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HomeMy WebLinkAboutD 9410201638 QUIT-CLAIM DEED STATUT R.Y FORM LLA-94-047 s THE GRANTOR IS) William A. Gebenini and Ilene Gebenini of 1609 Edmonds Ave. N.E. ,City of Renton County of King ,Washington,for and in consideration of 0 n e dollar conveys andquit-claim s to Cammeron and Jul ie Brewer of 1615 Edmonds Ave. N.E. , City of Renton County of King , State of Washington , all interest in the following described Real Estate: The West 20.00 feet of the North 60.00 feet of the South 167.00 feet of the East 142.00 feet of Tract 209 of C.D. Hillman's Lake Washington Garden of Eden Division No. 4, according to plat thereof recorded in Volume 11 of Plats page 82, records of King County, Washington. (70 CNI 1414 7 situated in the County of King , State of Washington. Dated this I- day of 4V-t ,zavina Grantor(s) A • xts NOTARY ACKNOWLEDGMENT King STATE OF Washington ( ss. (INDIVIDUAL ACKNOWLEDGMENT) County of 1 ) / I, . /9-714/.5:-s L-11_4.0//3 L� ,Notary Public in and for the State of (Wri ,do hereby certify that on this /q 14 dayof /4/a.h1(h , ,personally appeared before me '61!GI"."- 4' x '`4''"e oto me known to be the individual described in and who executed the within instrument and acknowledged that signed the same as free and voluntary act and deed for the uses and purposes herein mentioned. N,� CCCIII • Signed and sworn to before me this I day of /Yf k c . L _ �A + `A s! • 1.h S+A/ . ••.;ExptreS 6:26-95 ,� • nandfortheStateof S N OTATATERy WASH'' , f 4/12-40-11:1 S A My appointment expires: Commission Exp.irs 1 Quit-Claim Deed(Statutory Form) 6-26-95 Washington Legal Blank,Inc.,Issaquah,WA Form No.289 7/91 MATERIAL MAY NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER. • C4 47) sivr 3'•�iSA')N.b.s � .1.5 3 �h C),$.f4 FILED or Rec� ,t Request 01 N; , ;;,2 rt-ti � (--"\ t n PLEASE TYPE OR PRINT REAL-ESTATE EXCISE TAX AFFIDAVIT This form is your receipt when stamped PLEASE SEE REVERSE by cashier. Form No. 84 0001A CHAPTER 82.45 RCW-CHAPTER 458-61 WAC For Use at County Treasurer's Office (Use Form No. 84-0001B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED • In Name \,111 I ant) ; I1 M & o eb- n i n i B Name JU li e t Cam ervn Brewer a Street I&CA Edmonds Are.. N,& . g Street I r��5 almonds ond�s Aye nl& City /� m C7 p f^/ O �y n State Y't A- Zip 9Uo5d° City lin Statex v k Zip/V1r- � ©ADDRESS T9 SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERS :: •'. 4. ;: ` �Name V Vtie,�{{ p (/' lil i e �v 3 Q� °ao 4 Street I I enogc 3 3 �o��4- o 2 4- City/State �I�f Pc a y State Zipt V in LEGAL DESCRIPTION OF PROPERTY SITUATED IN 0 UNINCORPORATED / rCOUNTY t� OR IN CITY OF 7N-1 Street Address (if property is improved): I W 15 Ed n)OYld r\ 1'!S m(.�/ /Y.e . 77e We51 . V . ee? 0,' //0r-M W. V e6 o,4' - h-6 S07,& /&7C0 pee-S * _P-06/ / z..2. 0 2 & 77C7 zo9 e,p ��// 'g • Lake vas•7 f7'7'b/t �r P�/7 at t97 Vivic l D. 4 acre ?.Z'//? 72 p / e&F i/C,zyed 1,1 V0/, /1 a' plcfsi Pie (9z/ to rdf 6 ` / h Co) Was hd7- -07 © Is this property currently: YES NO ©Description of tangible personal prope}Cy if included in salefurniture Classified or designated as forest land? ❑ appliances, etc.) Chapter 84.33 RCW ' Classified as current use land (open space, farm ❑ X and agricultural, or timber)? Chapter 84.34 RCW . Exempt from property tax as a nonprofit ❑ Q� If exemption claimed, list WAC number and explanation. organization? Chapter 84.36 RCW ^6 Seller's Exempt Reg. No. — WAC No. (Sec/Sub.... i •' 'F }� Receiving special valuation as historic ❑ Explanation Lo 1 L-1(1 t.. f yi�t- - property under? Chapter 84.25 RCW Nin (��n `.� Property Type: land only 0 land with new building \( `""' 1 n ❑ land with prey ously used building 0 land with mobile home ❑ timber only 0 building only Type of Document �( Date of Document Principal Use: 0 Apt. (4 + unit) )R residential ❑ timber 0 agricultural 0 commercial/industrial Gross Sale Price $ , ❑ other Personal Property (deduct) $ 8 (1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) Taxable Sale Price $ Excise Tax State $ If the new owncr(s)of land that is classified or designated as current use Local $ or forest land wish to continue the classification or designation of such 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 additional Local $ tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall Delinquent Penalty: State $ be due and payable by the seller or transferor at the time of sale.The county assessor must determine if the land transferred qualifies to continue Total Due $ classification or designation and must so indicate below. Signatures do THERE IS A$2.00 FEE FOR PROCESSING THIS FORM IF NO TAX IS DUE not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes U AFFIDAVIT will be applied. All new owners must sign. I certify under penalty of perjury under the laws of the state of This land 0 does 0 does not qualify for continuance. Washington that the foregoing is true and correct. Date Signature of DEPUTY ASSESSOR Grantor/Agent 01J.yr,�._ ,.Ac��r.�-r�,re� (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) Name (print) 1101 e 6ben/Y1/ If the new owner(s)of property with special valuation as historic property Date & Place of Signing 1G'�/7/1 LT {FQr1 trr, ","Jpc wish to continue this special valuation the new owner(s)must sign below. g g If the new owner(s) do not desire to continue such special valuation, all additional tax calculated pursuant to Chapter 84.26 RCW, shall be due Signature of ,(3,,-v f� ,�) lQ �� and payable by the seller or transferor at the time of sale. Grantee/Agentr (3) OWNER(S) SIGNATURE Name (print) U i I e, 13(f Vicr Date & Place of Signing 011-11(34 QI 1 -fid LVA 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 years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 .(1C)). FOR TREASURER'S USE ONLY COUNTY TREASURER FORM REV 84 0001A (12-93) (PD 3-28-94) . , . - ', .4 lipli PLEASE TYPE OR PRINT REAL ESTATE EXCISE TAX AFFIDA` 'T i -,, This form is your receipt when stamped PLEASE SEE REVERSE by cashier. Form No. 84 000IA CHAPTER 82.45 RCW-CHAPTER 458-61 WAC For Use at County Treasurer's Office (Use Form No. 84-0001B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1-7 ARE FULLY COMPLETED © Name EI Name " Ma aw w Street g l Street ca City , State> Zip City State Zip ©ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERS '"" Q 'I '3::TREO(SRNi:PLACE;i* ASS SS>'. 3.90NgiTi>TANVg:StEI'i Name r r St eet Cit /State Zi ---------------- p P 13 LEGAL DESCRIPTION OF PROPERTY SITUATED IN D UNINCORPORATED COUNTY ❑ OR IN CITY OF ' • Street Address (if property is improved): 1 f f •' y 1 ie , . 1 f / / ' i i / Y r .a. ..« ., r . © Is this property currently: YES NO 6 Description of tangible personal property if included in sale (furniture, Classified or designated as forest land? ❑ appliances, etc.) Chapter 84.33 RCW Classified as current use land (open space, farm El El 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 Seller's Exempt Reg. No. — WAC No. (Sec/Sub) Receiving special valuation as historic ❑ CI Explanation , . property under? Chapter 84.25 RCW , •i Property Type: .0 land only ❑ land with new building ❑ land with previously used building ❑ land with mobile home Type of Document ❑ timber only ❑ building only P Date of Document Principal Use: ❑ Apt. (4 + unit) 0 residential O timber ❑ agricultural 0 commercial/industrial Gross Sale Price $ ❑ other Personal Property (deduct) $ 8 (1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34) Taxable Sale Price $ Excise Tax State $ If the new owner(s)of land that is classified or designated as current useLocd $ or forest land wish to continue the classification or designation of such 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 additional Local $ tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall Delinquent Penalty: State $ be due and payable by the seller or transferor at the time of sale.The county assessor must determine if the land transferred qualifies to continue Total Due $ classification or designation and must so indicate below. Signatures do THERE IS A$2.00 FEE FOR PROCESSING THIS FORM IF NO TAX IS DUE not necessarily mean the land will remain in classification or designation. mim If it no longer qualifies, it will be removed and the compensating taxes AFFIDAVIT will be applied. All new owners must sign. I certify under penalty of perjury under the laws of the state of This land 0 does ❑does not qualify for continuance. Washington that the foregoing is true and correct. Date Signature of DEPUTY ASSESSOR Grantor/Agent (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) Name (print) If the new owner(s)of property with special valuation as historic property Date & Place of Signing wish to continue this special valuation the new owner(s)must sign below. g g • , If the new owner(s)do not desire to continue such special valuation, all Signature of additional tax calculated pursuant to Chapter 84.26 RCW, shall be due g ' and payable by the seller or transferor at the time of sale. Grantee/Agent (3) OWNER(S) SIGNATURE Name (print) Date & Place of Signing ' 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 years, or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)). FOR TREASURER'S USE ONLY TAXPAYER FORM REV 84 0001A (12-93) (PD 3-28-94) •