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BOE-502-AH (BACK) REV. 4 (8-02) <br />PART II: OTHER TRANSFER INFORM <br />A. Date of transfer if other than recording pate SQJ ggtly Z13, 2-063 <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 ❑ Sale/Leaseb�&Wck^ <br />❑ Inheritance -- Date of Death Other: Please explain: QtA Laaa <br />❑ Creation of a Lease ❑ Assignment of a Lease [I Termination of a Lease ❑ 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 No <br />If yes, indicate percentage transferred: % . <br />PART III: PURCHASE PRICE & TERMS OF SALE <br />Amount $ .4 So0 <br />A CASH DOWN PAYMENT OR Value of Trade or Exchange (excluding closing costs) <br />B FIRST DEED OF TRUST @ % interest for years. Pmts./Mo. <br />_ $ (Prin. & Int. only) <br />Amt �. <br />❑ FHA ( Discount Points) ❑ Fixed Rate <br />❑ New Loan $ <br />❑ Conventional ❑ Variable Rate <br />❑ Assumed Existing Loan Balance <br />❑ VA ( Discount Points) ❑ All inclusive D.T. ($ <br />Wrapped) ❑ Bank or Savings & Loan <br />❑ Cal -Vet ❑ Loan Carried by Seller <br />❑ Finance Company <br />Balloon Payment ❑ Yes ❑ No Due Date <br />Amount $ <br />C. SECOND DEED OF TRUST @ % interest for years. Pmts./Mo. = $ (Prin. & Int. only) <br />❑ Bank or Savings & Loan ❑ Fixed Rate <br />❑ New Loan Amount $ <br />❑ Loan Carried by Seller ❑ Variable Pate <br />❑ Assumed Existing Loan Balance <br />Balloon Payment ❑ Yes ❑ No Due Date Amount $ <br />in ❑ Yes PINo Amount $ <br />D. OTHER FINANCING: Is other financing involved not covered (b) or <br />(c) above? <br />Type @�— % interest for years. <br />Pmts./Mo. = $ (Prin. & Int. only) <br />❑ Bank or Savings & Loan ❑ Fixed Rate <br />❑ New Loan <br />❑ Loan Carried by Seller ❑ Variable Rate <br />❑ Assumed Existing Loan Balance <br />Balloon Payment ❑ Yes ❑ No Due Date <br />Amount $ <br />E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? []Yes <br />2�o Outstanding balance: Amount $ <br />F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged. <br />Include real estate <br />commission if paid.) / <br />Total Items A through E +r <br />g $ <br />G. PROPERTY PURCHASED: ❑ Through a broker; [�Direct from Seller; ❑ Other (explain) <br />If purchased through a broker, provide broker's name and phone no.: <br />Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor <br />understand the purchase price and terms of sale. <br />PART IV: PROPERTY INFORMATION <br />A. TYPE OF PROPERTY TRANSFERRED: <br />❑ Single-family residence ❑ Agricultural ❑ Timeshare <br />❑ Multiple -family residence (no. of units: ) ❑ Co-op/Own-your-own ❑ Manufactured home <br />❑ Commercial/Industrial ❑ Condominium R?"Onimproved lot <br />❑ Other (Description: ) <br />B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE: ❑ Yes No <br />If yes, enter date of occupancy / or intended occupancy / . <br />Month Day Year Month Day Year <br />C. IS PERSONAL PROPERTY INCLUDED IN THE PURCHASE PRICE? (i.e., furni re, farm equipment, machinery, etc.) <br />(Other than a manufactured home subject to local property tax)? ❑ Yes M No If yes, enter the value of the personal property <br />included in the purchase price $ (Attach itemized list of p sonal property) <br />D. IS A MANUFACTURED HOME INCLUDED IN THE PURCHASE PRICE? ❑ Yes E21hlo <br />If yes, how much of the purchase price is allocated to the manufactured home? $ <br />Is the manufactured home subject to local property tax? ❑ Yes ❑ No What is the decal number? <br />E. DOES THE PROPERTY PRODUCE INCOME? ❑Yes ONo If yes, is the income from: <br />❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other -explain: <br />F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? <br />❑ Good ❑ Average ❑ Fair ❑ Poor <br />Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that <br />would assist the Assessor in determining the value of the property. V/4 _ Ua&a L � <br />CERTIFICATION <br />I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any accompanying statements <br />or documents, is true, correct and complete to the best of my knowledge and belief. This declaration is binding on each and every co-owner and/or partner. <br />Signed in California this day of 20 <br />OWNER OR CORPORATE OFFICER'S SIGNATURE TITLE (if corporate officerlpartner) (PHONE NUMBER (8 a.m. - 5 p.m.) <br />NAME OF NEW OWNER/LEGAL REPRESENTATIVEICORPORATE OFFICER (please print) <br />The Assessor's Office may contact you for additional information regarding this transacnon. <br />t i i_innFi_ro7 rRFv i vnoi <br />