Deed - 10620 Bigge St - File 1322, 1995

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PRELIMINARY CHANGE OF OW SHIP REPORT Please answer, to the best of your knowledge )licable questions, sign and date. If a ques, �s nct 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 S N/A B. FIRST DEED OF TRUST 0 % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amounts N/A ❑ FHA ( Discount Points) ❑ Fixed Rate ❑ New Loan ❑ Conventional ❑ Variable Rate ❑ Assumed Existing Loan Balance ❑ VA ( Discount Points) ❑ All inclusive D.T. (S Wrapped) ❑ Bank or Savings & Loan ❑ Cal -Vet ❑ Loan carried by Seller ❑ Finance Company Balloon Payment ❑Yes ❑ No Due Date Amount S C. SECOND DEED OF TRUST % interest for ❑ Bank or Savings & Loan ❑ Fixed Rate ❑ Loan Carried by Seller ❑ Variable Rate Balloon Payment ❑ Yes ❑ No years. PymtsJMo. = $ El Due Date (Prin. & Int. only) Amounts N/A New Loan Assumed Existing Loan Balance Amount S D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ❑ Yes ❑ No Amount S N/A 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 S E. IMPROVEMENT BOND ❑ Yes ❑ No Outstanding Balance: Amount $ N/A F. TOTAL PURCHASE PRICE (or acquisition price, I traded or exchanged, include real estate commission if paid.) ACQUIRED Total Items A through E $ N/A G. PROPERTY RVItCHASeD ❑ Through a broker ❑ Direct from seller ® Other (explain) Summary vacation If purchased through a broker, provide broker's name and phone number. 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. The property was not purchased. It was acquired through a summary vacation. PART IV: PROPERTY INFORMATION A. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, etc.) (other than a mobilehome subject to local property tax)? ❑ Yes © No If yes, enter the value of the personal property included in the purchase price S (Attach itemized list of personal property) B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes ® No If yes, enter date of occupancy / , 19 or intended occupancy , 19 . MONTH DAY MONTH DAY C. TYPE OF PROPERTY TRANSFERRED: ❑ Single-family residence ❑ Agricultural ❑ Timeshare ❑ Multiple -family residence (no. of units: ) ❑ Co-op/Own-your-own ❑ Mobilehome ❑ Commercial/Industrial ❑ Condominium ❑ Unimproved lot ® Other (Description: Excess street right-of-way D. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes ® No If yes, is the income from: _- ❑ Lease/Rent — 0 Contract =_❑ Mineral Rights = ❑ Other —Explain: --- - _= - - - E. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SME? ACQUISITION? ® Good ❑ Average ❑ 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. I certify at the foregoing is true, correct and complete to the best of my knowledge and belief. Signed Date ` NEW OWNERICORPORATE 0 ER Please Print Name of New Owner/Corporate Officer 27" Phone Number where you are available from 8:00 a.m.-5:00 p.m. ( (NOTE: The Assessor may contact you for further 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 (S20).