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HomeMy WebLinkAbout125415 A uviol > 1 L:, L e...- 7 t T Department of fel Revenue 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. eName Benjamin Mark Alvarez © Name Maegan K.Alvarez o w a Mailing Address 7624 Sandy Way.NE Mio ailing Address P.O.Box 695 wg c6 O City/State/Zip Poulsbo.WA 98370 R City/State/Zip Port Hadlock,WA 98339 „4(l c Phone No.(including area code)(360)930-2301 Phone No.(including area code)(360)821-1029 © 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 45 901 701 0 $155,286 Mailing Address J iii C Y1 n City/State/Zip 1 F.. 11 . 1 4+..f ti n Phone No.(including area code) f tn fl I 9" i S Li,,� .. P if 111 Street address of property: 420 Fredericks Street,Port Townsend,WA 98368 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 Legal Description IIIISelect Land Use Code(s): all personal property(tangible and intangible)included in selling 11-Household,single family units I 111 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 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? ❑ ❑✓ WAC No. (Section/Subsection) 458-61A-203(2) Is this property classified as current use(open space,farm and 0 ❑✓ agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Is this property receiving special valuation as historical property 0 Q I; .5611h O,x 61 m aro'Ctigt- per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document Quit Claim Deed (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) �/,,}, ) Date of Document M is auto NEW OWNER(S):To continue the current designation as forest land or r 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 $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax: State $ 0.00 your local countyassessor for more information. 0.0050 Local $ 0.00 This land 0 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 $ 0.00 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 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 I *SEE INSTRUCTIONS 8 I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of 1,�,r'"-1 Grantor or Grantor's Agent �-(j , Grantee or Grantee's Agent l 6-1.inv,VAI 0� 1 Name(print) Benjamin Mark Alvarez Name(print) Maegan K.Alvarez R Date&city of signing:j:I2/-Co �? %C>std�..S fh/r) di/}4 Date&city of signing: ¶j 12—ii G I ?))/4"Ar.A..'.xs'G'l,O� 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 0001a(1/9/14) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER 755 1.25415 •1. i1I _ - lZ5t5 LEGAL DESCRIPTION All of Block 17, per plat of Cove Addition to the City of Port Townsend, per plat recorded in Volume 2 of Plats at page 27, records of Jefferson County,Washington; ALSO that portion of the following described portion of Section 16, Township 30 North, Range 1 West, W.M., to wit: Beginning at the Southwest corner of Cove Addition to the City of Port Townsend, per plat thereof recorded in Volume 2 of plats, at page 27, thereof; Thence South 70 feet; Thence East, parallel to the south line of said Cove Addition, to the meander line of Port Townsend Bay; Thence northerly along said meander line, to the southeast corner of said Cove Addition; Thence westerly along said southerly boundary of said Cove Addition, to the point of beginning; Being generally described as the North 70 feet of Tax Nos. 19 and 31, in said Section 16, lying westerly of the southerly extension of the centerline of 7th Street, easterly of the southerly extension of 8th Street in the plat of Cove Addition to the City of Port Townsend, per plat thereof recorded at page 27, Volume 2 of Plats, records of Jefferson County, Washington, to the southerly limits of said portion of said hereinabove generally described North 70 feet of Tax Nos. 19 and 31; ALSO, the East '/2 of that portion of unopened 8th Street located between the easterly boundary of Lot 4 Block 16, Cove Addition to the City of Port Townsend and westerly boundary of Lot 1 of Block 17, Cove Addition to the City of Port Townsend; and the West 1/2 of that portion of unopened 7th Street located between the easterly boundary Lot 4 of Block 17, Cove Addition to the City of Port Townsend and the westerly boundary of Lot 1 Block 18, Cove Addition to the City of Port Townsend, as granted by Jefferson County Superior Court Cause No. 04-2-00373-2. Situate in the County of Jefferson, State of Washington. SUBJECT TO: 1. Easement including terms and provisions contained herein: Recorded: December 27, 1999 Recording No.: 429937 In favor of: Puget Sound Power and Light Company, a Washington corporation For: Electric transmission and/or distribution system The legal description in said easement is not sufficient to determine its exact location within said premises. 2. Covenants, conditions, restrictions and/or easements; but deleting any covenant, condition or restriction indicating a preference, limitation or discrimination based on race, color, religion, sex, handicap,family status, or national origin to the extent such covenants, conditions or restrictions violate 42 USC 3604(C). Recorded: February 20, 2002 Recording No.: 452684 Amendment(s) and/or modification(s)of said covenants. Recorded: February 09, 2004 Recording No.: 480890 3. Declaration of Restrictive Covenant imposed by instrument recorded on December 23, 2002, under Recording No. 463561 4. Easement rights and maintenance agreements, if any, for ingress, egress and utilities which may have been granted in vacated streets and alleys prior to their vacation. 5. Any claim to (a) ownership of or rights to minerals and similar substances, including but not limited to ores, metals, coal, lignite, oil, gas, uranium, clay, rock, sand, and gravel located in, on, or under the Land or produced from the Land, whether such ownership or rights arise by lease, grant, exception, conveyance, reservation, or otherwise; and (b) any rights, privileges, immunities, rights of way, and easements associated therewith or appurtenant thereto, whether or not the interests or rights excepted in (a) or(b) appear in Public Records.