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�Il ��ti '4 ' •'� � 1.. 1 1 • •1 1:'1 •'r 1'� G`�} �i 11 G'=•y"...;•. <br />Do Not Record <br />� tt cf AC� r, s <br />,�I�A+""•<''`�r:COUNTY OF ALAMEDA <br />PRELIMINARY CHANGE OF OWNERSHIP REPORTy ' <br />[To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section o+c�coa``�� <br />486 Of the Revenue and Taxation Code.] A Preliminary Change of Ownership Report must be filed <br />with each conveyance in the county Recorders office for the county where the property Is located; this <br />particular form may be used In all 58 counties of California ASSESSOR'S USE ONLY <br />This report is not public document sALE SOURCE CODE <br />Seller/Transferor: N.S.P.: <br />ill •..•r- C.E.: <br />Buyer!rrensferee: <br />Assessor's Parcel Number(s). = 11 — -3 APR.: <br />DATE: <br />Property Location/Address Of Property Transferred: usE NSHO . <br />Mal Tax Information To: Name: <br />Address: <br />NOTICE: A pen for property taxes applies to your property on March 1 of each year for the taxes owing in the following fiscal year, July 1 through <br />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, <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$roperty 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 1: TRANSFER INFORMATION' Please answer all questions. <br />YES i'• NO <br />`❑ ;;��� A. Is this transfer solely between husband and wife (Addition of a spouse, death of a spouse, divorce settlement, etc.)? <br />❑ ;�!; �a 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 />I 1, V) «;:. u n marriage)? , <br />I ❑ 'I�:-L1 C. ' Is this document recorded to create, terminate, or reconvey a lenders interest in the property? <br />0.m 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 />1: 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 />❑ +,. [�' ,G. Does this transfer return property to the person who created the joint tenancy (original transferor)? <br />i H. Is this transfer of property: <br />❑ 1. to a trust for the benefit of the grantor, or grantors spouse? <br />❑ lll):[�^_ ' 2. to a trust revocable by the transferor? ' <br />❑ ;Iliq [� 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 />p, <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 qualify 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. i , <br />Please provide any other information that would help the Assessor to understand the nature of the transfer. <br />I' 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 II: OTHER TRANSFER INFORMATION <br />A. "Date of transfer if other than recording date <br />B. f; Tygir-of transfer. Please check appropriate box. _ <br />rJrp _❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition <br />❑ Contract of Sale - Date of Contract <br />❑ Inherftance - Date of Death ❑ Other. Please explain: <br />❑ Creation of Lease ❑ Assignment of a Lease ❑ Termination of.a Lease <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 No <br />If yes, indicate the percentage transferred <br />❑ Sale/Leaseback <br />. SM ASO AH SMA I I MOD"n (REV. 10W) <br />