HomeMy WebLinkAboutD 20250806001035 E3341936
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EXCISE TAX AFFIDAVITS
8/8/2025 4:20 PM KING COUNTY,WA
Tax Amount:510.00
Return Address: ( 1
City Clerk's
City of Renton Office
II�I I I II II ! II lilt 1111111 I I II
1055 South Grady Way 20250806001035
Renton,WA 98057
DEED Roc: $306.50
8/6/2025 4:20 PM
KING COUNTY,WA
DEED OF DEDICATION Property Tax Parcel Number:it 6 A°,
Project File 4: SE 128TH ST&158TH AVE SE Street Intersection: SE 128TH ST&158TH AVE SE
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee:
1. RENTON REGIONAL FIRE AUTHORITY City of Renton,a Washington Municipal Corporation
2.
LEGAL DESCRIPTION: (Abbreviated or full legal must go here. Additional legal on page 3 )
ABBREVEATED DESCRIPTION:PTNS OF LOT 1,BLOCK 1,AND PTNS OF LOTS 6,7,8&9,BLOCK 4,ALL IN
JANETTS RENTON BOULEVARD TRACTS,VOL.17,PG.60,KING COUNTY,WA
REFER TO PAGE 3 OF THIS DOCUMENT FOR FULL LEGAL DESCRIPTION
The Grantor(s),RENTON REGIONAL FIRE AUTHORITY ,for and in
consideration of mutual benefits conveys,quit claims,and dedicates to the Grantee,the City of Renton,the
above described real estate situated in the County of King,State of Washington.
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
Gran
Dated:
Ocl j VAL c)0(4-5 -
INDIVIDUAL FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING
On this day of _ ,20 ,before me personally
appeared:
and signed this instrument and acknowledged it to be their free and
voluntary act for the uses and purposes mentioned in the instrument.
Notary Public in and for the State of
Notary(Print)
My appointment expires:
Dated:
Page 1 of 4
111
LLC/CORPORATE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING
On this day of ,20 _,before me personally
appeared:
to
me known to be the of
,and acknowledged the said instrument to be the
free and voluntary act and deed of said limited liability company/
corporation,for the uses and purposes therein mentioned,and each on
oath stated that they were authorized to execute said instrument and that
the seal affixed,if any,is the corporate seal of said corporation.
Notary Public in and for the State of
Notary(Print)
My appointment expires:
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING ►
On this day of ,,V. ,20 25 ,before me personally
```\\‘‘‘‘\\llIiilt appeared:
E N tI Steven C. 1\kt� ii n
Q \�pM '►,,�4 i. nto me, known to be the F1te C�tec of
(�+,t+ oTAq �, to i i�cYi,tw WIDOW c"rt A * yi and acknowledged the said instrument to be
o s a; the free did voluntary act a deed of Q.Y'ort Reg‘oaak r-,rt At e►�
-20105934 for the uses and purposes therein mentioned,and each on oath stated twat
U'��'i, �8o�1 A.
— they were authorized to execute said instrument.
9 4, ?.30.9,�..
�IlfftO WASN\\�� Notary Public in and for the State of 1f•1ASlungk-oc‘
Notary(Print) tJ1`Y1 612, 1406:VngS
My appointment expires: ►2-�5O-J2021
Dated: (p-
Accepted by the City of Renton:
By:
Mayor
Attest:
By:
City Clerk
Page 2 of 4
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Project:
Exhibit A Woa
Legal Description PID.
GRANTOR:
Street:
DEDICATION DEED,PARCELS 3664500008 AND 3664500330.
All THAT PORTION OF LOTS 6,7,8 AND 9,BLOCK 4,ALL IN JANETT'S RENTON BOULEVARD
TRACTS,ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 17 OF PLATS,PAGE 60,
RECORDS OF KING COUNTY,WASHINGTON,LYING NORTHERLY OF A LINE WHICH IS 43.00 FEET
SOUTH OF AND PARALLEL WITH THE CENTERLINE OF SOUTHEAST 128TM STREET.(SAID LINE
ALSO BEING THE NORTH LINE OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF
SECTION 14).
SITUATE IN THE NW QUARTER OF THE NE QUARTER OF SECTION 14,TOWNSHIP 23 NORTH,
RANGE 05 EAST,W.M.,KING COUNTY,WASHINGTON.
CONTAINING 227 SQUARE FEET+/-
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Page 3 of 4
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EXHIBIT "B"
"RW DEDICATION"
SE1287HST
L NORTH LINE OF SECTION 14
,� S87'10'15.E 2536.56 (M) (2537.24 R1) 11,12
j
14
11 834 32' '`' 95 03' ' 539.29 - M.
"-1 c+ 14 113
FND 1' IRON PIPE I I
OD I 1 I
0.37' W & 0.62' S I
OF CALCULATED I I I I
CORNER (06/2022) COI
N APN I366450 1 08 n 1"�100'
30'f� 10� A I 8 I I 00 5
el
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I I z I 8£810`g4.
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VI I ?I- APN 3664500008 h N
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FND MON IN CASE
2' BRASS W/ PUNCH:
HELD (06/2022)
/21 S87'52'35'E 653.38' (M) 653.415 (R1)
42:',14,,s„
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61 73TS>6.:.�¢
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JOB ':2220496.50
11/26
RWE OAOIY: ^ al B alLEGAL BY: DF EXHIBIT BY: FS
H
NW 1/4, NE 1/4, S14, 723N. R5E
Department of Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Revenue Only for sales in a single location code on or after April 1, 2025.
Washington State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001a This form is your receipt when stamped by cashier.Please type or print.
4 m Check box if partial sale,indicate% 0.50 sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Renton Regional Fire Authority Name City of Renton, . ^ 1tun`4)Pot 1 C
a W4S6'4 orp0r4-hon
Mailing address 18002 108th Ave SE Mailing address 1055 S Grady Way
city/state/zip Renton,WA 98055 City/state/zip Renton,WA 98057
Phone(including area code) 425-276-9500 425 430 6510
Phone(including area code)
3 Send all property tax correspondence to:m Same as Buyer/Grantee List all real and personal property tax Personal Assessed
parcel account numbers property? value(s)
Name APN 3664500008 0. .4113 000 -$-00(l
APN 3664500330 ❑ $270 007 4-Q AO
Mailing address
❑ $0.00
City/state/zip
4 Street address of property SE 128th St&158th Ave SE, Renton,WA
This property is located in 'Renton (for unincorporated locations please select your county)
0 Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged.
Legal description of property(if you need more space,attach a separate sheet to each page of the affidavit).
Please see attached Exhibit A.
Abbreviated Description: PTNS OF LOT 1, BLOCK 1,AND PINS OF LOTS 6, 7,8&9, BLOCK 4,ALL IN JANETT'S RENTON BOULEVARD
TRACTS, VOL. 17, PG.60, KING COUNTY,WA
5 45 - Highway and street right of way 7 List all personal property(tangible and intangible)included in selling
price.
Enter any additional codes
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral
under RCW 84.36,84.37,or 84.38(nonprofit org.,senior If claiming an exemption,enter exemption code and reason for
citizen or disabled person,homeowner with limited income)?m Yes❑No exemption.*See dor.wa.gov/REET for exemption n odes*
Is this property predominately used for timber(as classified under Exemption No.(sec/sub) 458-61A-205(4)
RCW 84.34 and 84.33)or agriculture(as classified under RCW
84.34.020)and will continue in it's current use?If yes and the Reason for exemption a X ehn,,.I. �v� ,.. ..r..,,osc, �
transfer involves multiple parcels with different classifications, r
complete the predominate use calculator(see instructions) ❑Yes ONo °` yd✓ t 4 PM en-t e,vvi.+.1 ,c.z,r w P,,12)i- NA r pre_
6 Is this property designated as forest land per RCW 84.33? ❑Yes 0No
Type of document Deed of Dedication
Is this property classified as current use(open space,farm
and agricultural,or timber)land per RCW 84.34? ❑Yes m No Date of document June 2nd,2025
Is this property receiving special valuation as historical Gross selling price 0.00
property per RCW 84.26? ❑Yes El No *personal property(deduct) 0.00
If any answers are yes,complete as instructed below. Exemption claimed(deduct) 0.00
(1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) 0.00
NEW OWNER(S):To continue the current designation as forest land Taxable selling price
or classification as current use(open space,farm and agriculture,or Excise tax:state
timber)land,you must sign on(3)below.The county assessor must then 0.00
determine if the land transferred continues to qualify and will indicate Less than$525,000.01 at 1.1%
by signing below.If the land no longer qualifies or you do not wish to From$525,000.01 to$1,525,000 at 1.28% 0.00
continue the designation or classification,it will be removed and the 0.00
compensating or additional taxes will be due and payable by the seller From$1,525,000.01 to$3,025,000 at 2.75%
or transferor at the time of sale(RCW 84.33.140 or 84.34.108).Prior to Above$3,025,000 at 3% 0.00
signing(3)below,you may contact your local county assessor for more 0.00
information. Agricultural and timberland at 1.28%
This land: 0 does 0 does not qualify for Total excise tax:state 0.00
continuance. 1llll 0.0050 Local 0.00
I"Illllllilllllll lilt litlllllllllllllltlllllllll It 11111 *Delinquent interest:Lstate
ocal 00.00
.00
N2 E3341936 *Delinquent penalty 0.00
(3 EXCISE TAX AFFIDAVITS Subtotal 0.00
c` 816/2025 4:20 PM KING COUNTY,WA
or Tax Amount:$10.00 *State technology fee 5.00
Affidavit processing fee 5.00
Sig,.,. .... Signature Total due 10.00
A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX
I
Project:
Exhibit A W0a
Legal Description G
GRANTOR:
Street:
DEDICATION DEED,PARCELS 3664500008 AND 3664500330.
All THAT PORTION OF LOTS 6,7,8 ANO 9,BLOCK 4,ALL IN IANETT'S RENTON BOULEVARD
TRACTS,ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 17 Of PLATS,PAGE 60,
RECORDS OF KING COUNTY,WASHINGTON,LYING NORTHERLY OF A LINE WHICH IS 43.00 FEET
SOUTH OF AND PARALLEL WITH THE CENTERUNE OF SOUTHEAST 128714 STREET.(SAID LINE
ALSO BEING THE NORTH LINE Of THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF
SECTION 14).
SITUATE IN THE NW QUARTER OF THE NE QUARTER OF SECTION 14,TOWNSHIP 23 NORTH,
RANGE O5 EAST,W.M.,KING COUNTY,WASHINGTON.
CONTAINING 227 SQUARE FEET 4/-
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Page 3 of 4