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Home My WebLink About125449 • Detk�rtment of 113 -�./, ` evenue v woonhmti i This form is your receipt PLEASE TYPE OR PRiNT REAL ESTATE EXCISE TAX AFFIDAVIT when stamped by cashier. CHAPTER 82.45 RCW—CHAPTER 458-61A WAC THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ARE FULLY COMPLETED (See back of last page for instructions) File No.58170LS ❑Check box if)artial sale of property If multiple owners,list percentage of ownership next to name 1. Name Joab Eades and Eden Eades,husband and wife Name Nicholas Yelaca and Kachele Yelaca,husband and wife w O Mailing Address 613 Hancock St w LI)E— a Mailing Address 182 Huntingford St z >- z City/State/Zip Port Townsend,WA 98368 City/State/Zip Port Townsend,WA 98368 C7 Phone No.(including area code) (904)466-3233 Phone No.(including area code) (360)821-1410 3. Send all property tax correspondence to:❑Same as Buyer/Grantee List all real and personal tax parcel account Listed assessed value(s) numbers—check box if personal property Name Nicholas Yelaca 948 602 905/28500 ❑ 50,000 Mailing Address 182 Huntingford St ❑ City/State/Zip Port Townsend,WA 98368 �� ❑ Phone No.(including area code) (360)821-1410 ' d`' ❑ ® Street address of property: XX Cottage PI,Port Townsend,WA 98368 This Property is located in El unincorporated Jefferson County OR within city of Port Townsend ❑Check box if any of the listed parcels are being segregated from a larger parcel,are part of 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 EXHIBIT"A" ATTACHED HERETO AND MADE A PART HEREOF FOR COMPLETE LEGAL DESCRIPTION ® Select Land Use Code(s): 91 ® List all personal property(tangible and intangible)included in selling price. Enter any additional codes: (See back of last page for instructions) Was the seller receiving a property tax exemption or YES NO 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 Is this property designated as forest land per chapter 84.33 If claiming an exemption,list WAC number reason for exemption: RCW? ❑ El Is this property classified as current use(open space,farm and ❑ agricultural,or timber)land per chapter 84.34? WAC No.(Section/Subsection) Is this property receiving special valuation as historical property per chapter 84,26 RCW? ❑ ® Reason for exemption If any answers are yes,complete as instructed below. Type of Document Statutory Warranty 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 May 17,2016 classification as current use (open space, farm and agriculture, or timber) land,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. Gross Selling Price $ 63,000.00 If the land no longer qualifies or you do not wish to continue the designation *personal Property(deduct) $ or 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 Exemption Claimed (deduct) $ No 84.33.140 or RCW 84.34.108). Prior to signing(3) below, you may contact your local county assessor for more information. Taxable Selling Price $ 63,000.00 Excise Tax: State $ 806.40 This land Eldoes ❑does not qualify for continuance Local $ 315.00 *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 $ 1,121.40 sign(3)below. If the new owner(s)do 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 $ 1,126.40 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 AND CORRECT Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) Joab Eades Name(print) Nicholas Yelaca Date&city of signing: .4,51/1/x14 pr�r`r Pdu it...6/4/0/ 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). REV 84 0001a(04/30/09) THIS SPACE—TREASURER'S USE ONLY COUNTY TREASURER '7/5.14141 Department of evenue V.t„fiirgtoQ.Smm REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRiNT when stamped by cashier. CHAPTER 82.45 RCW—CHAPTER 458-61A WAC THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ARE FULLY COMPLETED (See back of last page for instructions) File No.58170LS ❑Check box if partial sale of property If multiple owners,list percentage of ownership next to name 1. Name Joab Eades and Eden Eades,husband and wife 2. Name Nicholas Yelaca and Kachele Yelaca,husband and wife x OMailing Address_ 613 Hancock St w Mailing Address 182 Huntingford St z z City/State/Zip Port Townsend,WA 98368 City/State/Zip Port Townsend,WA 98368 vp C Phone No.(including area code) (904)466-3233 0 Phone No.(including area code) (360)821-1410 3. Send all property tax correspondence to: ❑Same as Buyer/Grantee List all real and personal tax parcel account Listed assessed value(s) numbers—check box if personal property 50,000 Name Nicholas Yelaca 948 602 905/28500 ❑ Mailing Address 182 Huntingford St ❑ City/State/Zip Port Townsend,WA 98368 ❑ Phone No.(including area code) (360)821-1410 ❑ Street address of property: XX Cottage PI,Port Townsend,WA 98368 This Property is located in®unincorporated Jefferson County OR within❑city of Port Townsend ❑Check box if any of the listed parcels are being segregated from a larger parcel,are part of 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 EXHIBIT"A" ATTACHED HERETO AND MADE A PART HEREOF FOR COMPLETE LEGAL DESCRIPTION ® Select Land Use Code(s): 91 IMME List all personal property(tangible and intangible)included in selling price. Enter any additional codes: (See back of last page for instructions) Was the seller receiving a property tax exemption or YES NO 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 is this property designated as forest land per chapter 84.33 If claiming an exemption,list WAC number reason for exemption: RCW? ❑ is this property classified as current use(open space,farm and ❑ ® agricultural,or timber)land per chapter 84.34? WAC No.(Section/Subsection) is this property receiving special valuation as historical CI ® property per chapter 84.26 RCW? Reason for exemption If any answers are yes,complete as instructed below. Type of Document Statutory Warranty 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 May 17,2016 classification as current use (open space, farm and agriculture, or timber) land,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. Gross Selling Price $ 63,000.00 If the land no longer qualifies or you do not wish to continue the designation *Personal Property(deduct) $ or 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 Exemption Claimed(deduct) $ No 84.33.140 or RCW 84.34.108). Prior to signing(3)below,you may contact your local county assessor for more information. Taxable Selling Price $ 63,000.00 Excise Tax: State $ 806.40 This land ❑does ❑does not qualify for continuance Local $ 315.00 *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) Subtotal $ 1,121.40 NEW OWNER(S): To continue special valuation as historic property, sign(3)below. If the new owner(s)do 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 $ 1,126.40 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 AND CORRECT Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Alent Name(print) Joab Eades Name(print) Nicholas Yelaca 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(1C). REV 84 0001a(04/30/09) THIS SPACE—TREASURER'S USE ONLY COUNTY TREASURER EXHIBIT A That portion of Eisenbeis Bay View Addition as recorded in Volume 2 of Plats, page 54, records of Jefferson County, Washington, including streets and alleys as vacated by Jefferson County Superior Court Cause No. 05-2-000382-0 being a portion of Section 16, Township 30 North, Range 1 West, W.M., Jefferson County, Washington, described as follows: Beginning at the Southwest corner of said Section 16; Thence South 88° 15' 53"East along the South line thereof, also being the South line of said Eisenbeis Bay View Addition, a distance of 60.65 feet; Thence North 00° 55' 12" East, a distance of 263.89 feet to the true point of beginning; Thence continuing North 00° 55' 12" East, a distance of 134.00 feet; Thence South 88° 16' 49"East, a distance of 140.03 feet; Thence South 00° 55' 12" West, a distance of 134.02 feet; Thence North 88° 16' 12"West, a distance of 140.03 feet to the true point of beginning. Also known as Parcel S of"Louisa Street Estates" a survey recorded August 31, 2006 under Recording No. 515101 in Volume 31 of Surveys, pages 3 thru 5, records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington.