Loading...
HomeMy WebLinkAbout125356 \\ Q, 61)7 ) Department of rea Revenue - Washington State REAL ESTATE EXCISE TAX AFF DAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-6 A 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 m ltiple owners,list percentage of ownership next to name. IlIl Name Glenda J.Meek,Personal Representative of the Estate of © Name Glenda J.Meek u: Martin Scott Meek ae o w a z Mailing Address 302 Crutcher Road w Mailing Add'ess 302 Crutcher Road Lu City/State/'Lip Port Townsend,WA 98368 aFP a City/State/Zip Port Townsend,WA 98368 Phone No.(including area code)(360)774-2444 Phone No.(including area code)(360)774-2444 © Send all property tax correspondence to: ✓❑Same as Buyer/Grantee List all real and personal property tax parcel account numbers-check bcrx if personal property List assessed value(s) Name 963 600 202 ❑✓ $106,264 Mailing Address • n City/State/Zip n Phone No.(including area code) n © Street address of property: 171 Cape George Road,Port Townsend,WA 98368 This property is located in Jefferson County 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 eaclI page of the affidavit) See attached sheet for legal description I Select Land Use Code(s):III III List all personal property(tangible and intangible)included in selling 11-Household,single family units price. enter any additional codes: (See back of last page for instructions) I 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)? 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? 0 ❑✓ WAC No. (Section}/Subsection) 458-61A-202 (a) Is this property classified as current use(open space,farm and ❑ ❑✓ agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Inheritance or Devise 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 Representative's Deed (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) N&j q i NEW OWNER(S):To continue the current designation as forest land or Date of Document) t'1 classification as current use(open space,farm and agriculture,or timber)land, I Gros Selling rice $ 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 classification,it will be removed and the compensating or additional taxes will Exemption Claimed(deduct) $ 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 Ex¢'ise Tax: State $ 0.00 your local county assessor for more information. 0,0050 Local $ 0.00 This land 0 does 0 does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE (2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY) *Delijtquent Penalty $ 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?rocessing 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 UNI R PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CO T. (1 Signature ofQ,/- Signature of Grantor or Grantor's A enter g \i ,` Grantee or Grantee's Agents Qy �Z Name(print) Glenda J.Meek ars Personal Representativetm Name(print) Glenda J.Meek -� Date&city of signing`J'''g'\ b \ L' �sQu--z-G. Date&city of signit#g: - 0 t:i LI L'`• ,1\-`j p..%-(E) --- Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institjrtion 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(2/24/14) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER I 34aP IP LEGAL DESCRIPTION Lots 1 and 2, Block 2, Irvington Addition to the City of Port Townsend, as per Plat recorded in Volume 2 of Plats, Page 96, records of Jefferson County, Washington. Together with that portion of the East half of vacated First Street adjoining, pursuant to ordinance 24-93. SUBJECT TO: Easement rights and maintenance agreements, if any, for utilities which may have been granted in vacated streets and alleys prior to their vacation. Situate in the County of Jefferson, State of Washington.