HomeMy WebLinkAboutMiscREAL ESTATE EXCISE TAX AFFIDAVIT Thisfunnisyourreceipt
PLEASETI'PEORPRINT CHAPTER 82.45 RCW -CHAPJ'ER 458-61A WAC when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
{Sr,e ba~ ofbst page fo, instructions)
__ _!!Jf~""""''~· ~k~="'iui"'"'li""-""'1""''¥f"'""""'"""""-"""~---,
Phooe No. (including area code) Phone No. (including area oode
SC11d all property tax corregpW1dcnce to: 9is11me u Buyer/Gratltee
N=•--------------------
List all mil and peAOD,1.1 property tax parcel account
ci:2~6Cl':'c!ft&:"""
MailingAddress -----------------
City/State/Zip---------------
Phooe No. (including area oode
II Street address ofproperty: 3G-:-LI . L.,:. -..-::;;,-;-h,{ ,1 4-v'\ U., ~ {;:
Thisypertyislocatedin ~ n '<e~-re,.....i.. 01_/f L(O ~eek box if any of the listed parcels are being segregated from another pareel, are part of a boundary line adjustment or parcels being merge
Legal description of property (if more space is needed, you may attach a separate sheet to eacb. page of the affidavit)
Select Land Use Code(s):
enter any additional codcs:. __ Zj=Li;,,,_ ________ _
(See back oflast page for instructions)
YES
Was the seJkr tt:a:ivios a pqxrt)" m ~ or dcfcrral. Ubda D
~ 8436, 84.37. or 8438 RCW (ncqrofu: ~ scoior
citiu:n, I.T disabbl p:noa, bcmeownci-wi:th limited incmic)?
Is this~ dosignazcdas fmstl&ndp:r~8433 RCW'l'
Is this JrOl)Clt}' classified as rum:ntuse ( cpelD space, :fann and
~ octimbo"") landp:r ~84.34?
ls 1his ~ 1l:CCivmg special. vah.iaticn ashistoical pupc:r1}'
pcrdiapca--84.26 RCW?
If any answm are yes, ixmplcte as instructed below.
YES
D
D
D
(1) NOTICEOFCONTINUANCE (JORES'l'IANDORUJRRENTUSE)
NEW OWNER(S): To continue the current dcsignatioo as :finstlaod. or
classi6caticm a& curr=use (open space, fatm ;md agric::ultui:e, ortimb=-) land.
you must sip oa (3) W-. Tm county assessor must then detmmine if 1he
land transferred coot.ioue:s to qwilify and will indicate by signing below. If the
land no loogi:r qualifies or you. do DO( wish to OODbnQe 1hc dcsisnation or
classification, it will be rrmoved and 1hc: C-O!TlpC'llsarins i:r additiooal taxes will
be dae and payable: by tbe sclla or lranmor S the time of sale. (RCW
-~'.~~--14~ a RCW 84.34.1_?8). Pnai: ~ ~ (3) below, you may contact
List all personal propaty (tangible and mtangI"ble) included in scllmg
price
If claiming an exemptioa, list WAC number and reasan for exemption:
WAC No. (Section/Subsection) 4 5~ -&) A ... 7,,CF; L:i)
Reason for exemption ---------,---=-.---=-----
'De-Pi c_p..1p 1-J. 0J;_ ·'j2_ / ~
Type of Document Da.e.o ,~ .C. 'De,11 c.A r,o,'-L
Date of Document ___ .=.3::_-_,S,_-_,/c_'f,_ ________ _
Gross Selling Price $, ____________ _
*Personal Property (deduct) s. ____________ _
Exemption Claimed (deduct) $, ____________ _
Taxable Selling Price $, __________ _:0~.000'.C'..
Excise Tax : State $, __________ _:O~.O~Oc
:,.CJD:': 1 Local $, __________ _:Oc.00,:,_
*Delinquent Interest: State $. ____________ _
Local$ ____________ _
*Delinquent Penalty $, ____________ _
E2658230 Subtotal $. _________ ~Occ.OOcc_
•state Technology Fee S __________ _,5"'.00
03/20/2014 10:30
KING COUNTY, WA
$10.00
$0.00
• Affidavit Proceuing Fee $, ____________ _
Total Due S, ___________ 10~.o~oc. TAX
SALE PAGE-001 OF 001
A MINIMUM OF s1,.eo JS DUE IN FEE(S) AND/OR TAX
•sEE INSTRUCTIONS
I CERTIFY VNDE:RPENALTY OF PERIIJRY THAT THE FORl:GOING IS TRUE
/'°'
Signature of 1,/,2.,..-~_...,._.,..;:-:
Grantor or Grm10r'_s Apni .,r ~ -·
N-(prin<J K0:,\\,:,I k i<rM,>.
-& ""' of·-:i. r~s 1 , 1
Sigzaatin: of
Grantee or Grantee's AJent.,,..1.:='-''-''44'""'-'..J-1111"''---
Namc (print) Denis Law'
D"'&ci'>ofagningc J/$°/ 1'f
Mayor
Renton WA
Perjlll)': Perjury is Ill class C fcl.ooy which.is punisbablc by imJxisonmcut in tbc stllte coaectional. institution fur a maximum term of not more than five y~ or by
a fine in an amount fixed by the court ofoot more than five thousand dollars (SS,000.001 or by both impriso:omen:tand fine @CW 9A20.010 (IC)).
REV S4 OOOla(6/5/J3) TiilS SPACE-TREASURER'S USE ONLY DEPT. OF REVENUE
EXHIBIT A
Legal Description
THAT PORTION OF THE NORTH HALF OF THE NORTHEAST QUAR'IER OF THE
SOUTHWEST QUARTER.OF TRHE SOUTHEAST QUARTER OF SECTION 9, TOWNSHIP 23
NORTH, RANGE 5 EAST, WILLAMETTE MERIDIAN, IN THE CITY OF RENTON, IN KING
COUNTY, WASHINGTON
EXCEPT THE WEST 525 FEET THEREOF, DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF SAID SUBDMSION; THENCE SOUTH
00°17'11" EAST A DISTANCE OF 328.78 FEET; THENCE NORTH 88°59'19" WEST A
DISTANCE OF 20.01 FEET; THENCE NORTH 00°17'11 WEST A DISTANCE OF 279.37 FEET
TO A POINT OF A CURVE TO THE LEFT, HA YING A RADIUS OF 25.00 FEET, A CENTRAL
ANGLE OF 88°39'56" AND AN ARC LENGTH OF 38.69 FEET; THENCE NORTH 88°57'07"
WEST A DISTANCE OF 90.75 FEET; THENCE NORTH 00°12'14" WEST A DISTANCE OF
25.01 FEET; THENCE SOUTH 88°57'07" EAST A DISTANCE OF 135.14 FEET TO THE POINT
OF BEGINNING.
CONTAINING 9,582 SQ. FT.
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