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TrTitleansamerica Ttle Insurance Company THIS SPACE PROVIDED FOR RECORDER'S USE:
FILED FOR RECORD AT REQUEST OF
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WHEN RECORDED REcIESOFOg RECORD AT REQUEST KING COUNTY i
Name
RECORD. OF NO EXCISE TA`:
NICE CIE Clita l
Address JUN 271985
RtNIONMUNl�I6.
r L AYE so E4830351
City,State,Zip REE .WIA-fit -
Quit Claim Deed
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j, THE GRANTOR ROBERT BERG and CYNTHIA A. BERG, his wife
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cN,2 for and in consideration of Ten Dollars and other good and valuable consideration
In
conveys and quit claims to THE CITY OF RENTON, a municipal corporation
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the following described real estate, situated in the County of King State of Washington,
together with all after acquired title of the grantor(s) therein:
Beginning at the Southwest corner of the following described tract:
The West 169 feet of the Southeast Quarter of the Northwest Quarter
of the Southeast Quarter of Section 4 , Township 23 North, Range 5
East. W.M. , King County Washington, EXCEPT the South 440 feet thereof;
thence easterly along the south boundary thereof a distance of
50 feet to the true point of beginning; thence we teriy50 feet eerC.4-
along said southerly line; thence north 70 feet along the west •
line of said parcel and thence a distance of 86 feet, more Jr less,
to the true point of beginning.
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Dated / -ay/.'''
15 19 85 'r,.= co
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R• •ert Berg------ (In a = W
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Cynth A.
Bergindividual) (President)-
By -
(Secretary)
CONNECTICUT
STATE OF MigiSEXIKGYONL STATE OF WASHINGTON
COUNTY OF New._Haven ss. COUNTY OF t ss.
On this day personally appeared before me On this day of 11 , 19
Robert Berg and Cynthia before me, the undersigned, a Notary Public in and for the State of Wash-
A.. Berg ington, duly commissioned and sworn, personally appeared
to me known to be the individual described in and
who executed the within and foregoing instrument, and ,
and acknowledged that _they.. signed the same to me known to be the President and Secretary,
as ......the-ir--- free and voluntary act and deed, respectively,of
for the uses and purposes therein mentioned. the corporation that executed the foregoing instrument, and acknowledged
the said instrument to be the free and voluntary act and deed of said corpor-
ation, for the uses and purposes therein mentioned, and on oath stated that
authorized to execute the said instrument and that the seal
GIVEN .nder illy hand and officikl seal this affixed is the corporate seal of said corporation.
15 •t i ia�.' "), ls...8.5 Witness my hand and official seal hereto affixed the day and year first
_(,,,,__(_,A.,.(.4. ✓,-- -c'- ,-'t'_t r above written.
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A4�, �,-19�8�'
Notary,Public in and fot the'StateOf \&a Notary Public in and for the State of Washington,
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residing at
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Form No. W-748
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Subrlt11110 Captty Treasurer of the % ell, This form is your receipt when stamped
"cot! n whist property is located. REAL ESTATE EXCISE TAX , by cashier. Pay by.cash or.certified
CHAPTER 82.45 RCW check to County Treasurer.
PLEASE TYPE OR PRINT CHAPTER 458-61 WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS 0 THROUGH O ARE FULLY COMPLETED
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Naive; - . .. , Name ,
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Strew tS Street i,, .
City° ., " 'State , t Zip , /r' City• State .% Zip .
0ALL TAX PARCEL NUMBERS
NEW OWNER'S Name • ,,
PERMANENT ADDRESS . ,
FOR ALL PROPERTY Street f
TAX RELATED ,, ., - ..
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CORRESPONDENCE City/State - , vt Zip -
4
0 I Fr,AI_ DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED COUNTY 0 OR IN CITY OF
Beginning at the Southwest corner of the following described tract:
The West 169 feet of the Southeast Quarter of the Northwest Quarter
of the Southeast Quarter of Section 4, Township 23 North, Range 5
East. W.M. , King County Washington, EXCEPT the South 440 feet thereof;
thence easterly along the south boundary thereof a distance of Q
5U feet to the true point of beginning; thence westerly50 feet,C�(' P.
along said southerly line; thence north 70 feet along the west
line of said parcel and thence a distance of 86 feet, more dr less,
to the true point of beginning.
V,
Is this property currently: YES NO -••r••-
Classified or designated as forest land? ❑ pliancee,etc.)
Chapter 84.33 RCW 4Rr�
Classified as current use land(open space,
farm and agricultural,or timber)? E•E Caif) ,
❑ If exemption claimed,explain , ��U rl)(`P h '
Chapter 84.34 RCW
J1L F teat (� I-IA rr( 4%,tf', ph' WAN'
Exempt from property tax under Chapter ❑
84.36 RCW?(nonprofit organizations)
Type of Document
Type Property: ❑ land only ❑ land with new building. Date of Sale
❑ land with previously used building Gross Sale Price 1/ $
A € Personal Property(deduct)2/ $
SEE TAX OBLIGATIONS ON REVERSE SIDE
Taxable Sale Price $
0 Excise Tax State 3/ $
NOTICE OF CONTINUANCE ,
Local 4/ $ •
If the new owner(s) of land that is classified or designated as current use or Delinquent Penalty 5/ $
forest land wish(es)to continue the classification or designation of such land, Total Tax Due $
the new owner(s) must sign below. If the new owner(s) do(es) not desire to ,oto`"' '
continue such classification or designation, all compensating or additional tax (SEE 1-5 ON REVERSE SIDE)
calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due O • ,
and payable by the seller or transferor at the time of sale. To determine if the AFFIDAVIT . ,
land transferred qualifies to continue classification or designation, the county ;- .
- must be consulted.All new owners must sign. I,the undersigned,being first sworn,on oath state that the foregoing in-
assessorg /i j%l formation to the best of my knowledge is a trLe and correct statement
° of the facts pertaining to the transfer of the above described real
estate.Any person willfully giving false informtitibn in this affidavit s[ialt
Signature(s) be subject to the PERJURY LAWS of the Statt of-;Washington.
SEE 6/ON REVERSE FOR PENALTIES. 'r, `/ • '
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Signature, '-v t k,'-‘E,„, �",''
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(Specify:1eGrantor/Grantee/Agent for ntor/
Subscribed and sworn to me this: day of ,, 19.
Notary Public
This land ❑ does ❑ does not qualify for continuance.
in and for the State of
Deputy
Assessor Date residing at -
0
The following optional questions are requested by RCW 82.45.120 YES NO
e. Does conveyance involve a trade,partial
Is property at the time of sale: YES NO interest corporate affiliates,related parties, 1❑ 2¢�
qJ
trust,receivership or an estate?
a. Subject to elderly,disability,or physical improvement1❑
exemption? 1❑ 2 f, Is the grantee acting as a nominee for a third
party?
b. Does building, if any, have a heat pump or solar
1❑ 2 gl
heating or cooling system?
g. Principal use:
c. Does this conveyance divide a current parcel of land? 1❑ 2 51
1 ❑ agricultural 2 CI condominium 3 ❑ recreational
d. Does sale include current crop or merchantable 4 ❑ apt(4+ units) 5 CI
6 ❑ residential
timber? 1 CI 2 va
7 0 commercial 8 CImobilehome 9 ❑ timber
X SrtNEf: it:x<-i�u.6F!irP,
FOR TREASURER'S USE ONLY
FORM REV 64 0030 (9/82) -465- 3 TAX PAYER
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1/ GROSS SALE PRICE "Selling Pricn^ shall mean nonuiderot:on, including money or anything of value, paid or
delivered or contracted to be paid or delivered in return for the transfer of the real property or aata,m or
interest in real propndy, and shall include the amount of any lien, modgage, contract indebtwdneom, or other
incumbrance, either given to secure the purchase price, or any part thereof, or remaining unpaid on such
property at the time of sale (WAC 458-61-030(13)). When consideration is other than money and the transfer
is taxab|e, market value is to be reported.
2/ PERSONAL PROPERTY
The transfer of personal property is subject to the use tax and is the liability of the grantee. Use separate
form for mobile home.
3/ AUDIT AND ENFORCEMENT
The tax paid by this document is subject to audit by the Department of Revenue under RCW 82.45.150. RCW
82.45.080 specifies that this tax is the obligation of the seller and remedies for its enforcement are
specified in Chapter 82.32 RCW. RCW 82.45.080 states that such tax and penalities... "shall be a specific
lien upon each piece of real property sold from the time of sale until the tax shall have been paid, which lien
may be enforced in the manner prescribed for the foreclosure of mortgages".
4/ LOCAL REAL ESTATE EXCISE TAX
Cities and/or counties are authorized to adopt by ordinance an additional real estate excise tax to be
collected and distributed by the county treasurer (CHAPTER 8246 RCW).
5/ DELINQUENT PENALTY
If the tax due is not paid within 30 days from the time of sale, interest of 10/0 per month shall be charged from
the sale date until date of payment. Nonpayment or underpayment resulting from intent to evade the tax is
subject to 509h penalty (Chapter 82.45 RCM.
6/ PERJURY
Perjury is a class C felony which is punishable by imprisonment in a state correctional institution for a
maximum term of not more than five yeurm, o, byefine in an amount fixed by the court of not more than five
thousand do||any, or by both such imprisonment and fine (RCW 9A.20.020 (1C)).
TAX OBLIGATION FOR FOREST LAND CLASSIFICATION OR DESIGNATION
CURRENT USE (OPEN SPACE) CLASSIFICATION OR PROPERTY EXEMPT FROM TAXATION
FOREST LAND LIABILITY (RCW 84.33.120 and 84.33.140)
Upon withdrawal or removal of this land from classification or designation a compensating tax shall be imposed
which shall be equal to:
1. The difference between the amount of tax last levied on such land as forest land and an amount equal to
the new assessed valuation of such land multiplied by the millage rate of the last levy extended against
such land, multiplied by
2. A number, in no event greater than ten, equal to the number of years for which such land was classified or
designated as forest land.
Reforestation or conversion requirements should be consulted according to Chapter 76.09 RCW.
CURRENT USE LIABILITY (RCW 84.34.108)
Upon withdrawal or removal of this land from classification, an additional tax shall be imposed in the following
manner.
1. Land under classification for a minimum of ten years shall pay an amount equal to the difference between
the tax computed on the basis of "current uam" and the tax computed on the basis of true and fair value
plus interest at the same statutory rate charged on property taxes. The additional tax and interest shall be
paid for the seven years last past.
2. Land withdrawn because of a change to a nonconforming use or land withdrawn prior to the minimum ten-
yoarperiodorfai|urmt000mp|ytotwn'yearnoticeofwi1hdrawa| uhaUbe |iab|etopmythemdditionm| texma
in 1. above plus a penalty of 20% of the additional tax and interest. The additional tax, interest and penalty
shall be paid for the past seven years.
PROPERTY EXEMPT FROM TAXATION (RCW 84.36.810 and 84.36.262)
Sale of exempt property may cause taxes and interest to be assessed for up to last ten yeera, depending on
type and life of exemption.
FORM REV 64 003 (9/82) BACOX-85