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HomeMy WebLinkAbout125457 Department ofre? r K/ - t- " � Revenue L/ 3 -' ' Washington State l .' - REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt - PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61 A WAC when stamped by cashier. / _ THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED 3-`f__Ys (See back of last page for instructions) `n \ ❑ Check box if partial sale of property N` 61.� -7i mite CJS-- -__te. /3� 0 Name Stanley E. Germeau a/k/a Stan Germeau © name Stanley E. and Betty W. Germeau Revocable p`y`ti `t- x o w Living Trust dated0.,� 01 1 ��\� az Mailing Address 811 W Carson Street Mailing Address 811 W Carson Street 8 city/state/zip Centralia. WA 98531 ei Q city/state/zip Centralia. WA 98531 Phone No.(including area code) Phone No.(including area code) List all real and personal property tax parcel account Send all property tax correspondence to:0 Same as Buyer/Grantee List assessed value(s) numbers-check box if personal pro erty Name 602352018 TL-T ?+ I. ( /2J. 13625 `� Mailing Address 802352012 -)� 3. n 124200 City/State/Zip 602352005 N l'R h-4) /1!'LU n 74949 Phone No.(including area code) n al t O.f)V 5 Street address of property: 305624 Highway 101,Brinnon 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) See attached. Select Land Use Code(s):Ell 5 List all personal property(tangible and intangible)included in selling 93-Water areas price. enter any additional codes: 11-Single res;88-Desig forest land None (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)? 1 6 YES NO If claiming an exemption,list WAC number and reason r xem tion: / Is this property designated as forest land per chapter 84.33 RCW? 0 0 WAC No. (Section/Subsection) 458-61 A-211 J a a Is this property classified as current use(open space,farm and 0 0 Reason for exemption a agricultural,or timber)land per chapter 84.34 RCW? p Transfer to revocable living trust Is this property receiving special valuation as historical property 0 0 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) NEW OWNER(S):To continue the current designation as forest land or Date of Document 5 /1 /2_a( classification as current use(open space,fann and agriculture,or timber)land, you must sign on(3)below.The county assessor must then determine if the Gross Selling Price $ 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 84.34.1 08).Prior to signing(3)below,you may contact Excise Tax: State $ 0.00 your local county ssor for more information. 0.0050 Local $ 0.00 \TInn does ❑does n qualify for continuance. / *Delinquent Interest: State $ � � ���tP 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 0 payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 ly- - PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX '"SEE INSTRUCTIONS UI CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of ,r Signature of s Grantor or Grantor's Agent )(5-t: ( ccu c_ Grantee or Grantee's Agent X7G^lC � . ‘2=2414.0..4+404.- Name s,ea4.4.-Name(print) g-4,1'u I (6t''ll�l t-i_ Name .511-,,,,,bel. �� � (punt) 6Q�C"�t%l�772L°�.,u�./ Date&city of signing: L&v )- ;�.. /�?/1(® Date&city of signing: Cowl x-C i._ 6/ /hie 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.20.021(I)(C)). REV 84 0001a(05/21/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER i 3,_, _ . t LEGAL DESCRIPTIONS Parcel No. 602352018: The South half of the tidelands of the second class, suitable for the cultivation of oysters, as conveyed by the State of Washington, situated in front of, adjacent to, and abutting upon said Government Lot 2; EXCEPT that portion of said tidelands lying within Tract 1 of the Brinnon State Oyster Reserve, and EXCEPT those tidelands of the second class,suitable for the cultivation of oysters, as described in Volume 105 of Deeds, page 4, under Auditor's File No. 73510, and designated as Tideland Tax "K"; the tidelands herein conveyed being designated on the County Assessor's Plat and Description Book as Tideland Tax "I" in said Section 35; all situated in the County of Jefferson, State of Washington. SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. Parcel No. 602352012: A tract of land lying in Government Lot 2, Section 35, Township 26 North, Range 2 West, W.M., more particularly described as follows: BEGINNING at the Section corner common to Sections 27, 26, 34 and 35, Township 26 North, Range 2 West, W.M., a 1" iron pipe, thence North 89°10'04" East, 2722.46 feet to the Quarter % Section corner common to said Sections 26 and 35; thence South 48°06'12" West, 975.47 feet to the True Point of Beginning of this description; thence South 30°21'20"West, 339.53 feet;thence South 59°38'40" East, 480.00 feet, more or less, to the Westerly right-of-way line of P.S.H.#9; thence northerly along said right-of-way line to a point which bears South 59°38'40" East from the True Point of Beginning; thence 400 feet, more or less,to the True Point of Beginning. (Said Tract contains 3.32 acres more or less.) SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. Situate in the County of Jefferson, State of Washington. Parcel No. 602352005: The North half of the Northwest quarter of the Northwest quarter, Section 35,Township 26 North, Range 2 West, W.M., all in the County of Jefferson, State of Washington, containing 20 acres more or less. EXCEPTING that portion of the right of way for the B.P.A. power line. SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. RETURN TO: Marc Wheeler 107 N. Tower, #17 Centralia, WA 98531 QUIT CLAIM DEED REFERENCE NUMBER of related documents : None GRANTOR : Germeau, Stanley E., a/k/a Germeau, Stan GRANTEES : Germeau, Stanley E. and Germeau, Betty W., in their capacities as Trustees of the Stanley E. and Betty W. Germeau Revocable Living Trust dated 57 q /:�-0 t w LEGAL DESCRIPTION : S35 T26 R2W TL TAX I (S '/2) WITH EASEMENT; and S35 T26 R2W TAX 32; and S35 T26 R2W N1/2 NW NW SUBJ TO EASEMENT ASSESSOR'S TAX PARCEL NUMBER : 602352018, 602352012, 602352005 The Grantor, Stanley E. Germeau a/k/a Stan Germeau, for and in consideration of transfer to a revocable living trust, and no other consideration, conveys and quit claims to the Grantees, Stanley E. Germeau and Betty W. Germeau, in their official capacities as Trustees of the Stanley E.and Betty W. Germeau Revocable Living Trust dated 0111 9(/ 2vtc',the following described real estate, situated in Jefferson County, Washington, including any interest subsequently acquired by Grantor: 1 Quit Claim Deed Grantor: Germeau, Stanley E. Grantee: Germeau, Stanley E. and Betty W., Trustees Parcel No. 602352018: The South half of the tidelands of the second class, suitable for the cultivation of oysters, as conveyed by the State of Washington, situated in front of, adjacent to, and abutting upon said Government Lot 2; EXCEPT that portion of said tidelands lying within Tract 1 of the Brinnon State Oyster Reserve, and EXCEPT those tidelands of the second class, suitable for the cultivation of oysters, as described in Volume 105 of Deeds, page 4, under Auditor's File No. 73510, and designated as Tideland Tax "K"; the tidelands herein conveyed being designated on the County Assessor's Plat and Description Book as Tideland Tax "I" in said Section 35; all situated in the County of Jefferson, State of Washington. SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. Parcel No. 602352012: A tract of land lying in Government Lot 2, Section 35, Township 26 North, Range 2 West, W.M., more particularly described as follows: BEGINNING at the Section corner common to Sections 27, 26, 34 and 35, Township 26 North, Range 2 West, W.M., a 1" iron pipe, thence North 89°10'04" East, 2722.46 feet to the Quarter Section corner common to said Sections 26 and 35; thence South 48°06'12" West, 975.47 feet to the True Point of Beginning of this description; thence South 30°21'20" West, 339.53 feet; thence South 59°38'40" East, 480.00 feet, more or less, to the Westerly right-of-way line of P.S.H.#9;thence northerly along said right-of-way line to a point which bears South 59°38'40"East from the True Point of Beginning; thence 400 feet, more or less,to the True Point of Beginning. (Said Tract contains 3.32 acres more or less.) SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. Situate in the County of Jefferson, State of Washington. 2 I F Quit Claim Deed Grantor: Germeau, Stanley E. Grantee: Germeau, Stanley E. and Betty W., Trustees Parcel No. 602352005: The North half of the Northwest quarter of the Northwest quarter, Section 35, Township 26 North, Range 2 West, W.M., all in the County of Jefferson, State of Washington, containing 20 acres more or less. EXCEPTING that portion of the right of way for the B.P.A. power line. SUBJECT TO and TOGETHER WITH covenants, easements and restrictions of record. DATED: /117 ' , 2016. ... .....i /7 Stanley . Germeau a/k/a Stan Germeau STATE OF WASHINGTON ) ) ss. County of Lewis ) I certify that I know or have satisfactory evidence that Stanley E. Germeau a/k/a Stan Germeau, is the person who appeared before me, and said person acknowledged that he signed this instrument and acknowledged it to be his free and voluntary act for the uses and purposes mentioned in the instrument. DATED: /k'5 1 , 2016. s'-'. ., ` •` NOTARY PUBLIC in and for the State of z} u,� Washington residing at CENTRALIA. My comm. expires: 9/5/2019 Printed name: MARC WHEELER 3