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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 with <br />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 />Escrow #: 427175-M"O Order #: 00427175 <br />Seller/Transferor: Anna Koo, as Trustee of the Anna Koo Family Trust, U D T <br />(Under Declaration of Trust) dated June 15, 2001 <br />Buyer/Transferee: City of San Leandro, A Municipal Corporation <br />Assessor's Parcel Number(s): 075-0016-014 <br />Property Address or Location: 320-324 West Estudillo Avenue, San Leandro, CA <br />94577 <br />Legal Description: <br />Mail Tax Information to: <br />FOR RECORDER'S USE ONLY <br />NOTICE: A lien for property taxes applies to your property on January 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 TRANSFER <br />OCCURS AFTER JANUARY 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE <br />FEBRUARY 1. <br />The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Alameda County Assessor. <br />For further information on your supplemental roll obligation, please call the Alameda County Assessor's Office. <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 <br />settlement, etc.) <br />B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property? (For <br />example, a name change 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 <br />reconvey a security interest (e.g. cosigner)? <br />E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar <br />document? <br />F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as <br />one of the joint tenants? <br />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. t6 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 <br />options? <br />* J. Is this 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 />Within the same county? Yes No <br />* L. Is this transaction to replace a principal residence by a person who is severely disabled as defined <br />by Revenue and Taxation Code Section 69.5? Within the same county? Yes No <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. <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, OTHERWISE COMPLETE <br />BALANCE OF THE FORM. <br />PART II: OTHER TRANSFER INFORMATION <br />A. Date of transfer if other than recording date <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 Other: Please explain <br />_ Creation of Lease _ Assignment of a Lease _ Termination of a Lease _ Sale/Leaseback <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 �70 <br />