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Do Not Record <br />COUNTY OF ALAMEDA <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />[To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section <br />480.3 of the Revenue and Taxation Code.] A Preliminary Change of Ownership Report must be filed <br />with each conveyance in the county Recorder's office for the county where the property is located; this <br />particular form may be used in all 58 counties of California <br />This report is not a public document <br />Seller/Transferor: City of San Leandro <br />Buyerfrransferee: Sol Mar Partnership <br />Assessor's Parcel Number(s): <br />Property Location/Address Of Property Transferred: Adj acent to 1755 Adams Avenue <br />Mail Tax Information To: Name: Sol Mar Partnership <br />Address: 425 Market St., Oakland, CA 94607 <br />ASSESSOR'S USE ONLY <br />SALE SOURCE CODE <br />N.S.P.: <br />C. E.: <br />APR.: <br />DATE: <br />-USE NSHD <br />NOTICE: A lien for property taxes applies to your property on March 1 of each year for the taxes owing in the foilowing fiscal year, July 1 through <br />June 30. One-half of these taxes is 1::a November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, <br />and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. IF THIS <br />TRANSFER OCCURS AFTER MARCH 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND <br />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 <br />County Assessor. For further information on your supplemental roll obligation, please call the Appraisal Division at (510) 272-3782. <br />PART I: TRANSFER INFORMATION Please answer all questions. <br />YES NO <br />❑ ® A. Is this transfer solely between husband and wife (Addition of a spouse, death of a spouse, divorce settlement, etc.)? <br />❑ ® 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 <br />upon marriage)? <br />❑ ® C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? <br />❑ ® D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest <br />(e.g. cosigner)? <br />❑ ® E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document? <br />❑ ® 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 />❑ 7 G. Does this transfer return property to the person who created the joint tenancy (original transferor)? <br />H. Is this transfer of property: <br />❑ ® 1. to a trust for the benefit of the grantor, or grantor's spouse? <br />❑ ® 2. to a trust revocable by the transferor? <br />❑ ® 3. to a trust from which the property reverts to the grantor within 12 years? <br />❑ ® I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? <br />❑ ® J. Is this a transfer from parents to children or from children to parents? <br />❑ ® K. Is this transaction to replace a principal residence by a person 55 years of age or older? <br />❑ ® 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? <br />If you checked yes to J, K or L, you may quality for a property tax reassessment exclusion, which may result in lower taxes on your property. <br />Failure to file a claim results in the reassessment of the property. <br />Please provide any other information that would help the Assessor to understand the nature of the transfer. <br />IF YOU HAVE ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS EXCEPT J, K OR L, PLEASE SIGN AND DATE, <br />OTHERWISE COMPLETE BALANCE OF THE FORM. <br />PART If: OTHER TRANSFER INFORMATION <br />A. Date of transfer if other than recording date June 19, 1995 <br />B. Type of transfer. Please check appropriate box. <br />❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition <br />❑ Contract of Sale - Date of Contract <br />❑ Inheritance - Date of Death EOther: Please explain:Vacation of excess right—of—wav <br />❑ Creation of Lease ❑ Assignment of a Lease ❑ Termination of a Lease ❑ Sale.1-3aseback <br />❑ Date lease began <br />❑ Original term in years (including written options) <br />❑ Remaining term in years (including written options) <br />C. Was only a partial interest in the property transferred? ❑ Yes Kc No <br />If yes, indicate the percentage transferred %• <br />S8E ASO AR 562A 111•1004028 IRE\ 10941 <br />