Loading...
HomeMy WebLinkAbout125292 • Departmentof fla Revenue f 7 Washington-Slate q_Sc)‘; 1 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) 0 Check box if partial sale of property If multiple owners,list percentage of ownership next to name. Tina Mn Albertson and Reece N Carson,wife and Name A James Rosenthal,as his separate estate ©Name husband a w F Mailing Address P.O.Box 601 . Mailing Address 2217 NW 63rd Street w a City/State/Zip Port Townsend,WA 98368 cia a City/State/Zip Seattle,WA 98107 a Phone No.(including area code) (360)385-1297 c:.Phone No.(including area code) (206)276-8897 III 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 Tina M Albertson&Reece N Carson 932200530 0 $229,466.00 Mailing Address 2217 NW 63rd Street 0 City/State/Zip Seattle,WA 98107 0 Phone No.(including area code) (206)276-8897 0 ®Street address of property: 660 Beckett Point Rd,Port Townsend,WA 98368 This property is located in®unincorporated Jefferson County OR within 0 city of 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) FULLY DESCIRBED IN EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF. ® Select Land Use Code(s): Q List all personal property(tangible and intangible)included in selling price. enter any additional codes: (See back of last page for instructions) Is this roe exempt from propertyYES NO property rty p tax per chapter ❑ El 84.36 RCW(nonprofit organization)? 0 YES NO If claiming an exemption,list WAC number and reason or exemption: Is this property designated as forest land per chapter 8433 RCW? 0 ® WAC No.(Section/Subsection) 458-61A-217 Is this property classified as current use(open space,farm and agricultural,or timber)land per chapter 84.34? 0 ® Reason for exemption Re-recording to correct the x parcel no. Is this property receiving special valuation as historical 0 ® Prior affidavit# las-11 it property per chapter 84.26 RCW? If any answers are yes,complete as instructed below. (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) Type of Document Assignment of Leasehold Interest NEW OWNER(S): To continue the current designation as forest land or classification as current use(open space,farm and agriculture,or timber) Date of Document April 13,2016 land, you must sign on (3) below. The county assessor must then determine if the land transferred continues to qualify and will indicate by Gross Selling Price $ signing below. If the land no longer qualifies or you do not wish to *personal Property(deduct) $ continue the designation or classification, it will be removed and the compensating or additional taxes will be due and payable by the seller or Exemption Claimed(deduct) $ transferor at the time of sale. (RCW 84.33.140 or RCW 84.34.108).Prior Taxable Selling Price $ to signing(3)below,you may contact your local county assessor for more Excise Tax: State $ information. This land 0 does 0 does not qualify for continuance. Local $ *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, Subtotal $ sign (3) below. If the new owner(s) does not wish to continue, all 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. *Affidavit Processing Fee $ 5.00 (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 A CORRECT. Signature of Signature of �� � � � �f/J Grantor or Grantor's Agent 0446..P. �,M--e_ Grantee or Grantee's Agent "'� ` /' Y l.Ot w-t.. , Name(print) Susan P.Monroe Name(print) Susan P.Monroe Date&city of signing: 4/28/16 Port Townsend Date&city of signing: 4/28/16 Port Townsend 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)). .749766 1.25792 4../2c.9,201r_': 100,! O.. TREASURER'S USE ONLY COUNTY TREASURER 17 .7.aZ r EXHIBIT "A" LEGAL DESCRIPTION A leasehold estate created by that certain lease of the following described land executed by and between the parties named herein,for the term and upon the terms,covenants and conditions therein provided, as follows: Lessor: Cape George Fisherman, a Washington corporation Lessee: Lewis Aaron Morello Term: 99 years Recorded: January 2, 1989 Recording No: 349168 Lessee's interest in the lease was assigned by instrument. Assignee: Arnold E. Whedbee and Kimberley D. Prochnau,husband and wife Recording No.: 386275 Lessee's interest in the lease was subsequently assigned by instrument. Assignee: A. James Rosenthal, an unmarried person Recording No: 466272 Said lease has been amended by instrument recorded February 28, 2003 under Recording No. 466271 Lot 30, West Beach Beckett Point Fisherman's Club Assessor's Plat, as per plat recorded in Volume 8 of Plats, pages 83 through 98, records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington.