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HomeMy WebLinkAbout79868 liii lii, . S ii.`4rT r.,xJ : r` PLEASE TYPE OR PRINT REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt when stamped PLEASE SEE REVERSE by cashier. CHAPTER 82.45 RCW-CHAPTER 458-61 WAC . For Use at County Treasurer's Office (Use Form No. 84-0001B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED ElName George L. Gatchet ".....* B Name Charles W. Wilson. Trustae ..".• • i ceS Patricia C. Gatchet ./... 71$00MMOmeidurmar wd Street 611 Bache 1 or Road Street 2291 Old Gardiner Road �'0 Gardiner, WA 93334 P°0 City/State/Zip City/State/Zip a iU1f, t-iA 98362 ©ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERSTY:TRtr,A${1RER:PL :::z Same as grantee above o5 Name Aportion �5 f - 0 OG2- , J..G ff -I V G3 I St eet 'i }'ii5 / C1Y t State/Zi P 4 LEGAL DESCRIPTION OF PROPERTY SITUATED IN.1,4 UNINCORPORATED :re f f er a on COUNTY ❑ OR IN CITY OF Street Address (if property is improved): Ptn of SW NW 35-30-2 , Jefferson County, WA LEGAL DESCRIPTION ATTACHED HERETO MARKED "EXHIBIT A" AND BY THIS REFERENCE MADE A PART HEREOF. 1F 5Si(C1 0� 5e-7t3Crcoo- u•cal'v�'DuAv4-pis i is ctev2— SttpU(,6 NOT HSE P2or-E55 ,0 1 0 Is this property currently: YES NO 6 Description of tangible personal property if included in sale (furniture, Classified or designated as forest land? ❑ appliances, etc.) Chapter 84.33 RCW Classified as current use land (open space, farm ❑ g and agricultural, or timber)? Chapter 84.34 RCW Exempt from property tax as a nonprofit ❑ ( If exemption claimed, list WAC number and explanation. organization? Chapter 84.36 RCW 458-61-235 Seller's Exempt Reg. No. — WAC No. (Sec/Sub) Receiving special valuation as historic ❑ . Explanation Boundary Line property? Chapter 84.26 RCW Adjustment Property Type:,,land only 0 land with new building 0 land with previously used building 0 land with mobile home Type of Document fki i t i 1 a i i Dued 0 timber only 0 building only Date of Document -7 - .3" Principal Use: 0 Apt. (4 + unit) $ residential ❑ timber 0 agricultural ❑ commercial/industrial Gross Sale Price $ 0.00 ❑ other Personal Property (deduct) $ 0-0171 8 (1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) Taxable Sale Price $ O.00 Excise Tax: State $ 0.00 If the new owner(s)of land that is classified or designated as current use Local $ 0• 0 or forest land wish to continue the classification or designation of such land,the new owner(s)must sign below.If the new owner(s)do not desire Delinquent Interest: State $ to continue such classification or designation, all compensating or addi- Local $ tional tax calculated pursuant to RCW 84.33.120 and 140 or RCW Delinquen ' natty: State $ 84.34.108 shall be due and payable by the seller or transferor at the time of sale.The county assessor must determine if the land transferred qualifies Total Due $ to continue classification or designation and must so indicate below. THERE . A$2.00 FEE OR PROCESSING THIS FORM IF NO�TAX IS DUE Signatures do not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the corn- U AFFIDAVIT pensating taxes will be applied. All new owners must sign. I certify tun'er penalty of perjury under the laws of the state of This land 0 does ❑does not qualify for continuance. Washington that the foregoing is true and correct(See back of this '' form). Date Signature of /� ,( y 4 4 DEPUTY ASSESSOR � `,. '•' ) "s '— Grantor/Agent ---et-7 d 6----.//i.-- 7 '//i. -- (2) NOTICE OF COMPLIANCE(Chapter 84.26 RCW) Name (print) George Gatchet If the new owner(s)of property with special valuation as historic property s wish to continue this special valuation the new owner(s)must sign below. Date & Place of Signing f �� , ,_1 t y If the new owner(s)do not desire to continue such special valuation, all , '. additional tax calculated pursuant er Chapter 84.26 RCW, shall be due Signature of // �ti' � � �I�%�0 `: and payable by the seller or transferor at the time of sale. Grantee/Age (3) OWNER(S) SIGNATURE Name(print) Charles W. Wilson, Trus /ee - `. Date & Place of Signing c 7- 1 - G - ..cti,-,-.. -, Perjury: Perjury is a class C felony which is punishable by imprisonment in a 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($5,000.00),or by both imprisonment and fine (RCW 9A.20.020 (1C)). REV 84 0001a(6-16-95)(PD 8-22-95) FOR TREASURER'S USE ONLY COUNTY ASSESSOR P'I'-8485 exawe ) — -`. (:) 1 6,-7, (Continued) That portion of the following described real property lying Northerly of Gerard County Road (now known as Bachelor Road) : The North 21 feet in width of the West 20 feet in width of the East 920 feet of the Southwest on quarter of the Northwest one quarter of Section 35 in the Township 30 North, Range 2 West, W.M. , Jefferson County, Washington, as conveyed by deed recorded June 13, 1991 under Auditor' s File No. 341133. Situate in County of Jefferson, State of Washington. 7 C LAND TITLE COMPANY This Space$oQrvea For edict Er'c TTce. OF OFFICIAL RECORDS r E OF Filed for Record at Request of 392799 AFTER RECORDING MAIL TO: DONO A H. ELDRlDGE JEFFERSON COUNTY AUDITOR Name LTE/S tPUTY Address City, State, Zip 5697 PT-8485 Quit Claim Deed THE GRANTOR George L. Gatchet and Patricia C. Gatchet, husband and wife for and in consideration of Boundary Line Adjustment conveys and quit claims to Charles W. Wilson, Trustee under that certain Revocable Trust Agreement dated July 25, 1974 the following described real estate, situated in the County of Jefferson State of Washington, together with all after acquired title of the grantor(s) therein: That portion of the following described real property lying Northerly of Gerard County Road (now known as Bachelor Road) : The North 21 feet in width of the West 20 feet in width of the East 920 feet of the Southwest on quarter of the Northwest one quarter of Section 35 in the Township 30 North, Range 2 West, W.M. , Jefferson County, Washington, as conveyed by deed recorded June 13, 1991 under Auditor's File No. 341133. Situate in County of Jefferson, State of Washington. This document is given to correct that certain Deed recorded June 13, 1991 under Auditor's File No. 341133,that was given in error. AFFERsOtt_ICOUottarellie Aff. No. oatR coma. Date w g, /z',, TREASURER eorge L atchet Patricia C. Gatchet State of Washington County of Clallam I certify that I know or have satisfactory evidence that George L. Gatchet and Patricia C. Gatchet is/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 for the us-: purposes mentioned in this instrument. DATED: 7 -3 — �� ' ,1:�- S' nature of Notary Public Minted Name of Notary JUNE A_Argn_gryoN My commission expires: / - OFFICW.SEAL JUNE A.ANDERSON Notary y Public—atm dWadi estM Aly Commiubm Nine I22S4$ VOL LPB-12 -555 '►+.rit JUL 0 5 1996