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Please print or type information WASHINGTON STATE RECORDER’S Cover Sheet (RCW 65.04)
Document Title(s) (or transactions contained therein): (all areas applicable to your document must be filled in)
1. ________________________________________ 2. _______________________________________
3. ________________________________________ 4. _______________________________________
Reference Number(s) of Documents assigned or released:
Additional reference #’s on page ______ of document
Grantor(s) Exactly as name(s) appear on document
1. ____________________________________________, ______________________________________
2. ____________________________________________, ______________________________________
Additional names on page ______ of document.
Grantee(s) Exactly as name(s) appear on document
1. ____________________________________________, ______________________________________
2. ____________________________________________, ______________________________________
Additional names on page ______ of document.
Legal description (abbreviated: i.e. lot, block, plat or section, township, range)
______________________________________________________________________________________
______________________________________________________________________________________
Additional legal is on page _____ of document.
Assessor’s Property Tax Parcel/Account Number Assessor Tax # not yet
assigned
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The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document
to verify the accuracy or completeness of the indexing information provided herein.
“I am signing below and paying an additional $50 recording fee (as provided in RCW 36.18.010 and
referred to as an emergency nonstandard document), because this document does not meet margin and
formatting requirements. Furthermore, I hereby understand that the recording process may cover up or
otherwise obscure some part of the text of the original document as a result of this request.”
____________________________________________________Signature of Requesting Party
Note to submitter: Do not sign above nor pay additional $50 fee if the document meets margin/formatting requirements