Deed - 1103 Davis St - File 1332, 2000

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BOE-502-AH (FRONT) REV. 4 (8-02) O ICE OF ASSESS JNTY OF ALAME_ __ 1221 Oak St., County Administration Building Oakland, California 946124288 (510) 272-3787 / FAX (510) 272-3803 RON THOMSEN ASSESSOR CHANGE IN OWNERSHIP STATEMENT REAL PROPERTY OR MANUFACTURED HOMES SUBJECT. TO LOCAL PROPERTY TAXES SAN LEANDRO REDEVELOPMENT AGENCY 835 EAST 14TH ST SAN LEANDRO CA 94577 ASSESSOR'S USE ONLY N.S.P.: C.E.: Rec'd.: APR.: DATE: FILE THIS STATEMENT BY: 08/19/03 EVENT DATE: 02/20/03 NO. 101219 APN: 75-120-61-4 USE CODE: 3000 9 S LOCATION: 1103 DAVIS ST SAN LEANDRO CA LEGAL DESCRIPTION: SELLER/TRANSFEROR: DAVIS STREET COMMUNITY CENTER INC IMPORTANT NOTICE THE LAW REQUIRES ANY TRANSFEREE ACQUIRING AN INTEREST IN REAL PROPERTY OR MANUFACTURED HOME SUBJECT TO LOCAL PROPERTY TAXATION, AND THAT IS ASSESSED BY THE COUNTY ASSESSOR, TO FILE A CHANGE IN OWNERSHIP STATEMENT WITH THE COUNTY RECORDER OR ASSESSOR. THE CHANGE IN OWNERSHIP STATEMENT MUST BE FILED AT THE TIME OF RECORDING OR, IF THE TRANSFER IS NOT RECORDED, WITHIN 45 DAYS OF THE DATE OF THE CHANGE IN OWNERSHIP, EXCEPT THAT WHERE THE CHANGE IN OWNERSHIP HAS OCCURRED BY REASON OF DEATH THE STATEMENT SHALL BE FILED WITHIN 150 DAYS AFTER THE DATE OF DEATH OR, IF THE ESTATE IS PROBATED, SHALL BE FILED AT THE TIME THE INVENTORY AND APPRAISAL IS FILED. THE FAILURE TO FILE A CHANGE OF OWNERSHIP STATEMENT WITHIN 45 DAYS FROM THE DATE OF A WRITTEN REQUEST BY THE ASSESSOR RESULTS IN A PENALTY OF EITHER: (1) ONE HUNDRED DOLLARS ($1D0), OR (2) 10 PERCENT OF THE TAXES APPLICABLE TO THE NEW BASE YEAR VALUE REFLECTING THE CHANGE IN OWNERSHIP OF THE REAL PROPERTY OR MANUFACTURED HOME, WHICHEVER IS GREATER, BUT NOT TO EXCEED TWO THOUSAND FIVE HUNDRED DOLLARS ($2,500) IF THAT FAILURE TO FILE WAS NOT WILLFUL THIS PENALTY WILL BE ADDED TO THE ASSESSMENT ROLL AND SHALL BE COLLECTED LIKE ANY OTHER DELINQUENT PROPERTY TAXES, AND BE SUBJECT TO THE SAME PENALTIES FOR NONPAYMENT. This notice is a written request from the Office of the Assessor for a Change in Ownership Statement. Failure to file this statement results in the assessment of a penalty. This statement will be held secret as required by Section 481 of the Revenue and Taxation Code. The property which you acquired may be subject to supplemental assessment in the amount to be determined by the Alameda County Assessor. For further information on your supplemental roll obligation, please call the Alameda County Assessor at (510) 272-3782. PART I: TRANSFER INFORMATION Please answer all questions YE NO ❑ dA. Is this transfer solely between husband and wife? (Addition of a spouse, death of a spouse, divorce settlement, etc.) ❑ EZ 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) ❑ R� C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? ❑ D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e. g., cosigner)? ❑ [✓]� Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document? ❑ Q F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ 2r G. Does this transfer return property to the person who created the joint tenancy (original transferor)? H. Is the transfer of property: ❑ [✓� 1. to a trust for the benefit of the ❑ Grantor ❑ Grantor's spouse? ❑ 2. to a trust revocable by the transferor? ❑ /❑ 3. to a trust from which the property reverts to the grantor within 12 years? i ❑ 0 I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? ❑ [ /� J. *Is this a transfer between parent(s) and child(ren)? ❑ Yes ❑ No 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 ❑ (7� 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 J, K, or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. Failure to file a claim results in the reassessment of the property. Please provide any other information that would help the Assessor to understand the nature of the transfer. I11-1o09-027 (REV. 02/01) If you have answered "YES" to any of the above questions EXCEPT J, K, or L, please 411 ATn_A c9nnA tacv nimnno) -°__ , -'--`--.�___.:-- ----'—•— `�— 4_