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Home My WebLink AboutD 20010404000041 �. '� . , , . , , , , . . • c ' ' ' I Return Address: /� �'` � City C(erk's Office � L0010404000041 City of RenTon CITY OF RENTON D l0.00 1055 South Grad Wa PAGE 001 OF 003 Y Y 04/04/2001 08:52 „_,, Renton, WA 98055-3232 KING COUNTY, WA --r. ; . � , E18@9913 ' � 04/04/2001 08:52 KING COUNTY, WA � SALE �0.00 PAGE 001 OF 001 DEED OF DEDICATIDN Property Tax Parcel Number: � 02 305-9 30� Project Fi(e#: �U A G,C�'_ �r��_S�� Street Intersection: �� grN j� E��`�� y� � Reference Number(s)of Documents assigned or released:Additional reference numbers aze on page Grantor(s): John E. Petersen, Jr. Grantee(s): l. . Lorraine N. Petersen 1. City of Renton,a Municipal Corporation ' LEGAL DESCRIPTION: (Abbreviated or ful!lega!must go here. Additional legal on page2) ' Portion of Northwest quarter-, of the Northwest quarter of the Southwest � quarter of Section 10, Township 23 North, Range 5 East, W.M. � � ' I Q � � � . I �Q„ The Grantor,for and in consideration of mutual benefits conveys,quit ciaims,dedicates and donates to the Grantee(s)as ,,� named above,the above described real estate situated in the County of King,State of Washington. This dedication is required as a condition for development of property. P• � [N WITNESS WHEREOF, I have hereunto set my hand and seal the day and year as written below. � � ApPG anto�S�Accepted By: �\\`\��e�� R�//�", s : Ci of Renton � � �y � ) �Y �\ � � � � �� ' � � � . Petersen, Jr. ; � ` Jesse Tanner % � �. � ' ///��// �S�•6 \\ ` rn1 Lorraine N. Petersen ��I/11tA(IIIlt11�� City Clerk Ma ' yn Petersen � /NDIVIDUAL FORM OF STATE OF WASHINGTON j SS ACKNOWLEDGMENT COUNTY OF KING �.,., ��5��i� I certify�that I know or have satisfactory evidence that �b�.�.�? P�e,c-�Sr Notary S�'e��'�yy�thin Ufi�� - � L6rY��Q�C`ss',1si ned this instrument and �� y �� g �` ��'�� o�;92� acknowledged it to be his/her/their free and voluntary act for the uses and purposes �yt'�� -c � �2 �,;�� mentioned in the instrument. •�° W N: � ��a� n �Y ��: �' � .�, '•.r + . '��p'• :3b:a•�`�� Notary Pu in and f State o ashingto � �� • a��`� Notary(Print) (v.^....� C�`�'� �i �� My appointment e pires: b`� � Dated: � � 3�� p��..��,�, DEED.DOC • page 1 I � � �. - ��r� � � • �. ... � . � • , Project: LUA-99-076 wo# 4�703 i - . PID 102305-9309 Grantor: Petersen " Street: N.E. 8�` Street EXHIBIT A LEGAL DESCRIPTION TRACT "X" That certain parcel of land situated in the City of Renton, County of King, State of Washington, being the North 30.00 feet of the West Half of the North Half of the Northwest Quarter of the Northwest Quarter of the Southwest"Quarter of Section 10, Township 23 North, Range 5 East, W.M. � EXCEPTING THEREFROM the West 180.00 feet. � 0 o. � , � � o EXHIBIT "S" attached and by this reference made a part hereof -�,- � . � c�, ��:�..-_�:.�.=_1,.��1� � c� -^„ �,�.o g�,%: '+�'f ,. '� e.. �� ' { �„' '��-��,� L ' � �;� \�:�' t,"`'�� ':� �j y �� ;�h R 3.'�-• �� ;t�` _ i: s�., Li;r:i'.— ' � y .:'` . . � ' �'.: �:3 C'�),� �. .+�yd.a �� . � � 1�5:'' �! F� ^ �' �.s 1:9f G�7�� : . ��^' TM"'4f^�c-+�._�` . I .. , �� p • • . • ' .� � • a � • , �� " �� • M N.E. 8TH ST. � � N8820'04"W t46.31' _ - ;.'`; T�;:�_ - 'N==Z7N.. " E OF.SW:1%4:-`:: O � . '`'�� - ,Y'. %�; `t�' `=sf�':`�<<i< ,o M :�\ p >i•:. ��;�._�/�1�C�:��..__ � �`- - p ':.�;;' :i:ri�»,".:�;;_=�''KK" M.,M� I'7� . .i;;�;-,_, =��",':�?,.�:. ;R N8814'04,W ,136:2?''�==� � ''" I - `i� . I I SCALE : 1" = 40' LOT J LOT 2 I ( � � � � — / .� �ao � m � � � J '\� t-- o ' � � / / Z 3 � � � � LOT 3 �� o . 3 Q � � 3 � 4 � 02 � . � � 2� � � O I �2 I � R• F LOT 4 � yl�� U � — o .�4�R�'UF RAS � 5'�� 2 � � r � � / '��D ��32429$� �� ---H� �'ss ��sT�� `' O � !��'AL LAN� S I � EXPIRES: 10/25/2001 � � �� i — J LOT� I! � LOT 6 5 I � SHEET 1 OF 1 SHEET EXHIBITAV� Engineering SKETCH TO ACCOMPANY A e Planning ' LEGAL DESCRIPTION FOR _ Surveying Penhallegon Associates Consulting Engineers, Inc. �" DEDICATION TO THE CITY OF RENTON �� ,�� ,� ��* FOR ROADWAY PURPOSES ,wNE �o, �99s aN. 99516.�0 I � � � , . , . • • PLEasE TYPE oR PRINT ' REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt when stamped Pf,EASE SEE REVERSE � by cashier. � , CHAPTER 82.45 RCW-CHAPTER 458-61 WAC i For Use at County Treasurer's Office � (Use Form No. 84-0OO1B for RepoRing Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVTT WILL NOT BE.ACCEI'TED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED � �_ f �. � ", ❑� Name � � i � .' � . Jr,'_ � Name > M y J' k, , j t`c , < ,.i. . f s%'s�,f'• �..�" / a,a, � :.� ' - ; :t- -` rW ;- `�<� �- W� a �: ,• �< �z .��f,�, f f�':`. ,:� ;�'`� �� J�; 7 `,j r ad Street � It :} � d Street �.' � _ f`-�r}�,.>;.f' f4,�f'',/ �� City/State/Zip k fi' ,�.�' �c-�r� �f:� f Fr � `a� �� City/State/Zip fi f �7�''�✓ �.�E.i`t�' ''�� `i 3 ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERS ` ''�01��'1�?YTRFA$(1RBR;:P�>A�:<>:; � 4 'A�S�SSEQ:VhE�I1�iiP;3'tIX::�}E�3S�1P�':: / L � r �` f �" �r c, � f .�f t 'v � � � ,�- �. � 7 3 '� , �, t: ,� � 1 � �� l r f',, , r ` /� Name /. . � , �; - - i �' r . �- f - �' � . r r ...t � f'- t=`: L , J.. .r _ Street �i � > / � t �. � u i 6 � , � , f , � i ( f � . 5 C it /State/Zi .� - ._.1 ,�` r J � Y P � LEGAL DESCRIPTION OF PROPERTY SITUATED IN ❑ UNINCORPORATED COUNTY 0 OR IN CITY OF,=<� f . i S[reet Address (if property is improved): � �1` � • .r��r' �C% �i�.. �''` �'�L l��`�Cif t��'f ft.. 'J�r./' i�f j !� ,, f ? �' '�� fi' > 4 -=-s:/' � 1` a .� f , r ! � �r " 1 .,, f �t (j� 1�� j'i/ / �L � 'l E+• !�,'"l � F� �:: •"` �r ,� ��` f°� � Is this property currently: YES NO (} Description of tangible personal property if included in sale (furniture, E appliances,�etc.) Classified or designated as forest land? ❑ 0 Chapter 84.33 RCW Classified as current use land (open space, farm ❑ 0' ��.�� ,t'� ' and agricultural, or timber)? Chapter 84.34 RCW � Exempt from property tax as a nonprofit � � If exemption claimed, list WAC number and explanation. organization? Chapter 84.36 RCW �� _` �, _ � F _ �F, , ��}�� j Seller's Exempt Reg. No. _____=__�_ � �'AC No. (Sec/Sub) � f ' � � Receiving special valuation as historic � �. Explanation �` • '�+�r �-� �J ij� .,-;(" 7 ?t• F_' property? Chapter 8426 RCW , � �_. i - .: :��/,.f r � ;. ;� .`� f.� „-- Property Type: d land only ❑ land with new building , , ❑ land with previously used building ❑ land with mobile home Type of Document }•%`�' � �`�y �� ' ❑ timber only ❑ building only � Date of Document �� ' � f`� � ' Principal Use: ❑ Apt. (4 + unit) ❑ residential . � �I ❑ timber .; ❑ agricultural O commercial/industrial Gross Sale Price $ I ' � other � r'?'i i Personal Property (deduct) $ � Q `(1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) Ta�cable Sale Price $ � Excise Tax: State $ Z If the new owner(s)of land that is classified or:designated as current use � �<ti or forest land wish to continue the classification or designation of such Local $ land,the new owner(s)must sign below. If the new owner(s)do not desire Delinquent Interest: State $ � to continue such classification or designation, all compensating or addi- ��a� $ e\ ;.�, , tional tax.calculated pursuant to RCW 84.33.120 and 140 or RCW Delinquent Penalty: State $ �' � � �, 84.34.108 shall be due and payable by the seller or transferor at the time A� of sale.The county assessor must deterniine if the land transferred qualifies Total Due $` -'�_�- to continue classification or designation and must so indica[e below. THERL IS A$2.00 FEG FOR YROCESSING THIS FORM IF NO TAX IS DUE' Signatures do not necessarily mean the land will remain in classification ; ,;=� i I or designation. If it no longer qualifies, it will be removed and the com- � A F F I D AV I T ' /' /,: pensating taxes wiu be appl.ied. Alt new owners must sign. � I certify under pen''alty of perjury under the,laws of the state of This land ❑does ❑does not qualify for continuance. Washington that the foreg"o�fig is true and correct(See,back of this -r form). . ��,,,`�%' � .�',' 1.r � . ` Date Signature of � � � • ' - �' DEPUTY ASSESSOR '� . , :r '� �rt��..�' , �` a � r � L , .E' , , . � Gra[ntor/Agent � , � Ilh • . ✓-W' >a ��.., ° - � � , -q , s (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) � / '� a �' " � ' \� ) �:,, wvrto. '.'Y. Lea .:�C `• r , '-C. { If the new owner(s)of property with special valuation as historic property Name in[ i `1wish to continue this special valuation the new owner(s)must sign below. Date & Place of Sign� ��/ 1 r • 1: " ' J - . If the new owner(s)do not desire to condnue such special valuation, all . ..��, additional tax calculated pursuant to Chapter 84.26 RCW, shall be due Signature of "� and payable by,the seller or transferor at the time of sale. Grantee/Agent � , (3) OWNER(S) SIGNATURE Name (print) J _ e Talatlet' � Date & Place of Signing M�rch 8, 20Q1 Renton, h1A � Perjury: Perjury is a class C felo• �`ition for a maximum term of not ' more than five years,or by a fine in D00.00),or by both imprisonment and fine (RCW 9A.20.020 (1C)). REV 84 OOOIa(6-16-95) (PD 12-12-96) TAXPAYER � E1809913 - � 5' KING4COUNTY081,►p2 � ��:� SALE �0.00_ PpGE 001 OF 001 ' `` . - - � � I . . � � � r � i � ' � TRANSFERS OF CONTROLLING INTEREST ' � Does this transfer of real property reflect the transfer or acquisition of the controlling interest in an entity with an interest in real property in this state? If the answer is yes, this transfer of controll- ing interest must also be reported to the Department of Revenue within five days of the sale on Form No. 84-OOO1B. (This is applicable only if 50% or more of corporation stock, partnership, association, trust, or other . entity interest, is transferred or acquired within a 12 month period. Please refer to WAC 458-61-025, which appears on the reverse of Form No. 84-OQO1B). INTEREST AND PENALTIES The Real Estate Excise Tax is due on the date of sale (date of the deed or contract of sale). A one- percent per month interest is charged for delinquent tax payment. This is not charged if the tax is paid within 30 days of the date of sale. A five, ten, and twenty percent penalty ori the state taxes is due from the seller if the tax is paid more than 30, 60, or 90 days past due. There is a 50 percent penalty for intentionally evading payment of the tax. AUDIT The Department of Revenue will conduct audits of the transactions and, if necessary, determine any underpayment of the tax. (WAC 458-61-130) To inquire about the availability of this form in an alternate format for the visually impaired or a language other than English, call (360) 753-3217. REV 84 OOOIA instr(6-16-95) (PD 12-12-96) �� -. 1� - ��='._. .,1'' .."'i?:'�`..�+'i'� bL�'r';y"+n`�,'ty�� .. � _f -- . .�..�� ' `.i:>.- . ._ � . - . . . ... ' ' . 't. ' , . ..1J '"'.�:f.. . ,. ^ : . -- - -- �i t ' - ... .. -. - '!� � 'V, r � ' .i