Deed - Westgate Parkway project - File D-1374, 2004

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BOE-502-AH(FRONT) REV.6 (8/04) O C E O F A S S E S S \`u Of NSSff n � Q oG�lY Of \,,JUNTY OF ALAMEDA ADMINISTRATION BUILDING, ROOM 145, 1221 OAK STREET OAKLAND, CALIFORNIA 94612-4288 (510) 272-3787 / FAX (510) 272-3803 RON THOMSEN CHANGE IN OWNERSHIP STATEMENT REAL PROPERTY OR MANUFACTURED HOMES SUBJECT TO LOCAL PROPERTY TAXES CITY SAN LEANDRO Attn: TARA PETERSON 835 E 14TH ST SAN LEANDRO, CA 94577 ASSESSOR ASSESSOR'S USE ONLY REC'D.: INPUT BY: INPUT DATE: FILE THIS STATEMENT BY: July 5, 2005 EVENT DATE: July 30, 2004 NO.: 2004-348754 APN: 79A-375-7-43 USE CODE: 0300 PROPERTY ADDRESS: WILLIAMS ST, SAN LEANDRO LEGAL DESCRIPTION: SELLER/TRANSFEROR: AMB PARTNERS II LP ADDITIONAL APNS PHONE NO. (8am - 5pm): ( ) 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 Assessor, to file a Change of Ownership Statement with the County Recorder or Assessor. The Change of 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 day: 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 in 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 ($100), or (2) 10 percent of the taxes applicable to the new base year value reflecting the change in ownershiF 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 of Ownership Statement. If you do not file this statement, it will result 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 a supplemental assessment in an amount to be determined by the Alameda County For further information on your supplemental roll obl*aation please call the Alameda County Assessor at (510) 272-3787. PART I: TRANSFER INFORMATION (Please answer all questions) YES NO El�A. Is this transfer solely between husband and wife? (addition of a spouse, death of a spouse, divorce settlement, etc.) ❑ 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)? Please explain: ❑ 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)? Please explain: ❑ E. Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document? ❑ F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ G. Does this transfer return property to the person who created the joint tenancy (original transferor)? ❑ / H. Is this transfer of property: 1. to a revocable trust that may be revoked by the transferor? ❑ 2. to a trust that may be revoked by the Creator/Grantor who is also a joint tenant, and which names the other joint tenant(s) as / beneficiaries when the Creator/Grantor dies? ❑ 3. to an irrevocable trust for the benefit of the ElCreator/Grantor and/or ❑ Grantor's spouse? ❑ 4. to an irrevocable trust from which the property reverts to the Creator/Grantor within 12 years? ❑ 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 grandparents(s) to grandchild(ren) ❑ Yes ElNo ❑ K. Is this transaction to replace a principal residence by a person 55 years of age or older? Within the same county? ❑ Yes ❑ No ❑ 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 ❑ M. Did this transfer result from the death of a domestic partner currently registered with the California Secretary of State? * 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. If you do not file a claim, it will result in the reassessment of the property. Please provide any other information that would help the Assessor to understand the nature of the transfer. IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS EXCEPT J,K OR L, PLEASE SIGN AND DATE, 111-1009-027 (REV. 9104) OTHERWISE COMPLETE THE REVERSE SIDE.