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REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt
PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61 A WAC when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
(See track of last page for instructions)
❑Check box if partial sale of property If multiple owners,list pA.ciaalifirawrAhrp next to name.
0 Name Dawn P Branton Name Eri Ingalls I``: (! "L'/e7(t'Gt
o
Claudia Myatt m Came May ,` t
x
a z Mailing Address 13722 49th Ave CT NW ui Mailing Address 2257 Hurley Way Apt 75
c;ry/smte zip Gig Harbor,WA 98332 �m City/state/Zip Sacremento.CA 95825
c.
Phone No.(including area code)(253)4324698 Phone No.(including area code)(916)293-6548
® Send all property tax correspondence to:['Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s)
numbers—check box if personal property
Name Fri Irlpalls&Carrie May n
Mailing Address 2257 Hurley Way Apt 75 964503 '7bZ n 9800.00
City/State/zip Sacramento,CA 95825 n
Phone No.(including area code) n
■Street address of property: Junction City Block 33 Lots 6 trough 12
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)
Parcel ID 964503302
Property ID 32495
Owner ID 89732
®Select Land Use Code(s): O List all personal property(tangible and intangible)included in selling
118-All other residential not elsewhere coded IN price.
enter any additional codes:
(Sec back of last page for instructions)
YES NO
Was Ow seller receiving apropeny tax exemption or deferral tarkr ❑ 0
chapters 8436,84.37,or 84.38 RCW(nonprofit arg iisation,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 fexest land per chapter 84.33RCW? ❑ 0 WAC No.(Section/Subsection)
is this property classified as current use(open space,faint and ❑ 0
agic,uhuaal or timber)land per dopier 8434? Reason for exemption
Is this property receiving special valuation as historical property ❑ 0
per chapt r 8426 RCW?
If any answers are yes,complete as instructed below. Type of Document atilt Claim Deed
(1)NOTICEOFCONTINUANCE(FORFSTLANDORCURR}TTI'USE)
NEW OWNER(S):To continue the current designation as forest land or Date of Document
classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ 18,000.00
you must sign on(3)below.The county assessor mum than 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 $ 18,000.00
84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax:State $ 230.40
your local county assessor for more information. I 0 0.0050� Local 90.00
�. Local $
This land ❑does 0 does not qualify for continuance. ;Delinquent Interest:State $
Local $
DEPUTY ASSESSOR DATE
(2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) 'Delinquent Penalty $
NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 320.40
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 $ 325.40
PRINT NAME A MINIMUM OF$10.00 IS DIJE IN FEE(S)AND/OR TAX
'SEE INSTRUCTIONS
III 10E'( IFYUNDF' ,TY OF PERJURY THAT THF.FOREGOING IS Ti I AND C) 'R,CT
Signature ofG Signature of r - i k
Grantor or Grantor's Ag //(t�J�.///, A Grantee or Gran ' .'4„,t �
Name(print) A t 1 ■ STO Name(print) 1'10'
Date&city of signing: Date&city of signing:
_...ectittnal institution fix a maximum term of not more than five years,or by A
. , 00),or by berth imprisonment and fine(RCW 9A20.020(1C)). EI`�'f
701 601 123097 *4/30/2015 ti:#: _•__._ _.___._.
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591012 PGS : 4 WD
04/3012015 01:37 PM $75,00 DAWN MANSION
Jaffarson County WA Auditor's Office - Ros• Ann Carroll, Auditor
IIIIIIIIIIII\
■III I �.r�':�I lI C4i0uL Ki�l� K �IN�I M ii lily 1I II i
AFTER RECORDING MAIL TO:
Name:Eri Ingalls
Address:2257 Hurley Way Apt 75
City,State,Zip: Sacremento,California,95823
Filed for Record at Request of:
0°
W DEED
IN WITNESS WHEREOF,Dawn P Branston, 1 1 -ed • 1 2 49th Ave Ct NW Gig Harbor,
Washington 98332,and Claudia My. ... :�, E Mckenzie St Long Beach,California
90805,(collectively the"Grantor"),for : ' ' co i• ion of$18,000.00 and other good and valuable
consideration,conveys and warrants to En'1- not married of 2257 Hurley Way Apt 75 Sacramento,
California 95825,and Carrie May, I, :, •..7f, 57 Hurley Way Apt 75 Sacramento,California
95825,(collectively the" • - "), 1 foil• I described real estate,situated in the county of
Jefferson,State of Washi• ' g : I after acquired title of the Grantor therein:
Junction City Block
Lots 6 through 12
Parcel 964503302.
And the Grantor ••-s . i i-st • ,the Grantee and the Grantee's heirs and assigns,that at and until the
ensealing of , • __ is the Grantor is well seized of the above described premises,as a good and
indefeasible '4 `.. pie,and has good right to warrant the same in the manner and forms above
written.
• d • : • .1 warrant and forever defend the right and title to the above described property unto
••,. :;• t' : -against all claims whatsoever.
141 ,1' •pert),Tax Parcel/Account Number: 964503302
• ♦ day of Merle 2015
701601 123097 *4/30/2015 325.40*