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HomeMy WebLinkAbout125483 i Department of rta Revenue • Washington State 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 (See back of last page for instructions) ❑ Check box if partial sale of property if multiple owners,list percentage of ownership next to name. fl Name 64(4,Atn It' T-tf uo TTS A+- P6GG4 A lNuo7'E © Name _RA - ' /Nvo IE a , Tflvv //J x ih,5 6A,a!,ro At—to ltirrE w cf riilelsEloi..Dt Pizoi4r�cTneisr�i44T11too-tareibili p)4, tx 0 c4 w z Mailing Address 2o 3 5EA W+A4 l-'LAsB 2Mailing Address .203 SirA ✓.aY fPL.Ac_e 8 City/State/Zip Pa .i Lvt3 LauS1 WA 94334.5 ,m g City/State/Zip Pe/tT L v*lov r1ilA 983t.5 Phone No.(including area code) 34o-Y37—OS 63 Phone No.(including area code) 3120-'137-D863 1 © 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 pers nal property 1i Name 1 •)11)° O -7D5aq9 31 3)i 1,td Mailing Address n City/State/Zip n Phone No.(including area code) El CIStreet address of property: This property is located in Jefferson County ❑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,)ou ma attach a separate sheet to each page.of the affidavit I ul \--c *.65 , i '16 " fri iN X2. ' `Yin, 41 Cr✓`b.)`t :5 (1f1 l 1 i UfyL affidavit) fIJ V3L, 5,L).., 6F cz. .) bo m i Pv I u1/4.1A- PC , ,3hQ `t q : In Coc,.4>i Nc, 416 c +so i--1k.)b r-N\t 01r)' � �I to -TH'< (Y(11-A1P inti ( HERE 6F . ( \{6i_.1,a,v€ �>Z a co 1,;, s Ph6E Bs)., \L,t,\ L.. i\ ,tc;.(.,,,, a 1)90 Select Land Use Code(s):IF III 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)? © If claiming an exemption, list WAC number and reason for exemption: YES NO � / Is this property designated as forest land per chapter 81.33 RCW? 0 0 WAC No. (Section/Subsection) C7 Se 'tA ; -211 .2. w) Is this property classified as current use(open space,farm and 0 ❑✓ agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption iQ,t�S{G/2 %v �C✓OCAr3cc LIV�JG i�✓57 Is this property receiving special valuation as historical property 0 0 per chapter 84,26 RCW? STA I.' If any answers are yes,complete as instructed below. Type of Document ]r2,Toj y 1 AizizA tITY t EE) (1)NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document D i (t-j,I classification as cun•ent 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 84.33.141)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. 0.0050 Local $ 0.00 This land 0 does 0 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 I2CW,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 III CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent / 'AMP _ Grantee or Grantee's Agent_ _ 1vh�{'' Name(print) 6E/AL,D a `yVa7TE Name(print) I?E:66'=f Pl i-.)U0 f l Date&city of signing: 9/20d. Jolt,'1 1J5rr-.4,3 Date&city of signing: /..,-i blin t' Pat.( I c wti k,)sf ioN;(-01-1 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(12f_"W 9A.2.0.020(I C)). REV 84 0001a(01/04/16) THiS SPACE-TREASURER'S USE ONLY COUNTY TREASURER M 599616 PGS : 2 SI4Q 05/26(2016 12:40 PM $74.00 GERALD THUOTTE & PEGGY THUOTTE Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor ■IIII ar���leih�lieelti�'ii.R I AIi' ILlatiliiKnici,Carron.. ii AFTER RECORDING MAIL TO: Name LAW OFFICE OF ROBERT C.PITTMAN Address 1019 Regents Blvd.,Suite 201441111111111 City/State FIRCREST,WA 98466 O Statutory Warranty Deed . Recorded at the Request of: ROBERT C. PITTMAN/The drafter assumes no responsibi tye I-:.al .. crip'on and stated title owner(s)herein which were supplied by the parties hereto. THE GRANTOR GERALD F. THUOTTE AND PEGGY • . r o T , ' SBAND AND WIFE, for and in consideration of TRANSFER TO REVD, •.: T' .S conveys and warrants to GERALD F. THUOTTE AND PEGGY A. THUOT :, 0 stees, . „ to successor trustees, of the GERALD AND PEGGY THUOTTE LIVING TRUST •ite. ar• 5, 2016, and any amendments thereto, the following described real estate, situated in •e , ty of JEFFERSON, State of Washington: 4411641/41, UNIT G6, SITE"G"HANGAR COND•,, :T JCIA,A CONDOMINIUM RECORDED IN VOLUME#2 OF lib II 9 . S,PAGES 88 THROUGH 90, ACCORDING TO THE DEC ►' NE'. OF,RECORDED UNDER JEFFERSON COUNTY RECW+ :' 405480 AND ANY AMENDMENT THERETO. SITUATE IN THE COUNT O:JE '•SON,STATE OF WASHINGTON. Assessor's Property Tax ' •.O A .o • . . ber(s): 99 O `t6 6-4 3 oa 7010 6$�7 1p Dated: ea(& (it, ,„,,,,N , 1 ,. _ ��.►..G moo / G x'71. D . ' OTTE 4, GGYI1\TOTTE Page 1 755963 12 401 *5/261)016;nth 10.09* 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. THUO1 Th 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 y r for the uses and purposes mentioned in this instrument. State o h� o MICHEL t GIVEN under my hand and official seal this : MY .•' ' S -1RES day of crnal�-- ,20 �� ,�ear�,ir 9. •19 WO,O NOTARY PUBLIC in and for the State of WASHINGTON My Commission Expires: /,i--D7411\ O/Y 0 0 411140 ). Page 2 L 7 JEFFERSON UMW QQt1NW EXX TM v,LRD,1-O__P A c r • Aif. 110. 0 8 9 6 6 4129' 3 0 0 rECOROS {}ate Paid7- $'-98 Amt LI::: 4l / I.98 JUL 28 Pik 1: 1 1 • IRfASU>Zl JEFFE... 2. : !UOIDOR -c, WHEN RECORDED RETURN TO Cr\t 1.%%1.1 , DEPUTY Lawrence"E. Nelson 3 F.O. Box 217 i Puyallup, WA 98371 STATUTORY WARRANTY DEE § . L THE GRANTOR LEE W.GRAYBILL and MODETTE A. GRAYBI , • if e now at all times, since November 21, 1997 k for and in consideration of TEN DOLLARS AND OTHER f• r CONSIDERATION . . in hand paid,conveys and warrants to GERALD F. T1 0 E an. PEGGY THtJOTTE, husband and wife ,.. r the following described real estate, situa .. . he C.0 • of Jefferson, State of Washington: t t e Unit #G5, Site "G" Hangar at JCI•, = con•o ,'nium recorded in s Vol. 592 of Condominiums, Pg. 360-'45, re•ording #405480 and any L amendments to the declaration thereo . •olume 2 of Condos, pageft 88) . k. Lessor: Port of Port Town - • a Municipal Corporation Lessee: Victor 0. Gray & Pa Gray, husband and Wife Term: 40 years beginning .•..e 4 .997 and ending June 9, 2037 1 Recorded: November 18, 1 9- 1 • File #405452 Vol. 592 p 3/12'; . . Parcel No. 95630074 I Dated this 17th day of July, 9': ` Ida ��'� , . /, ,y z G'.. e .; MODETTE A. GRA • 1,...•• r..M W. G' STATE O �• s.Ld ) 11%16, g County o� � 1 3 an thi a'Wpersonally appeared before me Lee W. Graybill and Monette z G ay me known to be the individuals described in and who executed T' thei hir. t d foregoing instrument, and acknowledged that they signed the i same as `he'r free and voluntary act and deed, for the uses and purposes I _ th-re . ment'oned. ssaony,, .<`'. "4A 4 'moi• s en under my�1 1 t. se.- this day of July, 1998. e�oli �ta. ��/. *- Notary P tic in and for • BETTY A.OAKES cille Stat.' of,7.6) ngt �� 'y9�`..°?&t.1b'5/4•.•.fesiding at 1f r•.•�G,`:W ` �.•My Commission expires: -/-95 L • • JUL ` 8 1Y98 616 520 VOL 'H.r • _ ----„,...,:.,,,:z.,,,...„..,,,1„,,,„...„,,,,,,_;:.,,„.. .