Loading...
HomeMy WebLinkAboutREETA form (1)_Greenleaf II SP_LUA16-000173Di’rartirientofevREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-6IAWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)—ØCheckboxifpartialsaleofpropertyIfmsltipleowners__. . ._. .ofownershipnextto...___________________________________________________________MailingAddress____________________________________________________City/State/ZipCity/State/ZipPhoneNo.ocicisingareacode)tudingareacode)Sendallpropertytaxcorrespondenceto:0SameusBuyer/GranteeListassessedvalue(s)Name_____________________________________________________________________________$199.000MailingAddress________________________________________________________________________________________________________City/State/Zipri,vuni’r.,.(incisdingareacode)Streetaddressofproperty:18661lO8IhAveSE,Renlon,WA98055ThispropertyislocatedinKingCounty1JCheckboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmorespaceisneededyoumayattachaseparatesheettoeachpageoftheaffidavit)SEEAUACHEDLEGALSelectLatsdUseCode(s):Ito-Luridwdhnowbutdingenteranyadditionalcodes:___________________________________(Seebackoflastpageforicsslructions)Isthispropertyexemptfrompropertytaxperchapter84.36RCW(nonprofitorganization)?NIsthinpropertydesignatedasforestlandperchapter84.33RCW?Isthispropertyclassifiedascurrentuse(openspace,farmandagncultural,orlimber)landperchapler84.34?Isthispropertyreceivingspecialvaluationashistoricalpropertyperchapter84,26RCW?Ifanyanswersareyes,conspleleasitssUitcledbelow.I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)NEWOWNER(S):Tocontinuethecurrentdesignationasforestlandorclassificationascurrentuse(openspace,farmandagriculture,ortinsber)land,youmustsignon(3)below.Thecountyassessormustthendetermineifthelandtratsuferredcontinuestoqualityandwillindicatebysigningbelow.Ifthelandnolongerqsalifiesoryoudonotwishtocontinuethedesignationorclassification,itsvillberemovedandthecompensatingoradditionaltaxeswillbedueattdpayablebythesellerortransferoratthetimeofsale.(RCW84.33.140orRCW84.34.108).Priortosigning(3)below,youmaycontact__ __ _ __ __ _ __ __ _ __ __ _ __ __ _ __ __ _ __yourlocalcottnlyassessorformoreinfonnation.ThislandQdoesdoestsotqualifyforcontinuance.___________________________________DEPUTYASSESSORDATE(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)_ _ _ __ __ __ _ _ _ __ __ __ __ _ _ _ _NEWOWNER(S):Tocontinstespecialvaluationashistoricproperty,sign(3)below.Ifthenewowaer(s)doesnotwishtocontinue,alladditionaltaxcalculatedpursuanttochapter84.26RCW,shallbedueandpayablebythesellerortransferoratthetimeofsale.(3)OWNER(S)SIGNATUREUas-I-zasnj,,,CHGSFLLC.,aWashingtonlimitedliabilitycompanyx,t-t;,,,,846108thAve.NE,Suite200Bellevue,WA98004ANameCityofRentonRentonCityHall1055S.GradyWayRenlon,WA98057PhoneNo(incListallrealandpersonalpropertytaxparcelaccountnumbers—checkboxifpersonalproperty32230590880nnElYESNOYESNOEi0El000Listallpersonalproperty(tangibleandintangible)includedinsellingprice.NAIfclaiminganexemption,listWACnutnberandreasonforexemption:WACNo.(Sectiots/Subseclioa)WAC458-61A-205ReaaonforexemptionPropertytransferforapublicpurpose.TypeofDocumentDeedofDedicationDaleofDocuissent11/10/16GrossSellingPrice$0.00tPersotialProperty(deduct)$0.00Exemp t i on Cla im e d (ded uct) $_ ___ __ ___ __ ___ __ ___ __ ___ __ ___ __ _TaxableSellingPrice$______ _ _ _ _______ _ _ _ _______ _ _ _ ______ExciseTax:Stale$ _ _____ _ _ _____ _ _____ _ _ _____ _ _ _____ _ ____0.0050Local$______ _ _ _ _______ _ _ _ _______ _ _ _ ______eDelinquentInterest:State$______ _ _ _ _______ _ _ _ _______ _ _ _ ______Local$0.000.000.000.000.000.00PRINTNAME°DelinquentPenalty$0.00Subtotal$0.00°StateTechnologyFee$5.00°AffidavitProcessingfee$5.00TotalDue$10.00AMINIMUMOF$10.00ISDUEINFEE(S)AND/ORTAXSEEINSTRUCTIONSICERDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignatttreofISignatureofGrantororGrantor’sAgent_____________________________________GranteeorGrantee’sAgentNatue(prtnt)frsi\0Name(print)Date&cityofsigning:/i.(L’t4.’s’{‘d’i’-tDate&cityofaigtting:Perjury:PecjuiyisaclassCfelonywhichispunishablebyimprisomnentintheslatecorrectionalinstitutionforansaximmntemsofnotmorethanfiveyears,orbyafinemanamountfixedbythecourtofnotmoretlsanfivethousanddollars($5,000.00),orbybothinspnsonnsentandfinefRCW9A.20.020(lC)).REV$4000lae(a)(05/08/07)THISSPACE-TREASURER’SUSEONLYCOUNTYTREASURE I)iftirtic:itofevenueREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER$2.45RCW—CHAPTER458-61AWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackotlastpageforinstructions)h,,,’‘‘fpronertvUNameCHGSFLLC.aWashingtonlimitedliabilitycompanyNameCityofRentonMailingAddress846108thAve.NE,Suite200MailingAddressRentonCityHall1055S.GradyWayCity/State/ZipBellevue,WA98004City/State/ZipRenton,WA98057PhoneNo(includingareacode)(425)646-4426PhoneNo(includingareacode)AListallrealandpersonalpropertytaxparcelaccountSendaltpropertytaxcorrespondenceto,1SameasBuyer/GranteeListassessedvalue(s)numbers—checkboxifpersonalpropertyName3223059088fl$199,000MailingAddressElCity/State/Zipf7PhoneNo.(includingareacode)(425)646-4426Streetaddressofpreperty:18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyIllCheckboxifanyofthelistedparcelsatebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmerespaceisneeded,youmayattachaseparatesheettoeachpageoftheaffidavit)SEEATTACHEDLEGALSelectLandUseCode(s):Listallpersonalproperty(tangibteandintangible)includedinsellingI0LondwithnewboildinqIprice.enteranyadditionalcodes:________________________________NA(Seebackoflastpageforinstructions)YESNOtothispropertyexetnptfrompropertytaxperchapter[]84.36RCW(nonprofitorganization)?YESNOIfclaiminganexemption,listWACnumberandreasonforexemption:Isflaxpropertydesignatedasforestlandperchapter84.33RCW?QEllxthispropertyclassifiedascun-eittuse(openspace,faimandi:ElWACNo.(Section/Subsection)WAC45861A205agricutlitral,orlimber)Ixndperchapter84.34?ReasonforexemptionIsthispropertyreceiviitgspecialvaluationasltistoristtlpropertyQElperchapter8426RCW?Propertytransferforapublicpurpose.Ifanymsswersareyes,conspteteasinstntctedbelow.(I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S):Tocontinuethecurrentdesignationasforestlaisdor....11/10/16classtficationascurrentuse(openopace,farmandagrtculture,orttnxber)ateoocuitsentland,youmustsignon(3)below.Thecountyassessormustthendetermine..000ifthelandtrattxferredcontinuestoqualifyandwillindicatebysigningbelow.GroutSellingPrice$__ _ _ _______ _ _ _ _______ _ _ _ _______ _ _ _ _IfthelandnolongerqttalifiesoryoudonotwishtocontitsuethedesignationtPersonatProperty(deduct)$0.00orclassification,itwillberemovedanddiecompensatingoraddttionaltaxes..0øü..ExetsspttotsClammed(deduct)$__ _ _ _______ _ _ _ _______ _ _ _ _______ _ _ _ _willbedueandpayablebythetellerortransferoratthetimeofsale.(RCW84.33.140orRCW84.34.108).Priortosigning(3)below,youmaycontactTaxableSellingPrice$0.00yourlocalcountyassessorformoreinfomsation.ExciseTax:State$0.00Thislandi:idoesdoesnotquali6jforcotstinuance.0.0050ILocal$0.00tDelitsquentInterest:State$0.00DEPUTYASSESSORDATELocal$0.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)°DelinquentPenalty50.00NEWOWNER(S):Tocontinuespecialvaluationashistoricproperty,000sign(3)below.Ifthenesvowner(s)doesnotwishtocontinue,allSubtotal$___ __ ___ __ ___ __ ___ __ ___ __ ___ __ __additionaltaxcalculatedpursuanttochapter84.26RCW,shallbedueStateTechnolofee$5.00andpayablebythesellerortransferoratthetimeofsate,gy(3)OWNER(S)SIGNATURE*AffidavitProcessingfee$5.00TotalDue$10.00PRINTNAMEAMINIMUMOF$10.00ISDUEtNFEE(S)AND/ORTAXSEEINSTRUCTIONSICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignatstreofSignatstreofGrantororGrantor’sAgentGranteeorGrantee’sAgentName(pnnt)Name(print)Dale&cityofsigning:Date&cityofsigning:Perjury:PetjumyisaclassCfelonywlsiclsispumslsablebyimprisonmentinthestatecorrectionalinstitutionforamnaximumtemsofnotmorethanfiveyears,orbyafineinanatisountfixedbydiecourtofnotmoretitanfivethousanddollars($5,000.00),orbybothinsprisotstatentandfine(RCW9A.20.020(IC)).REV84000lae(a)(05/08/07)THISSPACE-TREASURER’SUSEONLYCOUNTYASSE OcrpsrtisieislofevenueREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER$2.45RCW—CHAPTER45$-61AWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)CheckboxifpartialsateofpropertyIfmsultipleowners,listpercentageofownershipnexttoname.NameCHGSFLLC.,aWashingtonlimitedliabilitycompanyNameCityofRentonasMailingAddress846108thAve.NE,Suite200MailingAddressRentonCityHall1055S.GradyWayCity/StateiZipBellevue,WA98004City/State/ZipRenton,WA98057PhoneNo(includingareacode)(425)64tr4426PhoneNo(includingareacode)(425)430-6400IListallrealandpersnnulpropertytaxparcelaccountSendallpropertytaxcorrespondenceto/SameasBuyer/Grantee.Listassessedvalue(s)numbers—checkboxifpersonalpropertyNanse3223059088fl$199,000MailingAddressf’lCity.StateZipf_iPhoneNo(iectadingareacode)(425)646-4426Streetaddressofproperty18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyCheckboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcelLegaldescriptionofproperty(ifmorespaceisneeded,younsnyattachaseparatesheettoeachpageoftheaffidavit)SEEATTACHEDLEGAL0SelectLandUseCode(s):Listallpersonalproperty(tangibleandintangible)includedinsetting110.Landwi/tii/owbii/itivgIprice.enteranyadditionalcodes:___________________________________NA(Seebackoflastpageforinstructions)YESNOIsthispropertyexeniptfrompropertylaxperchapter[J84.36RCW(nonprofitorganization)?YESNOIfclaiminganexemption,lintWACnuniberandreasonforexemption:Isthispropertydesignatedasforestlandperchapter84.33RCW?Q[Jluthispropenyclassifiedascurroitstse(openopace,famsandQ0WACNo.(Section/Subsection)WAC458-61A-205agricultural,orlimber)landperchapter84.34?ReasonforexenspltonIsthispropertyieceiviisgspecialvaluationashistoricalpmpetly0perchapter8426RCW?Propertytransferforapublicpurpose.Ifanyanswersareyes,completeaskssmtctedbelow,(1)NOTICEOFCON9’INUANCE(FORESTlANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S)Tocontinuethecurrentdesignationasforestlandor.. .DateofDocutiteni11/10/16classificationancurretttuse(openapace,farmandagncullstre,ortiniber)land,youmustsignen(3)below.Thecountyassessormustthendelenusine..000ifthelandtransferredcotststtuestoqualityandwillindicatebysigningbelow.GrossSellingPrtce$__ _ _ _______ _ _ _ _______ _ _ _ ________ _ _ _Iftlselandnolongerqualifiesoryoudonotsvishtocontinuethedesignation*PersonalProperty(deduct)S0.00orclassification,itwillberetnovedandthecompensatingoradditionaltaxes. .000. .ExemplionClaimed(deduct)$____ ___ _ ___ ___ ___ _ ___ ___ ___ _ ___ __willbedueatsdpayabtebythesellerortransferoratthetameofsale.(RCW8433140orRCW8434.108)Priortosigning(3)below,youmaycontactTaxableSellingPrice$0.00yourlocalcountyassessorformoreinfonnation.ExciseTax:State$0.00ThislandQdoesdoesnotqualityforcontinuance.I0.0050ILocal$0.00uDelinquentInterest:Stale$0.00DEPUTYASSESSORDATELocal$0.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)Penalty$0.00NEWOWNER(S):Tocontinueopecialvaluationanhistoricproperty,0sign(3)below.Ifthenewowner(s)doesnotwishtocontinue,allSubtotal$____ ___ _ ___ ___ ___ _ ___ ___ ___ _ ___ __additiomialtaxcalculatedpursuanttochapter84.26RCW,shallbedue‘StateTechnoloFee5500atsdpayablebythesellerortransferoralthetimeofsale.gy(3)OWNER(S)SIGNATUREAffidavttProcessingFee$5.00TotalDue$10.00PRINTNAMEAMINIMUMOF810.00ISDUEINFEE(S)AND/ORTAX‘SEEINSTRUCTIONSICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignaistreofSignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentNatne(print)Name(print)Dale&city’ofsigningDate&cityofsigningPerjury:PetjsiryisaclassCfelonywhichispunishablebythiprisomneistintheslatecorrectionalinstitulionforattiaxiimuntermofnotmorethanfiveyears,orbyafineinanamountfixedbythecourtofnotinurethanfivethousanddollars($5,000.00),orbybothimprisonmentandfine(RCW9A.20.020(IC)).REV84000Iae(a)(05/08/07)THISSPACE-TREASURER’SUSEONLYDEPT.OFREVEN ticp.trtitient01evenuetOurREALESTATEEXCISETAXAFFIDAVITThis formisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-6IAWACwhenstatnpedbycashier.TillSAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)I7lChr.rt-hnf,,i,,Inut,nf,rnn,rft,UNameCHGSFLLC.,aWanhingtontmitedliabilitycompanyNameCityofRentonaslaiasrMailingAddressRentonCityHall10555.GradyWayMailingAddress846108thAve.NE,Suite200>asBellevue,WA98004“City/State/ZipasCity/State/ZipRenton,WA98057PhoneNo,(includingareacode)(425)646-4426PhoneNo(includingareacode)(425)430-6400•Sendallpropertytaxcorrespondenceto.ISameasBuyer/GranteeListallrealandpersonalpropertytaxparcelaccountListassessedvalue(s)numbers—checkboxifpersonalpropertyName3223059088fl$199,000MailingAddressTiCity/State/ZipPhoneNo(includingareacode)(425)646-4426I—IStreetaddressofproperty:18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyIiiCheckboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmorespaceisneeded,youmayattachaseparatesheettoeachpageoftheaffidavit)SEEATTACHEDLEGALSelectLandUaeCode(s):Listallpersotsalproperty(langibleandintangible)includedinselling110.LandwdhnewbuikOriftprice.enteranyadditionalcodes:___________________________________NA(Seebackoflastpageforinstructions)YESNOIsthispropertyexemptfrompropertytaxperchapter[184.36RCW(nonprofitorganizalion)?YESNOIfclaiminganexemption,listWACnumberandreasonforexemption:Isthispropertydesignatedasforestlandperchapter84.33RCW?ElsthisproperlyclassifiedascutTentuae(openspace,farmandWACNo.(Section/Subaection)WAG458-61A-205agricultural,ortimber)landperchapter8434?ReasonforexemptionIsdaispropertyreceivingnpecialvaluationashistoricalproperty[10Propertytransferforapublicpurpose.perclsapler84.26RCW?Ifanyanswersareyes,conapleleasinathactedbelow.(I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S):Tocontinuethecurrentdesigaaationanforestlandorclassificationascurrentuse(openspace,famiandagriculture,ortinaber)DateofDocutisent11/10/16land,youmustsignon(3)below.ThecountyassessormustthendetermineGrossSellingPrice$0.00ifthelandtransferredcontitaitestoqualitjandwillindicalebysigningbelow.Ifthelandnolongerqualifiesoryoudonotwishtocontinuediedesignation°PersonalProperty(deduct)$0.00orclsssificalion,iswillberemovedandthecompensatingoradditionaltaxes0.00E x e n a p t i o t a Clai med (deduc t )$_ _ _____ _ _ _____ _ _____ _ _ _____ _ _ _____ _willbedueatadpayablebythesellerortransferoratthetimeofsale.(RCW0.0084.33140orRCW84.34.108).Priortosigning(3)below,youmaycontactTaxableSellingPrice$___ _ ___ ___ ___ _ ___ ___ ___ _ ___ ___ ___yourlocalcountyassessorformoreinfonnation.ExciseTax:State$000ThislandQdoesdoesnotqualiflyforcontitauance.0.0050Local$0.00*DelinquentInterest:State$0.00DEPUTYASSESSORDATELocal$0.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)°DelinquentPenalty$0.00NEWOWNER(S):Tocontinuespecialvaluationashistoricproperty,0.00sign(3)below.Ifthenewowner(s)doesnotwishtocontinue,allSublolalS_________________________________additionaltaxcalculatedpursuanttochapler84.26RCW,shallbedue°SlateTechnologyFee$5.00andpayablebythesellerortransferoralIhetimeofsale5.00°AffidavitProcessingfee$____ ___ _ ___ ___ ___ _ ___ ___ ___ _ ___ __(3)OWNER(S)SIGNATURETotalDue$10.00PRINTNAMEAMINIMUMOF$10.00ISDUEINFEE(S)AND/ORTAX‘SEEINSTRUCTIONSICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECV.SignatureofSignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentName(print)Name(print)Dale&cityofsigning:Date&cityofsigning:Perjury:PetjuiyisaclassCfelonywlsiclsispurnalsablebyimprisonmentinthestalecorrectionalinstitutionforatasaximifintemaofnotmoretitanfiveyears,orbyafineinanamountfixedbythecourtofnoltnorethanfivethousanddollars($5,000.00),orbybothinaprisomasentandfine(RCW9A.20.020(IC)).Itmultipiepwn.c.rs,lustpercentagpof,,c,n,r,h.ninnm,,REV84000lae(a)(05/08/07)THISSPACE-TREASURER’SUSEONLYTAXPAYE INSTRUCTIONSNote:Toreportatransferofacontrollinginterestinrealproperty,pleaseusetheRealEstateExciseTaxAffidavitControllingInterestTransferReturn,RevenueFormNo.84-000lB.Thisformisavailableonlineathttp://dor.wa.tsov.Section1:Enterthename(s)ofseller/grantor.Thisistheperson(s)conveyinginterestintheproperty.•14-Residentialcondominiums•15-Mobilehomeparksorcourts•16-Hotels/motels•17-InstitutionalLodging(convalescenthomes,nursinghomes,etc.)Is—Allotherresidentialnotcoded•19-Vacationandcabin•21-Foodandkindredproducts22-TextilemillproductsSection6:•26-Paperandalliedproducts•27-Printingandpublishing•28-Chemicals•29-Petroleumrefiningandrelatedindustries•30-Rubberandmiscellaneousplasticproducts•31-Leatherandleatherproducts•32-Stone,clayandglassproducts33-Primarymetalindustries34-fabricatedmetalproducts35-Professionalscientificandcontrollinginstruments,photographicandopticalgoods;watches/clocksmanufacturing39-Miscellaneousnsanufactuting•50-Condominiums-otherthanresidential•53-RetailTrade-generalmerchandise•54-RetailTrade-food•58-Retailtrade-eating&drinking(restaurants,bars)•59-Tenantoccupied,commercialproperties•64—Repairservices•71-Culturalactivities/natureexhibitions•74-Recreationalactivities(golfcourses,etc.)75-Resortsandgroupcamps•80-Waterormineralright•81—Agriculture(notincurrentuse)•83-AgriculturecurrentuseRCW8434•86-StandingTimber(separatefromland)88-forestlanddesignatedRCW8433•91-UndevelopedLand(landonly)94-OpenspacelundRCW84.34•95-TimberlandclassifiedRCW8434Indicatewlsetherthepropertyisdesignatedanforestlandperclsapter84.33RCW,classifiedascurrentuse(openspace,farm,agricultural,ortimber)perchapter84.34RCW,orreceivingspecialvaluationashistoricpropertyperchapter84.26RCW.Section7:•ListpersonalIsropertyincludedinthesellingpriceoftherealproperty.Forexample,includetangible(furniture,equipment,etc)andintangible(goodwill,agreensentnottocompete,etc).•UseTaxisdueonpersonalpropertypurchasedwithoutpaymentofthesalestax.UseTaxmaybereportedonyourCombinedExciseTaxReturnoraConsumerUseTaxReturn,bothavailableathttp://dor.wa.gov.•Ifyouareclaimingataxexemption,citethespecificWashingtonAdministrativeCode(WAC)number,sectionandsubsectionandprovideabriefexplanation.Mostlaxexemptionsrequirespecificdocumentation.RefertotheappropriateWACtodeterminedocutisetstationrequirements.Chapter458-6lAWACinavailableonlineathttp://dor.wa.gov.•Enterthetypeofdocument(quitclaimdeed,statutorywarrantydeed,etc.),anddateofdocument(MMIDD/YYYY)•Entertlsesellingpriceoftheproperty.Sellingprice:Fortaxpurposes,thesellingpriceisthetrueandfairvalueofthepropertyconveyed.Whenpropertyisconveyedinanarm’slengthtransactionbetweetsunrelatedpersonsforvaluableconsideration,thereinapresumptionthatthesellingpriceisequaltothetotalconsiderationpaidorcontractedtobepaid,includinganyindebtedness.RefertoRCW82.45.030formoreinformationaboutsellingprice.•Deducttheamountofpersonalpropertyincludedinthesellingprice.•Deducttheamountoftaxexemptionclaimedperchapter45$-61AWAC.DueDate,InterestandPenalties:Taxisdueatthetinseofsale/transfer.Iftaxisnotpaidwithinonemontlsofthedateofsale/transfer,interestandpetsaltteswillapply.TheinterestrateinvariableanddeterminedperRCW82.32.050.Delinquentpenaltiesare5%onemonthaftertheduedate;10%twomonthsaftertheduedate;and20%threemonthsaftertheduedate.(RCW82.45.100)StateTechnologyFee-A$5.00ElectronicTeclstsologyFeethatisdueonalltransactions.AffidavitProcessingFee-Aminimumof$5.00shallbecollectedintheformoftaxandprocessingfee.Aprocessingfeeisdueonalltransactionswherenotaxisdueandonalltaxabletransactionswherethetaxdueislessthan$5.00.Section8:Bothgrantor(seller)andgrantee(buyer),ortheagentofeach,mustsignthisform,cettit’yingthatalltheinformationprovidediscorrect.Note:Originalsignaturesrequiredonthe“CountyTreasurer”copy.Signaturesnsayberequiredonthe“Assessors”copy.Checkwithyourcounty.Wheretosendcompletedforms:CompletedformsslsouldbesubmittedtotheCountyTreasurer’sorRecorder’sOfficewherethepropertyislocated.Audit:InformationyouprovideonthisfortssissubjecttoauditbytheDepartmentofRevenue.Underpaymentsoftaxwillresultintheissuanceofataxassessmentwithinterestandpenalties.Note:intheeventofanaudit,itisthetaxpayers’responsibilitytoprovidedocumentationtosupportthesellingpriceoranyexemptionclaimed.Thisdocumentationmustbemaintainedforaminimumoffouryearsfromdateofsale.(RCW82.45.100)Rulingrequests:Youmayrequestapredeterminationofyourtaxliability.ThewrittenopinionwillbebindingonbothyouandtheDepartmentbasedonthefactspresented(WAC458-20-100(9)).Sendyourrulingrequestto:DepartnsentofRevenueTaxpayerInformation&EducationP.O.Box47478Olytntpia,WA98504-7478FAX(360)705-6655Section2:Enterthename(s)ofbuyer/grantee.Thisistheperson(s)receivinginterestintheproperty.Section3:Enterthenameandaddresswhereyouwouldlikeallfuturepropertytaxinformationsent.Enterthetaxparcelnumberandcurrentassessedvalueforrealandpersonalpropertybeingconveyed.Checktheboxtoindicatepersonalproperty.Section4:•Enterthestreetaddressoftheproperty.•Enterthecountyifinunincorporatedarea.Entercitynameiflocatedwithinamunicipality.Enterthelegaldescriptionoftheproperty.Section5:Entertheappropriatelandusecodefortheproperty.Pleaselistallcodesthatapplyonthelinesprovidedinsection5.SeeWAC458-53-030(5)foracompletelint.•09-Landwithmobilehome•23-Apparelandotherfinished•tO-Landwithnewbuildingproductsmadefromfabrics,leather,andsimilarmaterials•It-Household,singlefamilyunits24-Lusiberandwoodproducts•12-Multiplefamilyresidence(2-4Units)(exceptfurniture)•13-Multiplefamilyresidence(5+Units)•25-Furnitureandfixtures•65-Professionalserncrs(medical,dental,etc.)•96-ImprovementsonleasedlandFortaxassistance,contactyourlocalCountyTreasurer/Recorderorvisithttp//dor.wagayorcall(360)570-3265Toinquireshouttheavailabilityofthisdocumentinanalternateformatforthevisuallyimpaired,pleasecall(360)705-6715.Telelype(‘fl’s’)userspleasecall1-800-451-7985.REV84000lae(a)inst.(05/08/07) RIGHTOfWAYDEDICATIONDESCRTIONAPORTIONOFLOT1,KINGCOUNTYLOTLINEADJUSTMENT#LUA—15—000845—LLA,RECORDEDUNDERKINGCOUNTYRECORDINGNUMBER20160222900012,INKINGCOUNTY,WASHINGTON,MOREPAR11CULARLYDESCRIBEDASFOLLOWS;COMMENCINGATTHESOUTHQUARTERCORNEROFSECTION32,THENCENORTH0126’21”EASTALONGTHECENTERSECTIONLINEADISTANCEOF1423.94FEET;THENCENORTH8959’56”WESTADISTANCEOF40.01FEETTOTHESOUTHEASTCORNEROFSAIDLOT1ANDPOINTOFBEGINNING;THENCENORTH89’59’56”WESTALONGTHESOUTHLINEOFSAIDLOT1ADISTANCEOF12.50FEET;THENCENORTH01’26’22”EASTADISTANCEOF60.04FEET;THENCENORTH89’59’56”WESTADISTANCEOF0.07FEET;THENCENORTH01’26’15”EASTADISTANCEOF15.00FEET;THENCESOUTH89’59’56”EASTADISTANCEOF12.57FEETTOTHEWESTERLYMARGINOFSTATEROUTE515(108THAVESE);THENCESOUTHO1’26’21”WESTALONGSAIDWESTERLYMARGIN,ADISTANCEOF75.04FEETTOTHEPOINTOFBEGINNING;±939SQ.FT.WRITTENBY:DMB/ERMCHECKEDBY:ZLNAxisSurvey&Mapping15241NE90THSTREDMOND,WA98052TEL.425.823—5700DATE:9/2/16PROJ.NO.15—131SHEET:2OF3