W Q S k V . Ss. COUNTY OF 7 nS P I certify that I know or have satisfactory evidence that CAA-Cr( (C (is/are)the person(s)who appeared before me,and said person(s) acknowledged that l.e•.( signed this instrument and acknowledged it to be free and voluntary act for the uses and purposes mentioned in this instrument.. Dated: P ft ( � lat1 \:-\u ,M. _ 1ovP Notary name printed or typed: Notary Public�in and for the State of •‘‘`�\S LOV�',i�, My appointment expires: ( ^ L(, •N.N. y • • i EXp.10l29l2017 ▪ Nt, AVBL\O •:' LPB 12-05(i)rev 12/2006 ,e • •• Page l of l ��,��;OFFwt AO.NN Department of Revenue e , 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. 0 NameCarol A.Burch,Trustee Carol A.Burch Revocable ®Named Christopher I onprirlge and Carol A Riirch/i2tJS i tI x o Living Trust 8/4/1998 and J.Christopher Longridge w Revocable Living Trust 4/29/2015 a z Mailing Address 1428 Monroe Street F Mailing Address 1428 Monroe Street F Ci •/State/Zi Port Townsend,WA 98368 0 ty p w City/State/Zip Port Townsend WA 98368 Phone No(including area code)206 713-0133 Phone No.(including area code)206 713-0133 III List all real and personal property tax parcel account Send all property tax correspondence to:❑Same as Buyer/Grantee List assessed value(s)_ numbers-check box if personal property p�' Name 984801204 P1 I Mailing Address 11 City/State/Zip ❑ Phone No.(including area code) n 11 Street address of property:149R Monroe Street This property is located in Port Townsend ❑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 7 and 8,Block 12 of Al Pettygrove's Addition to the City of Port Townsend,as per plat recorded in Volume 1 of Plats,page 7,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Subject to conditions,notes,easements, provisions contained and/or delineated on the face of the survey recorded under Jefferson County Recording Number 402164. '\j--Se kkAe4 ®Select Land Use Code(s): �s ®List all personal property(tangible and intangible)included in selling In-Household,single family units 0 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 ❑ ❑✓ chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? II YES NO If claiming an exemption,list WAC number and reason foroexemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ 0 WAC No.(Section/Subsection)WAC458-61A-211 tr f Is this property classified as current use(open space,Sim and ❑ 0 agricultural,or timber)land per chapter 84.34? Reason for exemption Putting into a Revocable Living Trust Is this property receiving special valuation as historical property ❑ 0 per chapter 84.26 RCW? If any answers are yes,complete as irrshlrcted below. 451(3/-1?" �G/ / '� Type of Document / �l/S (1)NOTICE OF CONTINUANCE(FOREST LAND ORCURRENT USE) 2A`;j i NEW OWNER(S):To continue the current designation as forest land or Date of Document 1 1 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 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 0 your local county assessor for more information. 0000 Local $ 0 This land ❑foes ❑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 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 AN ORREC Signature of ,/ Signature of /� Grantor or Grantor's Agent(?'j�� L44 t�j /f'Y.(S rantee or Grantee's Agent //__..uI Name(print) /12 / 41)f/?ice ./, ,t.1,5'TX Name(print)1, WA/ C. �I VCI')ebp 43 Date&city of signing: a •_. - . i " /r Date&city of signing:"mg Z4 ZQ/f ,Age -*4i4�CNP 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)). REV 84 0001a(04/28/15) THIS SPACE-TREASURER'S USE ONLY DEPT.OF REVENUE - n 700443"'4_ 1.,...?t f.__:=; =.4i 29 ,7015 10.00'= I 2Z061 /\ / • When recorded return to: J.Christopher Longridge/Carol A.Burch,Trustees J.Christopher Longridge and Carol A.Burch Revocable Living Trust 1428 Monroe Street Port Townsend,WA 98368 QUIT CLAIM DEED THE GRANTOR(S)Carol A.Burch,Trustee of the Carol A.Burch Revocable Living Trust,dated August 4r',1998 and John C.Longridge,husband of Carol A.Burch,as tenants in common,for and in consideration of no dollars in hand paid,conveys and quit claims to the J.Christopher Longridge and Carol A.Burch Revocable Living Trust,dated April 29,2015 the following described real estate,situated in the County of Jefferson, State of Washington together with all after acquired title of the grantor(s)herein:TOSTrASS I C HRifCo'NFR LON6tt1136E CARAI-A BoQLN Lots 7 and 8,Block 12 of Al Pettygrove's Addition to the City of Port Townsend,as per plat recorded in Volume 1 of Plats,page 7,records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. Subject to conditions,notes,easements,provisions contained and/or delineated on the face of the survey recorded under Jefferson County Recording No.402164. Abbreviated Legal: (Required if full legal not inserted above.) 7&8,BLK 12,AL PETTYGROVE Tax Parcel Number(s): 984601204 Dated: !/Z/zo IBS aei/d / ' . �r� G�� Yi j, 1�. ____Ik4evi it%O,_ /4. ,r—f. — ✓of✓,✓ eiO/C 74;fvei2 loiv6e 6e STATE OF ( Ol c SS. COUNTY OF S Q I certify that I know or have satisfactory eyi_dence/that ��"rte` A- D a. is L �(\ (_C/ A`) (1 O.9' �" (is/are)the person(s)who appeared before me, and said person(s) acknowledged that.777 {/ signed this instrument and acknowledged it to be tt' �' free and voluntary act for the uses and purposes mentioned in this instrument.. Dated: A t � l Q -�l LAX V h o. V P Notary name printed or typed: Notary Public in and for the State of Residing at f�(` 16/1 n shy S LOV �4 My appointment expires: <ljr(��/L C� d/ 7 J�� ......,F !/ `'• EXV 1pj2s1 G N ' Z 12-05(i)rev 12/2006 p LPB 12-05 t UB\- r/- �) �,i; ••: Page 1 of 1 9TH........ 0i,, OF\,A/P.S ■•` �!!!lllllltt\��`