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REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt
PLEASE TYPE OR PRINT when stamped by cashier.
CHAPTER 82.45 RCW—CHAPTER 458-6IA WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ARE FULLY COMPLETED
(See back of last page for instructions)
File No.58136LS
❑Check box if partial sale of property If multiple owners,list percentage of ownership next to name
1. Name Kristen Powell as Successor Trustee of the Albert C. Name David R.Kraft and Michelle L.Kraft,husband and
Anderson,Jr. 1993 Revocable Trust dated June 14, wife
1993
x O Mailing Address 1203 E.Huron Dr. cG w Mailing Address PO Box 2767
z >- z
Lo City/State/Zip Spokane,WA 99208 City/State/Zip Issaquah,WA 98027
Phone No.(including area code) (509)251-6300 Phone No.(including area code) (206)999-4195
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 David R. Kraft 901 182 010/21814 ❑ 341,051
Mailing Address PO Box 2767 IoX /0 // e1�/C) fl JP l l ❑
City/State/Zip Issaquah,WA 98027 717,( (JO ❑
Phone No.(including area code) (206)999-4195 ❑ n'}( ✓
® Street address of property: 32 Orcas View Trail,Port Townsend,WA 98368 f
This Property is located in®unincorporated Jefferson County OR within 0 city of Port Townsend
0 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): 11 0 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? 0 0
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 11,2016
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 $ 490,000.00
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 $ 490,000.00
This land 0 does 0 does not qualify for continuance Excise Tax: State $ 6,272.00
Local $ 2,450.00
*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 $ 8,722.00
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 $ 8,727.00
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
Albert C.Anderson,Jr. 1993 Irre. scable Trust
Name(print) dated June 14, 1993 — 'lie t ;pL I LI l' / Name(print) David R.Kraft
Date&city of signing: -- Ag: v .r. f 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 84 0001a(04/30/09) THIS SPACE—TREASURER'S USE ONLY COUNTY TREASURER
t.10 Oepartetwrit at
evenue
Wnorgop
REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt
PLEASE TYPE OR PRINT when stamped by cashier.
CHAPTE.R 82.45 RCW—CHAPTER 458-61 A WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ARE FULLY COMPLETED
(See back of last page for instructions)
File No,58136LS
0 Cheek box if partial sale of property limultiple owners,list percentage of ownership next to name
I. Name Kristen Powell As Successor'Trustee of the Albert C. 2. Name David R.Kraft and Michelle L. Kraft,husband and
Anderson.Jr. 1993 Revocable Trust dated June 14, wife
1993
rze 9 Mailing Address 1203 E.Huron Dr. cc ;I/ Mailing Address PO Box 2767
< City/State/Zip Spokane.WA 99208 City/State/Zip Issaquah,WA 98(127
Phone No..(including arca code) (509)251-6300 ' Phone No.(including area code) (206)999-4195
--
3. Send all property tax correspondence to: 0 Same as Buyer/Grantee List all real and personal tax parcel account
Listed assessed value(s)
numbers—cheek box if personal property
Name David R. Kraft 901 182 010/21814 0 341,051
Mailing Address PO Box 2767 0
City/State/Zip Issaquah,WA 98027 0
Phone No.(including area code) (206)999-4195 0
® Street address of property: 32 Orcas View Trail,Port Townsend,WA 98368
This Property is located in Z unincmporated Jefferson County OR within 0 city of Port Townsend
0 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 play attach a separate sheet to each page of the affidavit)
SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF FOR COMPLETE LEGAL DESCRIPTION
Mal Select Land Use Code(s): 11 7. 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)? 0 0
U YES NO
Is this property designated as forest land per chapter 84.33 If claiming art exemption,list WAC number reason for exemption:
RCA'? 0 0
Is this property classified as current use(open space,farm and 0
agricultural,or timber)land per chapter 84.34? WAC No.(Section/Subsection)
Is this property receiving special valuation as historical 0 0
property per chapter 84.26 RCW? Reason for exemption
If any answers are yes.complete as instructed below.
Type of Document Statutory Warranty Deed
(I)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land or Date olDocument May 11,2016
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 $ 490,000.00
If the land no longer qualities or you do not wish to continue the designation *Personal Property(deduct) $
or classification,it will he removed and the compensating or additional taxes
will be due and payable by the seller or transferor at the lime 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 $ 490,000.90
Excise Tax: State 5 6,272.00
This land 0 does does not qualify for continuance
Local $ 2,450.00
*Delinquent Interest: State $
Local S
DEPUTY ASSESSOR DATE *Delinquent Penalty $
(2)NOTICE OF COMPLIANCE(HISTORIC:PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, Subtotal S 8,722.00
sign(3)below. lithe new owner(s)do not wish to continue,all *State Technology Fee 5.01)
additional tax calculated pursuant to chapter 84.26 RCW.shall be due and
payable by the seller or transferor at the time of Silk% *Affidavit Processing Fuc S
(3) OWNER(S)SIGNATURE Total Due S 8,727.00
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 Signatuic of
Grantor or Grantor's Agent Grantee or Grantee's Agent X '
Albert C.Anderson,Jr. 1993 Irrevocable Trust
Name(print) dated June 14,1993 Name(print) David R. KJ,.-af
Date&city of signing: Date&city of signing - 44"
Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a IlliJX111111111 term of not more than five years.or by
a fine in an amount fixed by the court of not mole than five thousand dollars(S5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC).
REV 84 000Ia(04/30/09) THIS SPACE—TREASURER'S USE ONLY COUNTY TREASURER
EXHIBIT A
Parcel A:
Parcel 1 of Parcel A:
That portion of"Newton's Donation Land Claim" in Section 18, Township 29 North, Range 1 West, W.M., in
Jefferson County, Washington, described as follows:
Beginning at the Northwest corner of said Section 18;
thence along the Section line South 1° 30' 23" West 853.52 feet;
thence North 87° 34' 17" East 371.35 feet to a point on the Easterly right of way of Highway No. 101;
thence along said right of way South 14° 31' 02" West 562.54 feet to the True Point of Beginning;
thence continuing along said right of way South 14° 31' 02" West 60.03 feet;
thence North 87° 54' 17" East 438.02 feet to the balanced Government meander line of Discovery Bay;
thence along said meander line North 18° 35' 55" West 60.00 feet;
thence South 87° 54' 17" West 403.81 feet to the True Point of Beginning;
TOGETHER WITH tidelands as conveyed by the State of Washington, situate in front of, adjacent to and abutting
thereon;
TOGETHER WITH the Chicago, Milwaukee, St. Paul and the Pacific Railroad Company's right of way abutting said
Parcel 1, as originally conveyed by instrument dated August 2, 1913 and July 28, 1919 and recorded in Volume 82 of
Deeds, page 323 under Auditor's File No. 44689 respectively and as conveyed by Quit Claim Deed recorded under
Auditor's File No. 330654 from Chicago, Milwaukee Corp., recorded May 11, 1990, records of Jefferson County,
Washington;
EXCEPTING right of way of Old Gardiner Road
Parcel 2 of Parcel A:
That portion of"Newton's Donation Land Claim" in Section 18,Township 29 North, Range 1 West, W.M., in
Jefferson County, Washington, described as follows:
Beginning at the Northwest corner of said Section 18;
thence along the Section Line South 1° 30' 23" West 853.52 feet;
thence North 87° 54' 17" East 371.35 feet to a point on the Easterly right of way of Highway No. 101;
thence along the said right of way, South 14° 31' 02" West 622.57 feet to the True Point of Beginning;
thence continuing along said right of way, South 14° 31' 02"West 60.04 feet;
thence North 87° 54' 17" East, 472.23 feet to the balanced Government meander line of Discovery Bay;
thence along said meander line North 18° 35' 35" West, 60.00 feet;
thence South 87° 54' 17" West 438.02 feet to the True Point of Beginning;
TOGETHER WITH tidelands as conveyed by the State of Washington, situate in front of, adjacent to and abutting
thereon;
TOGETHER WITH the Chicago, Milwaukee, St. Paul and the Pacific Railroad Company's right of way abutting said
Parcel 2, as originally conveyed by instrument dated August 2, 1913 and July 28, 1919 and recorded in Volume 82 of
Deeds, page 323 under Auditor's File No. 44689 respectively and as conveyed by Quit Claim Deed recorded under
Auditor's File No. 330654 from Chicago, Milwaukee Corp., recorded May 11, 1990, records of Jefferson County,
Washington;
EXCEPTING right of way of Old Gardiner Road.
All situate in the County of Jefferson, State of Washington.