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HomeMy WebLinkAbout125473 C) 7 Department ofre - 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) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. 0 Name Dennis James Lenton. Personal Representative of ■ Name Dennis James Lenton o the Jean McClatrhey Lenton Fstate w aMailing Address 2307 Rosecrans St. w H Mailing Address 2307 Rosecrans St. v)0 City/State/Zip Port Townsend. WA 98368 g City/State/Zip Port Townsend WA 98368 Phone No.(including area code)(360) 385-2531 Phone No.(including area code)(360)385-2531 List all real and personal property tax parcel account ® Send all property tax correspondence to:El Same as Buyer/Grantee List assessed value(s) numbers-check box if personal property Name 956300704 ID 29936 0 30.690 Mailing Address El City/State/Zip n Phone No.(including area code) El 131 Street address of property: �� " This property is located in Jefferson County b. ❑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 Legal Description 11114 Select Land Use Code(s): III List all personal property(tangible and intangible)included in selling 3-Aircraft transportation = price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ ❑r chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? ® 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) 458-61A-217-1 Is this property classified as current use(open space,farm and 0 0 Reason for exemption agricultural,or timber)land per chapter 84.34 RCW? is this property receiving special valuation as historical property 0 0 To correct legal description on deed 599074- Affidavit#75420 125313 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 4/26/16 classification as current use(open space,farm and agriculture,or timber)land Gross Selling Price $ 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) $ 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. r 0.0050 Local $ 0.00 This land ❑does ❑does not qualify for continuance. *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 $ 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 payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ 5.00 (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS © I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING iS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent 01.-4^--- Name(print) Susan J.Allen, agent Name(print) Susan J. Allen, agent Date&city of signing:S.—A.6-fk Po„$I P Date&city of signing: .5—.2(o-VA- t 0-144-644. 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(01/04/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURE'I�1 755844 125473 *5,126/2016 10.00* t 125� ' � 4. . 1 Unit #4-G Site "G" Hangar at JCIA, a condominium recorded in Vol . 2 of Condominiums, Pgs . 75-78, recording #388401 and any amendments to the declaration thereof . Lessor: Port of Port Townsend, a Municipal Corporation Lessee : Victor 0. Gray & Paula E . Gray, Husband and Wife Term: 40 years beginning June 10, 1997 and ending June 9, 2037 Recorded: November 18, 1997 File#405452 Vol . 592 page 231-248 Parcel#956 300 704