Deed - 2101 Marina Blvd - File 357, 1958-0312

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BOE-502-A (BACK) REV. 4 (8-02) 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." PART III: PURCHASE PRICE AND TERMS OF SALE A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs) Amount $ 0.00 B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amount $ 0 . 00 ❑ FHA( Discount Points) ❑ Fixed rate ❑ New loan ❑ Conventional ❑ Variable rate ❑ Assumed existing loan balance ❑ VA ( Discount Points) ❑ All inclusive D.T. ($ Wrapped) ❑ Bank or savings & loan ❑ Cal -Vet ❑ Loan carried by seller ❑ Finance company Balloon payment ❑ Yes ❑ No Due Date Amount $ C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amount $ 0.00 ❑ Bank or savings & loan ❑ Fixed rate ❑ New loan ❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance Balloon payment ❑ Yes ❑ No Due Date Amount $ D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ❑ Yes ❑ No Amount $ 0 . 00 Type @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) ❑ Bank or savings & loan ❑ Fixed rate ❑ New loan ❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance Balloon payment ❑ Yes ❑ No Due Date Amount $ E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑ Yes ❑ No Outstanding Balance: Amount $ 0.00 F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid) TOTAL ITEMS A THROUGH E 1 $ 0.00 G. PROPERTY PURCHASED ❑ Through a broker ❑ Direct from seller ❑ From a family member XXOther (please explain):Legis lative Gpvt . If purchased through a broker, provide broker's name and phone number: action Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale: Agency to dispose of property and remit proceeds to City upon sale... PART IV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: ❑ Single-family residence ❑ Multiple -family residence (no. of units: WI,Commercial/Industrial Other (Description: i.e., timber, mineral, water rights, etc. ❑ Agricultural ❑ Co-op/Own-your-own ❑ Condominium ❑ Timeshare ❑ Manufactured home ❑ Unimproved lot B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes kkNo If yes, enter date of occupancy / , 20 or intended occupancy / 20 . (month) (day) (year) (month) (day) (year) C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.) (other than a manufactured home subject to local property tax)? ❑ Yes 5aoo If yes, enter the value of the personal property included in the purchase price $ (Attach itemized list of personal property.) D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ❑ Yes No If yes, how much of the purchase price is allocated to the manufactured home. Is the manufactured home subject to local property tax? ❑ Yes ❑ No What is the decal number? E. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes XX No If yes, is the income from: ❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other (please explain): F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? ❑ Good ❑ Average U Fair ❑ Poor Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in determining the value of the property: Former fire station, currently vacant. Not seismically sound. CERTIFICATION OWNERSHIP TYPE (✓) Proprietorship p I certify that the foregoing is true, correct and complete to the best of my knowledge and belief. Partnership ❑ Corporation This declaration is binding on each and eve co-owner and/or partner. g every Other ❑ NAME OF TRANSFEREE OR OFFICER OF TRANSFEREE (typed orprinled) TITLE City Manager/Executive Dir. SIGNATURE OFT R OR-OFFICER-OF-TRANSF-EREE— DATE October 27 2003 _ NAME OF I (N ed or printed) FEDERAL EMPLOYER ID NUMBER c 't-i' of San Leandro Redevelopment Agency 94-6000421 ADDRESS (typed or printed) TELEPHONE NUMBER _...—_. DATE 835 East 14th Street (510) 577-3311 October 27, 2003 .. . (NOTE: The Assessor may contact you for additional Information.) If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20).