Loading...
HomeMy WebLinkAbout125476 t -0 �fj Department of j f -7 ( 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. III 6ERA Name es.r TitL/0 rrT A+-+.1, 1kkGY A I Nuo7?E fl Name6014tF. 1/,l o vo7rE t 1°06Y4 THu. 7ufrdeS/ x N 0 ago A.-'o 1.0'far W cr At-t EI¢ALi Pay/Nport(isvr14-rev r eati/�ylo,� cL O c4W z Mailing Address 20 3 SeAw+AY ALAE z Mailing Address 203 SCA to-Alk y "LAc.E W v)c7 City/State/Zip Poier LuO LeuAA WA 9e355 m City/State/Zip Pear I.veic.J/\1A 993t,S Phone No.(including area code) 3ibo-Y37-09 Iva Phone No.(including area code) 3&oo-1-137-O 63 ® Send all property tax correspondence to: Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers-check box if per nal property Name 96-Z. /00 707 �Q0\ 1.59 ❑ 2`i)'1 ct,O Mailing Address n City/State/Zip n Phone No.(including area code) n 111 Street address of property: 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) ti turf 0 6 7 f 8 Sire'G 14 A. J6A/4 A-040 J -'A, A Co AJa o M/117)U"1 R6Go t PCr0 AQ VOL t..)Ake 592, of couOoMiyv/vMSi AtGE-S 310 - S'4F57 REG0d.4,rJ4 sce1/0gyg,tl Ad. a A&y A.A.1 a-.44,4) /erry"T$ o ii7 ( b c-�44✓t+r7,o,%) /�`fZ II!Select Land Use Code(s): 111 List all personal property(tangible and intangible)included in selling Select Land Use Codes 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 0 0 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 844.33 RCW? ❑ 0 WAC No. (Section/Subsection) 4/SS ~L.f A("•_211(2._at-) Is this property classified as current use(open space,farm and 0 0 Reason for exemption 7\CO,Y�� Y '� t�4.V V C.A. 3lE agricultural,or timber)land per chapter 84.34 RCW? Is this property receiving special valuation as historical property 0 0 per chapter 81.26 RCW? If any answers are yes,complete as instructed below. Type of Document Si An oR y WAgRA IJ-TY be-&"41::) (1)NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 3 ilt5 I(P classification as current use(open space,faun 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. 0.00 0.0050 Local $ This land 0 does ❑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 © I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. -� Signature of / Signature of � 0.� 1 _1� 1 Grantor or Grantor's Agent �-0„ /' _ Grantee or Grantee's( Agent - Name(print) 6EAt9L,D J` At/nvd7TE Name(print) 1 ESL'`( `1 (ac' Date&city of signing:.S29/2ojl //AT io r15 aJ Date&city of signing: 5C:,'- ', +)`G I"Ccci I c).. NI S€Pt\,LA 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 9.A.20.020(IC)). REV 84 0001a(01/04/16) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER :...:.,..T.: F.5 I:::::i4"76 4.5/26 y'20 I 6 1 iI1„!::!0:,•: D 1l41& 599616 PGS : 2 SWD 05/26/2016 12:46 PM $74.00 GERALD THUga & PEGGY THUOTTE Jefferson County WA Auditor's office Rose Ann Carroll, Auditor ill NrariatIONIVeldi,I.KiDKl'l 111JtiliiMk 11111 AFTER RECORDING MAIL TO: Name LAW OFFICE OF ROBERT C.PITTMAN Address 1019 Regents Blvd.,Suite 201 City/State FIRCREST,WA 98466 7/. Statutory Warranty Deed . Recorded at the Request of: ROBERT C. PITTMAN/The drafter assumes no responsibi ty, e I-!,al .-alp'on and stated title owner(s)herein which were supplied by the parties hereto. THE GRANTOR GERALD F. THUOTTE AND PEGGY • . r o'r , ' SBAND AND WIFE, for and in consideration of TRANSFER TO REVOV •.: T' .S , conveys and warrants to GERALD F. THUOTTE AND PEGGY A. THUOT :, stets, . • to successor trustees, of the GERALD AND PEGGY THUOTTE LIVING TRUST .:te. ar. 5, 2016, and any amendments thereto, the following described real estate, situated in 1 e • ty of JEFFERSON, State of Washington: • UNIT G6, SITE"G"HANGAR COND••4 :T JCIA,A CONDOMINIUM RECORDED IN VOLUME#2 OF Ce �:i 'I . S,PAGES 88 THROUGH 90, ACCORDING TO THE DEC ipplE1.4OF,RECORDED UNDER JEFFERSON COUNTY RE( i :' 405480 AND ANY AMENDMENT THERETO. SITUATE IN THE COUN O:JE :'SON,STATE OF WASHINGTON. Assessor's Property Tax O «•o • ► . ber(s):68I 006 "3t.3 oa 704, C 7 Dated: a(p (tom • 1 f,if� O • G3" • . D647' ' OTTE 1 I 44110 GGY * ;r+ OTTE Page 1 75584':3 1254881 *5/26/2016 10,00 599616 Page 2 of 2 05/26/2016 12:48 PM STATE OF WASHINGTON ) PLACE NOTARY SEAL HERE ss. COUNTY OF ) . I certify that I know or have satisfactory evidence that GERALD F. TI{UOTTE and PEGGY A. THUOTTE are the persons who appeared before me, and said persons acknowledged that they signed this instrument and acknowledged it to be their free and voluntary act No . b t - , for the uses and purposes mentioned in this instrument. % State o ht o MICHEL f GIVEN under my hand and official seal this—2C/1A- ; MY .• • S a - day of �Q - ,20 / . . `io.W'r'►9. '19 C-7441-let-41 0 NOTARY PUBLIC in and for the State of WASHINGTON My Commission Expires: /,1--&f�D/7 0 o 4likiiiii.C<> CaN)Page 2