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Home My WebLink About125429 Deparon€:nt of c., Revenue *Wathingtaa State t}'_5- C/,- / 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. INGerald A.Hunt Jr.,Trustee and Susan C.Hunt, Tanya Clarke,an unmarried woman,as her separate Name Trustee of The Hunt Revocable Living Trust 0 Name estate a w aF Mailing Address 860 Rocky Point Dr. 0 Mailing Address 707 S Snoqualmie St.#3-A w a City/State/Zip Camano Island,WA 98282 rn ca, co City/State/Zip Seattle,WA 98108 Phone No.(including area code) (360)387-4911 Phone No.(including area code) (206)354-3996 III 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 Tanya Clarke 948326501 0 $338,271.00 Mailing Address 707 S Snoqualmie St.#3-A0 City/State/Zip Seattle,WA 98108 'T --6- 0 Phone No.(including area code) (206)354-3996 0 0 Street address of property: 1010 Sims Way,Port Townsend,WA 98368 This property is located in 0 unincorporated Jefferson County OR within®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 DESCRIBED 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 11 price. enter any additional codes: (See back of last page for instructions) YES NO Is this property exempt from property tax per chapter ❑ ig 84.36 RCW(nonprofit organization)? 0 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) Is this property classified as current use(open space,farm and agricultural,or timber)land per chapter 84.34? ❑ ® Reason for exemption Is this property receiving special valuation as historical 0 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 Statutory Warranty Deed 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 May 16,2016 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 $ 365,000.00 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) $ No transferor at the time of sale. (RCW 84.33.140 or RCW 84.34.108).Prior Taxable Selling Price $ 365,000.00 to signing(3)below,you may contact your local county assessor for more Excise Tax: State $ 4,672.00 information. This land 0 does 0 does not qualify for continuance. Local $ 1,825.00 *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 $ 6,497.00 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 $ (3) OWNER(S)SIGNATURE Total Due $ 6,502.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I CERTIFY UN,DER PENALTY OF PERJU: THAT THE FOREGOING IS TRUE AND CORRECT. kV Signature of ��/ Lure of „igiGrantor or Grantor's Agent,1> Art_,f�; antee or Grantee's Agent r Name(print) Gerald A.Hunt Jr. Name(print) Tanya Clarke Date&city of signing: ,, , ,:, 4 Date&city of signing: 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)). N 755579 i 2542r x5:20/2016 - ; ' i —S USE ONLY COUNTY TREASURER [7, 1-4221 . :w- Depanmen (p Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-61A WAC This form is your receipt when THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED stamped by cashier. (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. IN Gerald A.Hunt Jr.,Trustee and Susan C.Hunt, M Tanya Clarke,an unmarried woman,as her separate Name Trustee of The Hunt Revocable Living Trust Name estate C Mailing Address 860 Rocky Point Dr. Mailing Address 707 S Snoqualmie St.#3-A ra*1 City/State/Zip Camano Island,WA 98282 m"City/State/Zip Seattle,WA 98108 Phone No.(including area code) (360)387-4911 Phone No.(including area code) (206)354-3996 0 Send all property tax correspondence to:0 Same as Buyer/Grantee List all real and personal property tax parcel account numbers-check box ifpersonal property List assessed value(s) Name Tanya Clarke 948326501 0 $338,271.00 Mailing Address 707 S Snoqualmie St.#3-A 0 City/State/Zip Seattle,WA 98108 0 Phone No.(including area code) (206)354-3996 0 0 Street address of property: 1010 Sims Way,Port Townsend,WA 98368 This property is located in 0 unincorporated Jefferson County OR within®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 DESCRIBED IN EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF. ® Select Land Use Code(s): 0 List all personal property(tangible and intangible)included in selling I1 price. enter any additional codes: (See back of last page for instructions) Is this property exempt from propertyYES NO P tax per chapter ❑ El 84.36 RCW(nonprofit organization)? 0 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) Is this property classified as current use(open space,farm and agricultural,or timber)land per chapter 84.34? ❑ ® Reason for exemption Is this property receiving special valuation as historical 0 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 Statutory Warranty Deed 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 May 16,2016 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 $ -365,000.00 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) $ No transferor at the time of sale. (RCW 84.33.140 or RCW 84.34.108).Prior Taxable Selling Price $ 365.000.00 to signing(3)below,you may contact your local county assessor for more Excise Tax: State $ 4,672.00 information. This land 0 does 0 does not qualify for continuance. Local $ 1,825.00 *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 $ 6,497.00 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 $ (3) OWNER(S)SIGNATURE Total Due $ 6,502.00 PRINT NAME A MINIMUM OF S10.00 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 Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) Gerald A.Hunt Jr. Name(print) anyaClarke Date&city of signing: Date&city of signing: 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 84000la(2128/13) THIS SPACE—TREASURER'S USE ONLY COUNTY TREASURER EXHIBIT "A" The land referred to in this Commitment is located in the County of Jefferson, State of WA, and described as follows: Lots 1,2 and 3 in Block 265 of the Supplementary Plat to Eisenbeis Addition to the City of Port Townsend,W.T.,as per plat recorded in Volume 2 of Plats,on page 24,records of Jefferson County; TOGETHER WITH all of vacated Wilson Street adjacent thereto,vacated.by Ordinance No. 1225 recorded July 6,1949 under Recording No. 118233;ALSO TOGETHER WITH the South y2 of vacated 51h Street abutting upon and adjacent to Lot 1 as vacated by Ordinance No.2997 recorded December 4,2008 under Recording No.539132; EXCEPTING THEREFROM that portion conveyed to the State of Washington for the right of way State Road No.9 as conveyed by deed recorded in Volume 93 of Deeds,page 492 under Recording No.56536,all records of Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. i h.