HomeMy WebLinkAboutD 20010918000235 i - t� , � � ', • i
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t� Return Address:
City Clerk's Office
�ity°f Rent°n 20010918000235
1055 South Grady Way
CiTY OF RENTON D 9.00 '
Renton,WA 98055-3232 08G180200/F09008
KING COUNTY, WA ,
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- _�E1-84-19�fi - -
09/18/2001 09:08
KING COUNTY, WA
SALE a2.00
a0.00 PAGE 001 OF 001
DEED OF DEDICATION Property Tax Parcel Number:723150-1825 �
Project File#: LND 95-0040 S 2"d St Signal Safety Street Intersection: S 2°d&Williams Ave S
Grantor(s): Grantee{s):
1. Savren Service Cor oration 1. City of Renton,a Municipal Lorporation
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LEGAL DESCRIPTION: That portion of the following parcel beginning at the northwest corner thence
� southerly along the west line thereof a distance of 10 feet,thence northeasterly to a point on the north
� line 10 feet east of the northwest corner,thence westerly along the north line to the point of beginning.
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o Parcel: Lots 1 and 2,Block 22, Town Of Renton according to the plat thereof recorded in Volume 1 of
�' Plats,page 135,records of King County,Washington; LESS the east 8 feet thereof.
� Situate in Section 17,T 23 N,R 5 E,W.M.
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� i Contains an area of 50 square feet. I
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The Grantor,for and in consideration of Ten Dollars($10.00)and other valuable consideration conveys,quit claims,
dedicates and donates to the Grantee(s)as named above,the above described real estate for road right of way situated in the
County of King,State of Washington. This dedication is under threat of eminent domain.
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
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� Approved and Accepted By:
Grantor:Savren Service orporation Gra (s): City of Renton
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BY:
�� H. A. BLE COE P �SI NT - r
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BY f
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V KARP EX . VICE PRESIDENT City Clerk
Savren Dedication Page 1
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Notary Seal must be within box CORPORATE FORM OF ACKNOWLEDGMENT
STATE OF WASHINGTON )SS
COUNTY OF KING )
On this 22ND day of AUGUST 2001 ,before me personally appeared
& V KARPIAK President & Exec. Vice Pres.
H.A.Blenco�to me known to b����€�Ie�T�'�of the corporation that
0�Z�j executed the within instrument,and acknowledge the said instrument to be the free
��m�� and voi_urtary act and deed ef s:.id ccrp �t ��'�.i�uses and pur,�os�s thereia
�p� �.2 mentioned,and each on oath stated that��th�authorized to execute said
C�� �Z instrument and that the seal affixed i co te seal of said corporation.
D�� -Gm
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�tn _CW
NX�Z �p� otary Pub c in and for the State of Washington
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A N Z n Notary (Print) STEPHANIE J BOWEN
� 2/19/04 I
My appointment expires:
Dated: AUGUST 22, 2001
+,.^� Notary Seal must be within box CORPORATE FORM OF ACKNOWLEDGMENT I
� STATE OF WASHINGTON )SS
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� , COUNTY OF KING )
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� Or.th:s day cf ,20_,befo.�me peror.ally appeared
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Jesse Tanner to me known to be Mayor of the City of Renton a municipal
r— corporation that executed the within instrument,and acknowledge the said instrument
� to be the free and voluntary act and deed of said corporation,for the uses and
� purposes therein mentioned,and each on oath stated that he/she was authorized to
�. execute said instrument and that the seal affixed is the corporate seal of said
o corporation.
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Notary Public in and for the State of Washington
Notary(Print)
ivly appoinimeni expires: �
. Dated:
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� Savren Dedication Page 2
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PLEaSE TYPE'OR PRINT REAL ESTATE EXCISE TAX AFFIDAVI'� Th����y,qur����pt =�
PLEASE SEE REVERSE - C�Ti�+ � hier. �,� �
CH.AP'I'ER 82.45 RCW-CHAPTER 458-61 WAC ;�
" ` FOR USE AT COUNTY TREASURER'S OFFICE
� , (Use Form No.84-001 B for Reporting Transfers of Controlling Interest of Entiry Ownership to the Depaztment of Revenue)
THIS.AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED
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Name .�v�C � .�t` �ry =f� a it �� 1 �� Name t' ��s t f^ ri f k�..;'Et•'� ,� ��Llr.ie', ,i,- I
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"� Street ��� `,�f 1�, i:�� . - ;�w°i : : � :J � �� Street '� � .� f�'�'t�i� �[,,-'f;f'
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Ci /State/Zi .�'� �% f,F,:�- ,t r`r �v �� - �� C`���.r-��,...,� ;'• -
�Y p `�'� � City/State/Zip �:.,;:� :t.;....� � .f� ,�'c-- a `,�`
�} ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE • ALL TAX PARCEL NUMBERS COUNTY TREASURER PLACE
�,:� , ASSESSED VALUE IF TAX EXEMPT
Name �� �i r:.l ,`�e_ ��-'�f� f�r,>'4��-�e.���;fe='i ��� 1��� "'�i.�°]� '�
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, Street �' � ,�.,..�3�• �; ""��'� �� r`�: . . � , :! ` . . �.
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City/State/Zip �t � f ���'`�"� `���`��=' �
� LEGAL DESCRIPTION OF PROPERTY SITUATED IN ❑UNINCORPORATED COUNTY (�OR IN CITY OF .�'�.c�.���� .�Z.1
Street Address(if property is improved):
��Y��� � . f .:I�3 ,f ;��'�°rd' Le 1 s�� g �� � `�f' .,.�j�af,1.�.:' �'.= ,"i�.'z# i.%?t. F,..} � L�' jr J �rf,�:�Y -
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F �/�{+' C i t„'. !f fS � f_t S�/C# bis� F;1 �L �j�'�, f�? r�Fi� � �' jvaS��' . :f �!�€fLT �iC F v�"" �.� ��"
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�y��,.,l �� F� � �'�` £�t�� � 1�` t° � �. �:".�
u� r: '��f "s �..� � K�..A s��`� , , �_ , �. _ 'd: , x' , . „ , . '�,, . .� - • ;E . , •
t . j t, � � +,5.. .,. �`�� �. . , .�, �
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• �3 Is this property currently: YES NO p Description of tangible personal property if included in sale
Classified or designated as forest land? � �� (furniture,appliances,etc.) R
, �
Chapter 8433 RCW � f�' m °
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Classified as current use land(open space,farm � � ������,%�. ' i '' �
and agricultural,or timber)?Chapter 8434 RCW ` � , 3
Exempt from property ta�c as a nonprofit p [�J� If exemption claimed, li� WAC na�er and exptanation. �� � `
organization?Chapter 8436 RCW , f`'�`'`� �. '"'" �
WAC No. (Sec/Sub�" ��t'�""�'�R �,��� �.{��'��
Seller's Exempt Reg.No. _�___!i_`. �E _ •
� Receiving spe`bial valuatiori as historic� ` �'�r� � " x lanation f . � � � � � �
p �'f t�t�`�"�,"'✓, '��� �.�er„t,�t�a�7 k'Ls�'��'�` ,
property?Chapter 84.26 RCW : ` ; ' �` � �',s ,� ' '
!�f.x:�'�� �'�.� �'=:��� ��''1"
.�;��r>',;F-� t�l'�t'��;,:-� � .� l _.,.��-'
Property Type: �land only �land with new building ' ,r .�' .
- ❑land with previously used building ❑land with mobile home Type of Document ��'nd';•,�^,r����.��_> � r-'r�;�
❑timber only �building only {u ft �_j�` .
Date of Document • � 3
Principal Use: �Apt.(4+unit) �residential ,� � R�,.
. ❑timber �agricultural ❑commercial/industrial Gross Sale Price $ � ,�. ..
0 other �r�� Personal Property(deduct) $ '�
4] (1)NOTICE OF CONTINLJANCE(RCW 8433 OR RCW 84.34) Taxable Sale Price $ : ,
If the new owner(s)of land that is classified or designated as current use Excise Tax: State $ .
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 ciassification or designation,all compensating or Local $ ''
additional tax calculated pursuant to RCW 8433.120 and 140 or RCW
, - 8434.108 shall be due and payable by the seller or transferor at the time Delinquent Penalty: State $
of sale.The counry assessor must determine if the land transferred Total Due $ '"�""' a�
��* qualifies to continue classification or designation and must so indicate ,
below.Signatures do not necessarily mean the land will remain in A MINIMUM OF$2.00 IS DUE AS A PROCESSING FEE AND TAX. ;
classification or designation.If it no longer qualifies,it will be removed AFFIDAVIT
and the compensating taxes will be applied.All new owners must sign. '
. I Certify Under Penalty Of Perjury Under The Laws Of The State Of
This land �does �does not qualify for continuance. Washington That The Foregoing Is True And Correct.(See back of this �I
--._ , form). -
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Date ; - � _.DEPUTY ASSESSOR ��,`=- "Signature of�- _ ��^- � `���P- _ �J�. = -� f- �
Grantor/Agent ��J> - st f ! -�k :� ��' �
��- �-�(�) NOTICE OF COMPLIANCE(Chapter 84.26 RCW) �„� �r? -�--,�.,� / ,
Name(print) r r r .,��� ' = ,t. =� ,`�'+= t�� �W
If the new owner(s)of property with special valuation as historic property �
� wish to continue this special valuation the new owner(s)must sign below. Date and Place of Signi . � ��_ • �- �- � .T� � `" t
If the new owner(s)do not desire to continue such special valuation,all p � j��,
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. Crantee/Agent
(3) OWNER(S)SIGNATURE Name
(print)
- -f7ate&Place of Signing:
Perjury: Perjury is a class C felo�� - - � ' �' -----------��---��-��+;�,+;�„f.,�a maacicnum term of not more
_ than five yeazs,or by a fine in an `by both imprisonment and
fine(RC W 9A.20.020(1 C)). °
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REV 84 0001 a(6-OS-98)(PD 9-22-98) TAXPAYER
E184195fi
09/18/2001 08:08
KING COUNTY, WA
SALE aZ•00
_ ___ a0.00 PAGE 001 OF 001
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INSTRUCTIONS I
Transfers of Controlling Interest I
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
controlling interest must also be reported to t�e Department of Revenue within five days of
the sale on Form No. 84-0001 B.
� (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-OOOIB).
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 t�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 on
the state taxes is due from the seller if the tax is paid more than 30, 6U, or 90 days past due.
There is a 50 percent penalty for intentionally evading payment of the ta�c.
Audit
The Department of Rever�ue will conduct audits of the transactions and, if necessary,
determine any underpayment of the tax. (WAC 458-61-130)
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To inquire about the availability of this form in an alternate format for the visually impaired or a language other
than English,please call(360) 753-3217. Teletype(7T�)users may call(800)451-7985. You may also access tax
information on our Internet home page at http://www.wa.gov/dor/wador.htm.
REV 84 0001 a-insv(6-OS-98)(PD 9-22-98) ` , �, . '
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