HomeMy WebLinkAboutL_Real_Estate_Excise_Tax_Affidavit_231228_v3T]rparfinenl W Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Re�4 n ue Only for sales in a single location code on or after March 1, 2023.
Washington State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please type or print.
0 Check box if partial sale, indicate % 2.44 sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Home Depot U.S.A.. Inc.. a DE Cor
Name Ci'y of Renton, a Washington Municipal Corporation
Mailing address 2455 Paces Ferry Rd. C20
City/state/zip Atlanta. GA 30339
Phone (including area code) 678-764-2837
3 Send all property tax correspondence to:0 Same as Buyer/Grantee
Name
Mailing address
City/state/zip
4 Street address of property 901 S. 7th St. & S. Grady Wa
Mailing address 1055 S. Grady Way
City/state/zip Renton. WA 98057
Phone (including area code) 425-430-6400
List all real and personal property tax
Personal
Assessed
parcel account number:
property?
value(s)
tn. of 2023059007 _
�✓
$ 15,550,000.00
On. of 9154600010
0✓
$ 9.040 300.00
On. of 1723059183
$ 1,617,400.00
This property is located in I Renton I (for uni^ lions please select your county)
❑ 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.
Le al description of property (if you need more space, attach a separate sheet to each page of the affidavit).
Portion of NE 1/4 of NE 1/4 of Sec. 19, Twp. 23N., Rge. 5E., and SW 1/4 of SW 1/4 of Sec. 17, Twp. 23N., Rge. 5E., and NW 114 of NW 1/4 of Sec.
20, Twp. 23N., Rge. 5E., W.M.
See attached for legal description
5 145 - 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
citizen or disabled person, homeowner with limited income)? ❑ Yes 0 No
Is this property predominately used for timber (as classified
under 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 transfer involves multiple parcels with different classifications,
complete the predominate use calculator (see instructions) ❑Yes ❑ No
6 Is this property designated as forest land per RCW 84.33? ❑Yes 0 No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34? ❑ Yes 0 No Date of document
None
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection) WAC 458-61A-217
Reason for exemption
Re-record to correct legal description. Previous Deed Recording
#20230510000358; Previous Excise Affidavit # E3236602
Is this property receiving special valuation as historical
property per RCW 84.26? ❑ Yes 0 No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: ❑ does ❑ does not qualify for
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
Signature Signature
Print name
Print name
Type of document Deed of Dedication
Gross selling price
0.00
*Personal property (deduct)
0.00
Exemption claimed (deduct)
0.00
Taxable selling price
0.00
Excise tax: state
Less than $525,000.01 at 1.1% 0.00
From $525,000.01 to $1,525,000 at 1.28% 0.00
From $1,525,000.01 to $3,025,000 at 2.75% 0.00
Above $3,025,000 at 3% 0.00
Agricultural and timberland at 1.28% 0.00
Total excise tax: state 0.00
0.0050 Local 0.00
*Delinquent interest: state 0.00
Local
*Delinquent penalty
Subtotal
0.00
0.00
0.00
*State technology fee 5.00
Affidavit processing fee 5.00
Total due 10.00
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
*SEE INSTRUCTIONS
I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent
Name (print)
Signature of grantee or agent
Name (print)
Date & city of signing Date & city of signing
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five ears, or by
a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)).
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705.Teletype
(TTY) users may use the WA Relay Service by calling 711.
REV 84 0001a (02/28/23)
THIS SPACE TREASURER'S USE ONLY COUNTY TREASURER
Print on legal size paper.
Page 1 of 6
ALL THAT PORTION OF REVISED PARCELS 2 AND 3 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-99-153-
LLA, RECORDED UNDER RECORDING NUMBER 20010213900004, EXCEPT THAT PORTION CONVEYED TO THE STATE
OF WASHINGTON, DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER
RECORDING NO. 20071228001161, AND ADJUSTED PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER
LUA-02-127-LLA, RECORDED UNDER RECORDING NUMBER 20021216900002, EXCEPT THAT PORTION OF SAID
ADJUSTED PARCEL 1 CONVEYED TO CITY OF RENTON BY DEED RECORDED FEBRUARY 20, 2003, UNDER RECORDING
NUMBER 20030220000243, ALSO, EXCEPT THAT PORTION CONVEYED TO THE STATE OF WASHINGTON,
DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER RECORDING NO.
20071228001161, LYING NORTHERLY AND WESTERLY OF THE FOLLOWING DESCRIBED LINE:
COMMENCING AT THE NORTHWEST CORNER OF SAID REVISED PARCEL 3;
THENCE SOUTH 43°37'00" EAST, A DISTANCE OF 7.00 FEET TO THE POINT OF BEGINNING;
THENCE SOUTH 46*23'00 WEST, A DISTANCE OF 32.69 FEET;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 11.00 FEET;
THENCE SOUTH 46*23'00" WEST, A DISTANCE OF 43.16 FEET, TO THE BEGINNING OF A 3875.93-FOOT RADIUS
TANGENT CURVE CONCAVE NORTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 67.63 FEET, THROUGH A CENTRAL ANGLE OF 00"59'59";
THENCE NORTH 42*37'00" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 42-37-00" WEST A DISTANCE OF
3865.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 186.31 FEET, THROUGH A CENTRAL
ANGLE OF 02"45'41";
THENCE SOUTH 39"51'19" EAST, A DISTANCE OF 4.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 39-51'19" WEST DISTANCE OF
3869.93 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 64.40 FEET, THROUGH A CENTRAL
ANGLE OF 00°57'12";
THENCE NORTH 38'54'07" WEST, A DISTANCE OF 4.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 38-54'07" WEST A DISTANCE OF
3865.43;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 214.14 FEET, THROUGH A CENTRAL
ANGLE OF 03"10'27";
THENCE SOUTH 35°43'40" EAST, A DISTANCE OF 7.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 35-43-40" WEST A DISTANCE OF
3872.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 112.44 FEET, THROUGH A CENTRAL
ANGLE OF 01'39'48", TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, FROM WHICH THE RADIUS
POINT BEARS SOUTH 34"03'52" EAST A DISTANCE OF 20.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 31.00 FEET, THROUGH A CENTRAL ANGLE OF
88"48'28";
THENCE SOUTH 32'52'19" EAST, A DISTANCE OF 157.59 FEET, TO THE BEGINNING OF A 761.00-FOOT
RADIUS TANGENT CURVE CONCAVE SOUTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 114.07 FEET, THROUGH A CENTRAL ANGLE OF 08"35'17";
THENCE NORTH 65'42'58" EAST, A DISTANCE OF 9.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE SOUTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 65-42,58" WEST A DISTANCE OF
770.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHEASTERLY, A DISTANCE OF 107.35 FEET, THROUGH A CENTRAL
ANGLE OF 07"59'17";
THENCE SOUTH 73"42'14" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE WESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 73-42-14" WEST A DISTANCE OF 760.00
FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 251.33 FEET, THROUGH A CENTRAL ANGLE
OF 18"56'52";
THENCE SOUTH 02"39'07" WEST, A DISTANCE OF 130.75 FEETTO THE SOUTH LINE OF THE AFORESAID ADJUSTED
PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-02-127-LLA, SAID POINT BEING SOUTH
87-20-53" EAST, A DISTANCE OF 10.00 FEET FROM THE SOUTHWEST CORNER OF SAID ADJUSTED PARCEL 1 AND
THE TERMINUS OF THIS DESCRIBED LINE.
Department of r� Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Revenue Only for sales in a single location code on or after March 1, 2023.
Washington State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please type or print.
0 Check box if partial sale, indicate % 2.44 sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Home Depot U.S.A., Inc.. a DE Corp. Name City of Renton, a Washington Municipal Corporation
Mailing address 2455 Paces Ferry Rd. C20
City/state/zip Atlanta, GA 30339
Phone (including area code) 678-764-2837
3 Send all property tax correspondence to:0 Same as Buyer/Grantee
Name
Mailing address
City/state/zip —
Mailing address 1055 S. Grady Way
City/state/zip Renton, WA 98057
Phone (including area code) 425-430-6400
List all real and personal property tax
Personal
Assessed
parcel account numbers
property?
value(s)
On. of 2023059007
❑✓
55 550,000.00
On. of 9154600010
�✓
5 9 040 300.00
On. of 1723059183
❑✓
1,617,400.00
4 Street address of property 901 S. 7th St. & S. Grad Way
This property is located in Renton (for unincorporated locations please select your county)
❑ 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). _
Portion of NE 1/4 of NE 1/4 of Sec.19, Twp. 23N., Rge. 5E., and SW 1/4 of SW 1/4 of Sec.17, Twp. 23N., Rge. 5E., and NW 1/4 of NW 1/4 of Sec.
20, Twp. 23N., Rge. 5E., W.M.
See attached for legal description
5 145 - 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
citizen or disabled person, homeowner with limited income)? ❑ Yes 0 No
Is this property predominately used for timber (as classified under
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
transfer involves multiple parcels with different classifications,
complete the predominate use calculator (see instructions) ❑Yes ❑No
6 Is this property designated as forest land per RCW 84.33? oyes 0 No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34? ❑ Yes 0 No
Is this property receiving special valuation as historical
property per RCW 84.26? ❑ Yes 0 No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: ❑ does ❑ does not qualify for
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
Signature
Print name
(3) NEW OWNER(S) SIGNATURE
Signature
Print name
None
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection) WAC 458-61A-217
Reason for exemption
Re-record to correct legal description. Previous Deed Recording
#20230510000358; Previous Excise Affidavit # E3236602
Type of document Deed of Dedication
Date of document
Gross selling price
0.00
*Personal property (deduct)
0.00
Exemption claimed (deduct)
0.00
Taxable selling price
0.00
Excise tax: state
Less than $525,000.01 at 1.1% 0.00
From $525,000.01 to $1,525,000 at 1.28% 0.00
From $1,525,000.01 to $3,025,000 at 2.75% 0.00
Above $3,025,000 at 3% 0.00
Agricultural and timberland at 1.28% 0.00
Total excise tax: state 0.00
0.0050 Local 0.00
*Delinquent interest: state 0.00
Local 0.00
*Delinquent penalty 0.00
Subtotal 0.00
*State technology fee 5.00
Affidavit processing fee 5.00
Total due 10.00
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
*SEE INSTRUCTIONS
1 CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent
Name (print)
Date & city of signing
Signature of grantee or agent
Name (print)
Date & city of signi
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five ears, or by
a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)).
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705.Teletype
(TTY) users may use the WA Relay Service by calling 711.
REV 84 0001a (02/28/23)
THIS SPACE TREASURER'S USE ONLY COUNTY ASSESSOR
Print on legal size paper.
Page 2 of 6
ALL THAT PORTION OF REVISED PARCELS 2 AND 3 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-99-153-
LLA, RECORDED UNDER RECORDING NUMBER 20010213900004, EXCEPT THAT PORTION CONVEYED TO THE STATE
OF WASHINGTON, DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER
RECORDING NO. 20071228001161, AND ADJUSTED PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER
LUA-02-127-LLA, RECORDED UNDER RECORDING NUMBER 20021216900002, EXCEPT THAT PORTION OF SAID
ADJUSTED PARCEL 1 CONVEYED TO CITY OF RENTON BY DEED RECORDED FEBRUARY 20, 2003, UNDER RECORDING
NUMBER 20030220000243, ALSO, EXCEPT THAT PORTION CONVEYED TO THE STATE OF WASHINGTON,
DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER RECORDING NO.
20071228001161, LYING NORTHERLY AND WESTERLY OF THE FOLLOWING DESCRIBED LINE:
COMMENCING AT THE NORTHWEST CORNER OF SAID REVISED PARCEL 3;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 7.00 FEET TO THE POINT OF BEGINNING;
THENCE SOUTH 46"23'00 WEST, A DISTANCE OF 32.69 FEET;
THENCE SOUTH 43°37'00" EAST, A DISTANCE OF 11.00 FEET;
THENCE SOUTH 46°23'00" WEST, A DISTANCE OF 43.16 FEET, TO THE BEGINNING OF A 3875.93-FOOT RADIUS
TANGENT CURVE CONCAVE NORTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 67.63 FEET, THROUGH A CENTRAL ANGLE OF 00"59'59";
THENCE NORTH 42"37'00" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 42-37-00" WEST A DISTANCE OF
3865.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 186.31 FEET, THROUGH A CENTRAL
ANGLE OF 02'45'41";
THENCE SOUTH 39'51'19" EAST, A DISTANCE OF 4.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 39°51'19" WEST A DISTANCE OF
3869.93 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 64.40 FEET, THROUGH A CENTRAL
ANGLE OF 00°57'12";
THENCE NORTH 38'54'07" WEST, A DISTANCE OF 4.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 38"54'07" WEST A DISTANCE OF
3865.43;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 214.14 FEET, THROUGH A CENTRAL
ANGLE OF 03"10'27";
THENCE SOUTH 35"43'40" EAST, A DISTANCE OF 7.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 35-43'40" WEST DISTANCE OF
3872.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 112.44 FEET, THROUGH A CENTRAL
ANGLE OF 01*39'48", TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, FROM WHICH THE RADIUS
POINT BEARS SOUTH 34°03'52" EAST A DISTANCE OF 20.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 31.00 FEET, THROUGH A CENTRAL ANGLE OF
88'48'28";
THENCE SOUTH 32'52'19" EAST, A DISTANCE OF 157.59 FEET, TO THE BEGINNING OF A 761.00-FOOT
RADIUS TANGENT CURVE CONCAVE SOUTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 114.07 FEET, THROUGH A CENTRAL ANGLE OF 08-35'17";
THENCE NORTH 65'42'58" EAST, A DISTANCE OF 9.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE SOUTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 65-42'58" WEST DISTANCE OF
770.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHEASTERLY, A DISTANCE OF 107.35 FEET, THROUGH A CENTRAL
ANGLE OF 07"59'17";
THENCE SOUTH 73°42'14" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE WESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 73-42'14" WEST A DISTANCE OF 760.00
FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 251.33 FEET, THROUGH A CENTRAL ANGLE
OF 18'56'52";
THENCE SOUTH 02`39'07" WEST, A DISTANCE OF 130.75 FEET TO THE SOUTH LINE OF THE AFORESAID ADJUSTED
PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-02-127-LLA, SAID POINT BEING SOUTH
87-20-53" EAST, A DISTANCE OF 10.00 FEET FROM THE SOUTHWEST CORNER OF SAID ADJUSTED PARCEL 1 AND
THE TERMINUS OF THIS DESCRIBED LINE.
Department of t� Real Estate Excise Tax Affidavit (RCW 82.45 WAG 458-61A)
Revenue Only for sales in a single location code on or after March 1, 2023.
Washington State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please type or print.
0 Check box if partial sale, indicate % 2.44 sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Home Dot U.S.A.. Inc., a DE Cozy
Name Oily of Renton, a Washington Municipal Corvoration
Mailing address 2455 Paces Ferry Rd. C20 Mailing address 1055 S. Grady Way
City/state/zip Atlanta. GA 30339 city/state/zip Renton WA 98057
Phone (including area code) 678-764-2837 425-430-6400
Phone (including area code)
3 Send all property tax correspondence to:0 Same as Buyer/Grantee
Name
Mailing address
City/state/zip
List all real and personal property tax
Personal
Assessed
parcel account numbers
property?
value(s)
On. of 2023059007
❑✓
5 15.550.000.00
On. of 9154600010
❑✓
<5 9.040.300.00
On. of 1723059183
❑✓
$ 1.617.400.00
4 Street address of property 901 S. 7th St. $ S. Grady Way
This property is located in I Renton (for unincorporated locations please select your county)
❑ 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.
_egal description of property (if you need more space, attach a separate sheet to each page of the affidavit).
Portion of NE 1/4 of NE 1/4 of Sec. 19, Twp. 23N., Rge. 5E., and SW 1/4 of SW 1/4 of Sec.17, Twp. 23N., Rge. 5E., and NW 1/4 of NW 1/4 of Sec.
20, Twp. 23N., Rge. 5E., W.M.
See attached for legal description
5 45 - Highway and street right of way 7 List all personal property (tangible and intangible) included in selling
price.
Enter any additional codes
None
(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
citizen or disabled person, homeowner with limited income)? ❑ Yes 0 No
Is this property predominately used for timber (as classified under
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
transfer involves multiple parcels with different classifications,
complete the predominate use calculator (see instructions) ❑ Yes ❑ No
6 Is this property designated as forest land per RCW 84.33? Dyes 0No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34? ❑ Yes 0 No
Is this property receiving special valuation as historical
property per RCW 84.26? ❑ Yes 0 No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: ❑ does ❑ does not qualify for
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
Signature Signature
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection) WAC 458-61A-217
Reason for exemption
Re-record to correct legal description. Previous Deed Recording
#20230510000358; Previous Excise Affidavit # E3236602
Type of document Deed of Dedication
Date of document
Gross selling price
0.00
*Personal property (deduct)
0.00
Exemption claimed (deduct)
0.00
Taxable selling price
0.00
Excise tax: state
Less than $525,000.01 at 1.1%
0.00
From $525,000.01 to $1,525,000 at 1.28%
0.00
From $1,525,000.01 to $3,025,000 at 2.75%
0.00
Above $3,025,000 at 3%
0.00
Agricultural and timberland at 1.28%
0.00
Total excise tax: state
0.00
J.0050 Local
0.00
*Delinquent interest: state
0.00
Local
0.00
*Delinquent penalty
0.00
Subtotal
0.00
*State technology fee
5.00
Affidavit processing fee
5.00
Total due
10.00
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
Print name Print name *SEE INSTRUCTIONS
8 1 CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent
Name (print)
Signature of grantee or agent
Name (print)
Date & city of signing Date & city of signing
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five ears, or by
a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021r1)(c)).
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705. Teletype
(TTY) users may use the WA Relay Service by calling 711.
REV 840001a (02/28/23) THIS SPACE TREASURER'S USE ONLY DEPARTMENT OF REVENUE
Print on legal size paper.
Page 3 of 6
ALL THAT PORTION OF REVISED PARCELS 2 AND 3 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-99-153-
LLA, RECORDED UNDER RECORDING NUMBER 20010213900004, EXCEPT THAT PORTION CONVEYED TO THE STATE
OF WASHINGTON, DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER
RECORDING NO. 20071228001161, AND ADJUSTED PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER
LUA-02-127-LLA, RECORDED UNDER RECORDING NUMBER 20021216900002, EXCEPT THAT PORTION OF SAID
ADJUSTED PARCEL 1 CONVEYED TO CITY OF RENTON BY DEED RECORDED FEBRUARY 20, 2003, UNDER RECORDING
NUMBER 20030220000243, ALSO, EXCEPT THAT PORTION CONVEYED TO THE STATE OF WASHINGTON,
DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER RECORDING NO.
20071228001161, LYING NORTHERLY AND WESTERLY OF THE FOLLOWING DESCRIBED LINE:
COMMENCING AT THE NORTHWEST CORNER OF SAID REVISED PARCEL 3;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 7.00 FEET TO THE POINT OF BEGINNING;
THENCE SOUTH 46°23'00 WEST, A DISTANCE OF 32.69 FEET;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 11.00 FEET;
THENCE SOUTH 46"23'00" WEST, A DISTANCE OF 43.16 FEET, TO THE BEGINNING OF A 3875.93-FOOT RADIUS
TANGENT CURVE CONCAVE NORTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 67.63 FEET, THROUGH A CENTRAL ANGLE OF 00°59'59";
THENCE NORTH 42"37'00" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 42-37-00" WEST A DISTANCE OF
3865.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 186.31 FEET, THROUGH A CENTRAL
ANGLE OF 02"45'41";
THENCE SOUTH 39°51'19" EAST, A DISTANCE OF 4.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 39"51'19" WEST A DISTANCE OF
3869.93 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 64.40 FEET, THROUGH A CENTRAL
ANGLE OF 00*57'12";
THENCE NORTH 38"54'07" WEST, A DISTANCE OF 4.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 38"54'07" WEST A DISTANCE OF
3865.43;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 214.14 FEET, THROUGH A CENTRAL
ANGLE OF 03"10'27";
THENCE SOUTH 35'43'40" EAST, A DISTANCE OF 7.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 35*43,401, WEST A DISTANCE OF
3872.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 112.44 FEET, THROUGH A CENTRAL
ANGLE OF 01*39'48", TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, FROM WHICH THE RADIUS
POINT BEARS SOUTH 34°03'52" EAST A DISTANCE OF 20.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 31.00 FEET, THROUGH A CENTRAL ANGLE OF
88°48'28";
THENCE SOUTH 32'52'19" EAST, A DISTANCE OF 157.59 FEET, TO THE BEGINNING OF A 761.00-FOOT
RADIUS TANGENT CURVE CONCAVE SOUTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 114.07 FEET, THROUGH A CENTRAL ANGLE OF 08-35'17";
THENCE NORTH 65'42'58" EAST, A DISTANCE OF 9.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE SOUTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 65"42'58" WEST A DISTANCE OF
770.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHEASTERLY, A DISTANCE OF 107.35 FEET, THROUGH A CENTRAL
ANGLE OF 07°59'17";
THENCE SOUTH 73`42'14" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE WESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 73-42'14" WEST A DISTANCE OF 760.00
FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 251.33 FEET, THROUGH A CENTRAL ANGLE
OF 18'56'52";
THENCE SOUTH 02"39'07" WEST, A DISTANCE OF 130.75 FEET TO THE SOUTH LINE OF THE AFORESAID ADJUSTED
PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-02-127-LLA, SAID POINT BEING SOUTH
87-20'53" EAST, A DISTANCE OF 10.00 FEET FROM THE SOUTHWEST CORNER OF SAID ADJUSTED PARCEL 1 AND
THE TERMINUS OF THIS DESCRIBED LINE.
Department off Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Revenue 1 Only for sales in a single location code on or after March 1 2023.
Washington State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please type or print.
0 Check box if partial sale, indicate % 2.44 sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Home Depot U.S.A.. Inc.. a DE Corr. Name City of Renton. a Washington Municipal Com{,ration
Mailing address 2455 Paces Ferry Rd. C20
City/state/zip Atlanta GA 30339
Phone (including area code) 678-764-2837
3 Send all property tax correspondence to:0 Same as Buyer/Grantee
Name
Mailing address
City/state/zip —
Mailing address 1055 S. Grady Way
_
City/state/zip Renton. WA 98057
Phone (including area code) 425430-6400
List all real and personal property tax
Personal
Assessed
parcel account numbers
property?
value(s)
An. of 2023059007
2
$ 15,550,000.00
An. of 9154600010
❑✓
$ 9,040,300.00
-Ptn. of 1723059183
❑✓
$ 1.617.400.00
4 Street address of property 901 S. 7th St. & S. Grady Way
This property is located in I Renton I (for unincorporated locations please select your county)
❑ 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).
Portion of NE 114 of NE 1/4 of Sec. 19, Twp. 23N., Rge. 5E., and SW 1/4 of SW 1/4 of Sec.17, Twp. 23N., Rge. 5E., and NW 1/4 of NW 1/4 of Sec.
20, Twp. 23N., Rge. 5E., W.M.
See attached for legal description
5 145 - Highway and street right of way
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
citizen or disabled person, homeowner with limited income)? ❑ Yes 0 No
Is this property predominately used for timber (as classified under
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
transfer involves multiple parcels with different classifications,
complete the predominate use calculator (see instructions) ❑ Yes ❑ No
6 Is this property designated as forest land per RCW 84.33? ❑Yes 0No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34?
7 List all personal property (tangible and intangible) included in selling
price.
None
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection) WAC 458-61A-217
Reason for exemption
Re-record to correct legal description. Previous Deed Recording
#20230510000358; Previous Excise Affidavit # E3236602
Type of document Deed of Dedication
❑ Yes 0 No Date of document
Is this property receiving special valuation as historical
property per RCW 84.26? []Yes 0 No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: ❑ does ❑ does not qualify for
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
Gross selling price 0.00
*Personal property (deduct) 0.00
Exemption claimed (deduct)
0.00
Taxable selling price 0.00
Excise tax: state
Less than $525,000.01 at 1.1% 0.00
From $525,000.01 to $1,525,000 at 1.28% 0.00
From $1,525,000.01 to $3,025,000 at 2.75% 0.00
Above $3,025,000 at 3% 0.00
Agricultural and timberland at 1.28%
0.00
Total excise tax: state 0.00
0.0050 7 Local 0.00
*Delinquent interest: state 0.00
Local 0.00
*Delinquent penalty 0.00
Subtotal 0.00
*State technology fee 5.00
Affidavit processing fee 5.00
Signature Signature Total due 10.00
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
Print name Print name *SEE INSTRUCTIONS
81 CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent Signature of grantee or agent
Name (print)
Date & city of signing
Name (print)
Date & city of signing
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five ears, or by
a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)).
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705.Teletype
(TTY) users may use the WA Relay Service by calling 711.
REV 84 0001a (02/28/23)
THIS SPACE TREASURER'S USE ONLY
TAXYPAYER
Print on legal size paper.
Page 4 of 6
ALL THAT PORTION OF REVISED PARCELS 2 AND 3 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-99-153-
LLA, RECORDED UNDER RECORDING NUMBER 20010213900004, EXCEPT THAT PORTION CONVEYED TO THE STATE
OF WASHINGTON, DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER
RECORDING NO. 20071228001161, AND ADJUSTED PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER
LUA-02-127-LLA, RECORDED UNDER RECORDING NUMBER 20021216900002, EXCEPT THAT PORTION OF SAID
ADJUSTED PARCEL 1 CONVEYED TO CITY OF RENTON BY DEED RECORDED FEBRUARY 20, 2003, UNDER RECORDING
NUMBER 20030220000243, ALSO, EXCEPT THAT PORTION CONVEYED TO THE STATE OF WASHINGTON,
DEPARTMENT OF TRANSPORTATION BY DEED RECORDED DECEMBER 28, 2007, UNDER RECORDING NO.
20071228001161, LYING NORTHERLY AND WESTERLY OF THE FOLLOWING DESCRIBED LINE:
COMMENCING AT THE NORTHWEST CORNER OF SAID REVISED PARCEL 3;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 7.00 FEET TO THE POINT OF BEGINNING;
THENCE SOUTH 46"23'00 WEST, A DISTANCE OF 32.69 FEET;
THENCE SOUTH 43"37'00" EAST, A DISTANCE OF 11.00 FEET;
THENCE SOUTH 46"23'00" WEST, A DISTANCE OF 43.16 FEET, TO THE BEGINNING OF A 3875.93-FOOT RADIUS
TANGENT CURVE CONCAVE NORTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 67.63 FEET, THROUGH A CENTRAL ANGLE OF 00°59'59";
THENCE NORTH 42'37'00" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 42-37-00" WEST DISTANCE OF
3865.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 186.31 FEET, THROUGH A CENTRAL
ANGLE OF 02"45'41";
THENCE SOUTH 39°51'19" EAST, A DISTANCE OF 4.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 39-51-19" WEST DISTANCE OF
3869.93 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 64.40 FEET, THROUGH A CENTRAL
ANGLE OF 00'57'12";
THENCE NORTH 38°54'07" WEST, A DISTANCE OF 4.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 38-54-07" WEST DISTANCE OF
3865.43;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 214.14 FEET, THROUGH A CENTRAL
ANGLE OF 03°10'27";
THENCE SOUTH 35'43'40" EAST, A DISTANCE OF 7.50 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE NORTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS NORTH 35-43-40" WEST A DISTANCE OF
3872.93;
THENCE ALONG THE ARC OF SAID CURVE SOUTHWESTERLY, A DISTANCE OF 112.44 FEET, THROUGH A CENTRAL
ANGLE OF 01"39'48", TO THE BEGINNING OF A REVERSE CURVE CONCAVE EASTERLY, FROM WHICH THE RADIUS
POINT BEARS SOUTH 34°03'52" EAST A DISTANCE OF 20.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 31.00 FEET, THROUGH A CENTRAL ANGLE OF
88°48'28";
THENCE SOUTH 32'52'19" EAST, A DISTANCE OF 157.59 FEET, TO THE BEGINNING OF A 761.00-FOOT
RADIUS TANGENT CURVE CONCAVE SOUTHWESTERLY;
THENCE ALONG THE ARC OF SAID CURVE, A DISTANCE OF 114.07 FEET, THROUGH A CENTRAL ANGLE OF 08°35'17
THENCE NORTH 65'42'58" EAST, A DISTANCE OF 9.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE SOUTHWESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 65-42'58" WEST A DISTANCE OF
770.00 FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHEASTERLY, A DISTANCE OF 107.35 FEET, THROUGH A CENTRAL
ANGLE OF 07"59'17";
THENCE SOUTH 73°42'14" WEST, A DISTANCE OF 10.00 FEET, TO THE BEGINNING OF A NON -TANGENT CURVE
CONCAVE WESTERLY, FROM WHICH THE RADIUS POINT BEARS SOUTH 73-42-14" WEST DISTANCE OF 760.00
FEET;
THENCE ALONG THE ARC OF SAID CURVE SOUTHERLY, A DISTANCE OF 251.33 FEET, THROUGH A CENTRAL ANGLE
OF 18'56'52";
THENCE SOUTH 02'39'07" WEST, A DISTANCE OF 130.75 FEET TO THE SOUTH LINE OF THE AFORESAID ADJUSTED
PARCEL 1 OF CITY OF RENTON LOT LINE ADJUSTMENT NUMBER LUA-02-127-LLA, SAID POINT BEING SOUTH
87-20-53" EAST, A DISTANCE OF 10.00 FEET FROM THE SOUTHWEST CORNER OF SAID ADJUSTED PARCEL 1 AND
THE TERMINUS OF THIS DESCRIBED LINE.