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HomeMy WebLinkAbout125436 '4 (c,0 l C Department of 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) 0 Check box if artial sale of•ro.er Ifmulti.le owners list•ercenta_e o • • •: hi.next to name. a_ ® Name_La_t.Lahlin Re • _,:,ta • • : ,1: © Name Kathleen Lau. - -xem•t Famil Trust t u/a dtd �t 6t a - -u ..r t: ••• = - ••�••• ,- : I: - ended. John B. Lauahlin. Trustee Nec\ eL o r Liz Mailing Address 2030 Western Avenue. Unit 610 }z Mailing Address 2030 Western Avenue, Unit 610 city/state/zip Sattje,._WA 9$1.21__ _ m city/state/zip Seattle, WA 98121 Phone No.(including area code)(206) 255-0743 Phone No.(including area code)(206) 255-0743 • List all real and personal property tax parcel account © Send all property tax correspondence to:❑Same as Buyer/Grantee numbers-check box if personal property List assessed value(s) Name 951700008 /a%ck ❑ (A 6 (( Q C1 l,� Mailing Address n City/State/Zip (l Phone No.(including area code) 0 miStreet address of property: Rose Point Drive,Quilcene,WA 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 each page of the affidavit) Undivided one-half interest in Lot 8,Fisherman's Point,as per play recorded under Auditor's File No.517979,records of Jefferson County,Washington. icSelect Land Use Code(s): IIII List all personal property(tangible and intangible)included in selling i! 11-Household,single family units price. enter any additional codes: None. (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under 0 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 ❑r WAC No. (Section/Subsection) 458-61A-202i( \ ) L K t'i---(.(h-'Zv-.. Is this property classified as current use(open space,tarn and 0 0 Reason for exemptionagricultural,or timber)land per chapter 84.34 RCW? Inheritance under Trust Agreement Is this property receiving special valuation as historical property 0 ❑r per chapter 84.26 RCW? Ifany answers are yes,complete as instructed below. Type of Document Trustee's Deed (1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 4/1/16 classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ 0.00 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) $ 0.00 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 county assessor for more information. 0.0050 Local $ 0.00 This land ❑does 0 does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 0.00 NEW OWNER(S):To continue special valuation as historic property, 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 ' *SEE INSTRUCTIONS 1111 I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature 4-7:7:I_' 7:77.,,---.7f., r.---...* Signature of r - „ Grantor or Gr tJ,ttor'SAge , Grantee or Cr'rate's Age `-° Name(pri ' J 'es K. Treadweyl, Agynt Name(print) cmesre . , Agep Date&cir',,si 'n*:- May"•17,-2().1 eattle, WA Mai_, ,., __ Date&city of signing: May 17,2016, Seattle, WA 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 line 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 000la(01/04/16) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER. 'f AFTER RECORDING RETURN TO: Johanna M. Coolbaugh Karr Tuttle Campbell 701 Fifth Avenue, Suite 3300 Seattle, Washington 98104 TRUSTEE'S DEED Document Title(s)(or transactions contained herein): Trustee's Deed Reference Number(s)of Documents assigned or released: Additional reference numbers on page of document(s) Grantor(s): John K. Laughlin and Katerie Laughlin Schei, f/k/a Katerie F. Plummer, Co-Trustees of the Kathleen F.Laughlin Residence Trust u/a dtd February 13,2009. Additional names on page of document. Grantee(s): John B. Laughlin, Trustee of the Kathleen Laughlin Exempt Family Trust u/a Laughlin Revocable Trust u/a dtd August 21,2008 as restated and amended by Agreement dated March 22,2011 Additional names on page of document. Legal description: Lot 8,Fisherman's Point Additional legal is on page of document(s). Assessor's Property Tax Parcel/Account Number(s): 951700008 TRUSTEE'S DEED THE GRANTOR, John K. Laughlin and Katerie Laughlin Schei, f/k/a Katerie F. Plummer, Co-Trustees of the Kathleen F. Laughlin Residence Trust u/a dtd February 13, 2009, for and in consideration of the distribution of the assets of the Laughlin Revocable Trust, grants, bargains, conveys, and confirms to John B. Laughlin, Trustee of the Kathleen Laughlin Exempt Family Trust u/a the Laughlin Revocable Trust as restated and amended by Agreement dated March 22, 2011, all of the interest held by Grantor, being an undivided one- half interest, in the following described real estate, situated in the County of Jefferson, State of Washington: #1031084 v l /46015-001