Deed - Portion of Williams St - File D-1394, 2005

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BoE-5ro-AH(BAGK1 REV 6 (8/041 PART II: OTHER TRANSFER INFORMATION A. Date of transfer if other than recording date B. Type of transfer. ( Please check appropriate box.) _ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition ❑ Contract of Sale - Date of Contract ❑ Inheritance - Date of Death ❑ Creation of Lease ❑ Assignment of a Lease ❑ Original term in years (including written options) C. Was only a partial interest in the property transferred? ❑ Yes ❑ Sale/Leaseback ❑ Other: Please explain: ❑ Termination of a Lease. Date lease began Remaining term in years (including written options) _ XNo If yes, indicate the percentage transferred: _ PART III: PURCHASE PRICE AND TERMS OF SALE A. CASH DOWN PAYMENT or Value of Trade or Exchange (excluding closing costs) Amount $ 300.007 B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. _ $ (Prin. and Int. only) Amt. $ ❑ FHA( Discount Points) ❑ Fixed Rate ❑ New Loan ❑ Conventional ❑ Variable Rate ❑ Assumed Existing Loan Balance ❑ VA ( Discount Points) ❑ All inclusive D.T. ($ Wrapped) ❑ Bank or Savings & Loan ❑ Cal -Vet ❑ Loan Carried by Seller ❑ Finance Company Balloon Payment ❑ Yes ❑ No Due Date Amount $ C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. and Int. only) Amt. $ ❑ Bank or Savings & Loan ❑ Fixed Rate ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount $ D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? Yes ❑ No ❑ Amount $ Type _ @ % interest for years. Pymts./Mo. _ $ (Prin. and Int. only) ❑ Banks or Savings 8 Loan ❑ Fixed Rate ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount $ E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? Yes ❑ No ❑ Outstanding balance: Amount $ F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid.) Total Items A through E a 7.1, 3 C5 . G. PROPERTY PURCHASED: ❑ Through a broker Direct from Seller ❑ From a family member El Other (explain) If purchased through a broker, provide broker's name and phone number.: Please explain any special terms, sellers concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale. PART IV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: ❑ Single-family residence ❑ Agricultural ❑ Timeshare ❑ Multiple -family residence (no. of units: ) ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Commercial/Industrial ❑ Condominiu El Unimproved lot ,� Other (Description: �,ao A Z..S �E�T �/ fl �N/� w Ad%Aevod SC3 B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? Yes ❑ No If yes, enter date of occupancy / , 20 or intended occupancy / 20 MONTH DAY YEAR MONTH DAY YEAR C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE? (i.e., furniture, faral equipment, machinery, etc.) (other than a manufactured home subject to local property tax)? Yes ❑ No If yes,enter the value of the personal property included in the purchase price $ (Attach itemized list of personal property.) D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? Yes ❑ No If yes, how much of the purchase price is allocated to the manufactured home? $ Is the manufactured home subject to local property tax? Yes ❑ No ❑ What is the decal number? E. DOES THE PROPERTY PRODUCE INCOME? Yes ❑ No X If yes, is the income from: ❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other (please explain): F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? ❑ Good ❑ Average ❑ Fair ❑ Poor Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in determining the value of the property: CERTIFICATION 1 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 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. _ Signed in County of , California, this ;2 2— —day of �J Cln/4 20 O.`D SIGNA�F OWNER OR CORPORATE OFFICER TITLE (if corporate officer/ partner) E-MAIL ADDRESS (Optional) OWNER/LEGAL REPRE 0.17 SAS ATIVE/CORPORATE OFFICER (typed or printed) N 111-1009-027 (REV. 9/04) The Assessor's Office may contact you for additional information regarding this transaction.