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BOE-502-A (BACK) REV. 4 (8-02) <br />Please answer, to the best of your knowledge, all applicable questions, then sign and date. if a question does not apply, indicate with 'N/A. " <br />PART III: PURCHASE PRICE AND TERMS OF SALE <br />A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs) Amount $ 0 . 00 <br />B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amount $ 0- 00 <br />❑ FHA( Discount Points) ❑ Fixed rate <br />❑ New loan <br />❑ Conventional ❑ Variable rate ❑ Assumed existing loan balance <br />❑ VA ( Discount Points) ❑ All inclusive D.T. ($ Wrapped) ❑ Bank or savings & loan <br />❑ Cal -Vet ❑ Loan carried by seller ❑ Finance company <br />Balloon payment ❑ Yes ❑ No Due Date Amount $ <br />C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo <br />❑ Bank or savings & loan ❑ Fixed rate <br />❑ Loan carried by seller ❑ Variable rate <br />Balloon payment ❑ Yes ❑ No Due Date <br />_ $ (Prin. & Int. only) Amount $ 0 .00 <br />❑ New loan <br />❑ Assumed existing loan balance <br />Amount $ <br />D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ❑ Yes fi No <br />Type @ % interest for years. Pymts./Mo <br />❑ Bank or savings & loan ❑ Fixed rate <br />❑ Loan carried by seller ❑ Variable rate <br />Balloon payment ❑ Yes ❑ No Due Date <br />E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑ Yes KkNo <br />Amount $ 0 _ 00 <br />_ $ (Prin. & Int. only) <br />❑ New loan <br />❑ Assumed existing loan balance <br />Amount $ <br />Outstanding Balance: Amount $0 . 00 <br />F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid) <br />TOTAL ITEMS A THROUGH E $ 0 .00 <br />G. PROPERTY PURCHASED El Through a broker El Directfrom seller ElFrom a family member Other (please explain): eg �aive ovt . <br />If purchased through a broker, provide broker's name and phone number: action <br />A. <br />Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase <br />price and terms of sale: Agency to dispose of property and remit proceeds to City upon sale <br />PART IV: PROPERTY INFORMATION <br />TYPE OF PROPERTY TRANSFERRED: <br />❑ Single-family residence <br />Multiple -family residence (no. of units: <br />PgXommercial/industrial <br />❑ Other (Description: i.e., timber, mineral, water rights, etc.. <br />❑ Agricultural <br />❑ Co-op/Own-your-own <br />❑ Condominium <br />❑ Timeshare <br />❑ Manufactured home <br />❑ Unimproved lot <br />B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes nXNo <br />If yes, enter date of occupancy / , 20 or intended occupancy / 20 <br />(month) (day) (year) (month) (day) (year) <br />C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.) <br />(other than a manufactured home subject to local property tax)? ❑ Yes M14o <br />If yes, enter the value of the personal property included in the purchase price $ (Attach itemized list of personal property.) <br />D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ❑ Yes Mo <br />If yes, how much of the purchase price is allocated to the manufactured home? $ <br />Is the manufactured home subject to local property tax? ❑ Yes ❑ No What is the decal number? <br />E. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes )XNo If yes, is the income from: <br />❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other (please explain): <br />WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? <br />❑ Good ❑ Average Fair ❑ Poor <br />Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in <br />determining the value of the property: <br />Former fire station, currently vacant.and.sub•ject to demolition. Not seismically <br />CERTIFICATION <br />OWNERSHIP TYPE (✓) <br />PartnershipProprietorshipO <br />I certify that the foregoing is true, correct and complete to the best of my knowledge and belief. <br />❑ <br />Corporatlor� � <br />t�Oyt <br />This declaration is binding on each and eve co-owner and/or partner. <br />9 ry <br />Other . <br />NAME OF TRANSFEREE OR OFFICER OF TRANSFEREE (typed or printed) <br />TITLE <br />John J..Jermaiiis <br />City Manager/Executive Dii <br />SIGNATURE OF TRANSFEREE OFFIGER-OF TRANSFEREE <br />DATE <br />- <br />October 27, 2003 <br />NAME or printed) <br />FEDERAL EMPLOYER ID NUMBER <br />of San Leandro Redevelopment Agency <br />94-6000421 <br />ADORE ItI �ed <br />oia S t 14 t h Street <br />TELEPHONE NUMBER <br />DATE <br />SzA <br />(510) 577-3311 <br />October 27, 2003 <br />(NOTE: The Assessor may contact you for additional Information.) <br />If a document evidencing a change of ownership Is presented to the recorder for recordation without the concurrent filing of a preliminary <br />change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20). <br />