Deed - 1016, 1040, 1048 & 1052 Davis St - File D-1379, 2004

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BOE-502-A (Front) Rev. 5 (8-03) COUNTY ASSESSOR'S OFFICE PRELIMINARY CHANGE OF OWNERSHIP REPORT (To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation Code.) A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's Office for the county where the property is located; this particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT SELLER/TRANSFEROR: City of San Leandro BUYER/TRANSFEREE: The Redevelopment Agency of the City of San Leandro ASSESSOR'S PARCEL NUMBER(S): PROPERTY ADDRESS OR LOCATION: 1016 and 1040 Davis Street San Leandro, CA CLUSTER OCl _ MAIL TAX INFORMATION T0: Name: Cit. of San e e eve o men gency o e DT _ Address: 835 E. 14th Street RC _ San Leandro, CA 94577 DTT$ File No. 0131-611961ala (MC) FOR RECORDER'S USE ONLY FOR ASSESSOR'S USE ONLY OC2 INT SP$ #PCL 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 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 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 January 1 and on or before December 31, you may be responsible for the second installment of taxes due February 1. The property, which you acquired, may be subject to a supplemental assessment in an amount to be determined by the County Assessor. For further information on your supplemental roll obligation, please call the County Assessor's Office. ❑ Yes] No ❑ Yes ® No PART I: TRANSFER INFORMATION (please answer all quesbbns) A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property? (For example, a name change upon marriage.) C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? ❑ Yes �] No ❑ Yes No Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g. cosigner)? ❑ Yes No E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document? ❑ Yes [)� No F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ Yes No G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. Is this transfer of property: ❑ Yes No 1. to a trust for the benefit of the [ ] Grantor [ ] Grantor's spouse? ❑ Yes No 2. to a trust revocable by the transferor? ❑ Yes ® No 3. to a trust from which the property reverts to the grantor within 12 years? ❑ Yes No I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? ❑ Yes No *J. Is this a transfer between [ ] parent(s) and child(ren)? [ ] or from grandparent(s) to grandchild(ren)? ❑ Yes No *K. Is this transaction to replace a principal residence by a person 55 years of age or older? Within the same county? [ ] Yes [ ] No ❑ Yes � No *L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69.5? Within the same county? [ ] Yes [ ] No *If you checked yes to ], K, or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you do not file a claim, your property will be reassessed. Please provide any other information that would help the Assessor to understand the nature of the transfer. If the conveying document constitutes an exclusion from a change in ownership as defined in Section 62 of the Revenue and Taxation Code for any reason other than those listed above, set forth the specific exclusions claimed: THIS DEED IS BEING RE —RECORDED TO CORRECT A. B. Please answer all questions in each section, rf a question does not apply, indicate with 'N/A.' Sign and Date at bottom of second page. PART II: OTHER TRANSFER INFORMATION Date of transfer if other than recording date Type of transfer. (please check appropriate item). ( ] Purchase [ ] Foreclosure [ ] Gift [ ] Contract of Sale — Date of Contract [ ] Inheritance — Date of Death [ ]Creation of a Lease [ ] rgnment of a Lease [ ] Date Lease Began [ ]Trade or Exchange [ ]Merger, Stock, or Partnership Acquisition [ ]Other (please explain): _ [ ]Termination of a Lease [ ]Sale/Leaseback [ ] Original term i ars (including written options) [ ] Remaini erm in years (including written options) Monthly Payment Remaining Term: C. Was only a partial interest in the property transferred? [ ]Yes [ ]No If yes indicate the percentage transferred: % THE LEGAL DESCRIPTION (EXHIBIT A) . IN THE ORIGINAL EXHIBIT A, A Reproduced byFrstAmerican TitleInsurance 3/2003 PORTION OF THE LEGAL DESCRIPTION MENTIONED UNDER 1040 DAVIS STREET — APN: 075-0148-006-01, WAS ERRONEOUSLY 0ri1L,.. EX11:IBIT 1 IS THE CORRECT LEGAL DESCRIPTION.