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BOE-502-A (FRONT) REV. 4 (8-02) <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />[To be completed by transferee (buyer) prior to transfer of subject property in accordance with section 480.3 of the <br />Revenue and Taxation Code.] A Preliminary Change of Ownership Report must be filed with each conveyance in <br />:ounty Recorder's office for the county where the property is located; this particular form may be used in all <br />unties of California. <br />THIS REPORT IS NOT A PUBLIC DOCUMENT <br />SELLER/TRANSFEROR: City of San Leandro <br />BUYER/TRANSFEREE:Red eve Iopment Agency of City of San Leandro <br />ASSESSOR'S PARCEL N LIM BER(S): 075-0148-005-00; 075-0148-006-01 <br />PROPERTY ADDRESS OR LOCATION: 1016 and 1040 Davis Street <br />MAIL TAX INFORMATION TO: Name: City of San Leandro - Redevelopment Agen <br />Address: 835 East 14th St., San Leandro, GA 945 <br />BS,,f`O <br />op A <br />OF Q <br />oG'lr OF P�a��o <br />ASSESSOR'S USE ONLY <br />N.S.P.: <br />C.E.: <br />APR.: <br />DATE: <br />Ey USE <br />NBHD <br />NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through <br />June 30. One-half of these taxes is due November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, and <br />the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. If this transfer occurs after <br />January 1 and on or before December 31, you may be responsible for the second installment of taxes due February 1. <br />The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Alameda County <br />Assessor. For further information on your supplemental roll obligation, please call the Alameda County Assessor at (510) 272-3782. <br />PART I: TRANSFER INFORMATION (please answer all questions) <br />YES NO <br />❑ E31 A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? <br />❑ Igi B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name <br />change upon marriage)? <br />❑ ki C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? <br />❑ Kc D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security <br />interest (e.g., cosigner)? <br />1-1 ff E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document? <br />19c F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? <br />n G. Does this transfer return property to the person who created the joint tenancy (original transferor)? <br />H. Is this transfer of property: <br />❑ ?9' 1. to a trust for the benefit of the ❑ Grantor ❑ Grantor's spouse? <br />❑ I9c 2. to a trust revocable by the transferor? <br />❑ 191 3. to a trust from which the property reverts to the grantor within 12 years? <br />❑ RJc I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? <br />❑ Rk *J. Is this a transfer between ❑ parent(s) and child(ren)? ❑ or from grandparent(s) to grandchild(ren)? <br />❑ ik *K. Is this transaction to replace a principal residence by a person 55 years of age or older? <br />Within the same county? ❑ Yes ❑ No <br />❑ U *L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and <br />Taxation Code section 69.5? Within the same county? ❑ Yes ❑ No <br />*If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your <br />property. If you do not file a claim, your property will be reassessed. <br />Please provide any other information that will help the Assessor to understand the nature of the transfer. <br />If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation <br />Code for any reason other than those listed above, set forth the specific exclusions claimed: <br />Please answer all questions in each section. If a question does not apply, indicate with "N/A."Sign and date at bottom of second page. <br />PART II: OTHER TRANSFER INFORMATION <br />A. Date of transfer if other than recording date September 15, 200 - RDA Res.2003-014 <br />B. Type of transfer (please check appropriate box): <br />❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition <br />X$ Contract of Sale — Date of Contract _ September 16, 2003 <br />❑ Inheritance — Date of Death ❑ Other (please explain): <br />❑ Creation of Lease ❑ Assignment of a Lease ❑ Termination of a Lease ❑ Sale/Leaseback <br />❑ Date lease began <br />❑ Original term in years (including written options) <br />❑ Remaining term in years (including written options) <br />Monthly Payment Remaining Term <br />C.Was only a partial interest in the property transferred? ❑ Yes ff No <br />If yes, indicate the percentage transferred %, <br />