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HomeMy WebLinkAboutREETA form (2)_Greenleaf II SP_LUA16-000173Oopirticnt(iteviREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-6IAWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)—tiCheckboxifpartialsaleofproperty—NameCHGSFLLC.,aWashingtonlimitedliabilitycompany___ _ _ _ ____ _ _ _ _MailingAddress.MailingAddress____________________________________________________ludingareacode)PhoneNo.(includingareacode)ListallrealandpersonalpropertytaxparcelaccountSendallpropertytaxcorrespondenceto./SameasBuyer/Grantee.Listassessedvalue(s)numbers—checkboxifpersonalpropertyName$199000MailingAddressCity/State/ZipPhoneNo(includingareacode)Streetaddressofproperty.18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyeCode(s):10-Laudwtthnowbuitdinenteranyadditionalcodes:___________________________________(Seebackoflastpageforinstructiotss)YESNOItlIntpropertyexensptfrompropertytaxperchapterI12184.36RCW(nonprofitorganization)?Isthispropertydesignatedasforestlandperchapter8433RCW?Isthispropertyelassitiedascurrentuse(openspace,farmandUagricultural,ortttnber)laudperchapter84.34?YESIathispropetlyreceivingspecialvaluationashistoricalpropertyUperchapler84.26RCW?Ifatsyanswersareyes,cotispleleasinstructedbelow.(I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)NEWOWNER(S):Tocontinuethecurrentdesignationasforestlandorclassificationascurrentuse(openspace,farmandagriculture,ortimber)land,youmustsignon(3)below.ThecountyausestormustthendetermineifthelandtransferredcontinuestoqualiFyandwillitidicalebysigningbelow.IfIlselandnolongerqualifiesoryoudonotwishtocontinueUsedesignationorclassification,itwillberemovedandthecompensatingoradditionaltaxeswillbedueandpayablebythesellerortransferoratthetimeofsale.(RCW84.33140orRCW84.34.108).Priortosigning(3)below,youmaycontactyourlocalcountyassessorformoreitsfonnalion.Tlsitlanddoesdoestsolqualityforcotitinuance.DEPUTYASSESSORDATE(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)NEWOWNER(S):Tocontinuespecialvaluationashistoricproperty,sign(3)below.Ifthenewowner(s)doesnotwish10continue,alladditiottalloxcalculatedpursuanttochapter84.26RCW,shallbedueandpayablebythesellerortransferoratthetimeofsale.(3)OWNER(S)SIGNATUREElElEl121Checkboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmorespaceisneeded,youmayattachaseparatesheettoeachpageofthesffidavit)SEEAHACHEDLEGALICERNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECF.Signatttreofp.SignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentNatne(pnnt)‘pfy,.,afu\e.t’’Name(pnnt)Dale&cityofsigning:t./iLD(1(_e.\.1v,.oA)‘Date&cityofsigning:I’erjury:PerjutyisaclassCfelonywlsicliispunishablebyimprisontsientinthestalecorrectionalinstitutionforatnaxiinutntermofnotmoreIlsanfiveyears,orbyaflueinanamountfixedbyIlsecourtofnotinuretItanfivethousanddollars($5,000.00),orbyboIlsittspnsomnensandfine(RCW9A.20.020(IC)).N846108thAve.NE,Suite2000NameCityofRentonCity/State/ZipBellevue,WA98004- .-.PhoneNo.(incIfmultipleowners,listpercentacesfownershipnexttonameRentonCityHall10555.GradyWayCity/State/ZipRenton,WA98057NO0Listallpersonalproperty(tangibleandintangible)itscludedinsellingprice.NAIfclaiminganexemption,listWACnumberandreasonforexemption:WACNo.(Section/Subseclion)WAC458-61A-205ReasonforexensptionPropertytransferforapublicpurpose.TypeofDocumentDeedofDedicationDaleofDocuissent11/10/160.000.000.000.000.00GrossSellingPrice$.uPeruotsalProperty(deduct)$_ExemptionClaimed(deduct)$_TaxableSellingPrice$..ExciseTax:State$_0.0050Local_tDelinquentInterest:State$_Local$_5DelinquentPenalty$_Subtotsl$_*StateTechnologyFeeS_*AffidavitProcessingFee$_TotalDue$_AMINIMUMOF$10.00ISDUEINFEE(S)AND/ORTAX°SEEINSTRUCTIONS0.000.00PRINTNAME0.000.000.005.005.0010.00REV14000tae(a)(05/06/07)THISSPACE-TREASURER’SUSEONLYCOUNTYTREASURE E)cp,irsient01evenueREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-6IAWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)fin....,.L..y,c__...:_,—.If—”—-_..___ _—-‘tonameLJ’—”0.-‘C°’”°’°“““P,00n,,YOO5OSOoC-NNameCHGSFLLC.,aWashingtonlimitedliabilitycompanyNameCityofRentonuMailingAddress846108thAve.NE,Suite200tutMailingAddressRentonCityHall1055S.GradyWayCity/State/ZipBellevue,WA98004City/State/ZipRenton,WA98057PhoneNo.(includingareacode)(425)6464426—PhoneNo(includingareacode).!.30640°Sendallpropertytaxcorrespondenceto:SameasBuyer/GranteeListallrealandpersonalpropertytaxparcelaccountListassessedvalue(s)numbers—checkboxifpersonalpropertyName3223059088fl$199,000MailingAddressCity/State/ZipPhoneNo(iucladingareacode)(425)646-4426TElStreetaddressofproperty:18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyCheckboxifanyofthetistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifatomspaceisneeded,youmayattachaseparatesheettoeachpageoftheaffidavit)SEEAHACHEDLEGALSelectLandUseCode(s):Listallpernotsalproperty(tangibleandintangible)includedinselling110..Londwithnewbuildingprice.enteranyadditionalcodes:___________________________________NA(Seebackoflastpageforinstructions)YESNOIsthispropertyexensptfrompropertytaxperchapterQ84.36RCW(nonprofitorganization)?YESNOIfclaimitsganexemptiots,listWACnumberandreasonforexemption:Isthispropertydesignatedasforestlandperchapter84.33RCW?Q0lsthisproperlyclassitledasctinentuse(openspace,farmandQ0WACNo.(Section/Subsection)WAG45861A205agticultuml,ortimber)landperchapter64.34?ReasonforexemptionIstltispropertyreceivingspecialvaluationasIsistoricalpropertyQperclsapter8426RCWPropertytransferforapublicpurpose.Ifanyanswersareyes,completeashssthtctedbelow.(1)NOTICEOFCONTINUANCE(FORESLANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S)Tocontinuethecurrentdesigssationasforestlandor11/10/16classificationascurrentuse(openspace,farmandagriculture,ortinsber)DateofDocuttsentland,youmustsignon(3)below.ThecountyassessormustthendetermineGrossSellingPrice$0.00ifthelaudtratsoferredcotstitsueotoqualitystsdwillindicatebysigningbelow.Iffirelandnolongerqualifiesoryoudonotwishtocontinuethedesignation*PersonalProperty(deduct)$0.00orclassification,itwitlberemovedandUsecompensatingoradditionaltaxesExemptionClaimed(deduct)$0.00willbedueandpayablebythesellerortransferoratthetimeofsale.fRCW84.33.140orRCW84.34.108).Priortosigning(3)below,youmaycontactTaxableSellingPrice$000yourlocalcountyassessorformoreinfonnation.ExciteTax:Stale$0.00Thislandi:idoes0doesnotqualifyforcontinuance.I0.0050Local$0.00*DelitsquentInterest:State$0.00DEPUTYASSESSORDATELocal$0.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)nDelinquentPenalty$0.00NEWOWNER(S):Tocontinuespecialvaluationashistoricproperty,sign(3)below.Ifthenewowtser(s)doesnotwishtocontinue,allSubtotalS0.00addittotualtaxcalculatedpursuanttochapter84.26RCW,shallbeduetStateTechnologyfee$5.00andpayablebythesellerortransferoratthetimeofsale.nAftjdavitProcessingfee$5.00(3)OWNER(S)SIGNATURETotalDue$10.00PRINTNAMEAMINIMUMOF$10.00ISDUEINFEE(S)AND/ORTAXaSEEINSTRUCTIONSICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignatureofSignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentName(pnnt)Name(print)Date&cityofsigning:Date&cityofsigning:Perjury:PetjuuyisaclassCfelonywhiclsispunislsablebytinprisomsietatinthestatecorrectionalinstitutionforansaxitssutntentsofnotmoretitanfiveyears,orbyaflueitsanamountfixedbyUsecourtofnotmorethanfivethousanddollars($5,000.00),orbybothimprisonmentandfine(RCW9A.20.020(IC)).REV84000Ian(a)(05/08/57)THISSPACE-TREASURER’SUSEONLYCOUNTYASSEI t)csrtiiiciitofu’evenueREALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-6IAWACwhenstampedbycashier.THISAFFIDAVITWILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)r7lCheckboxifnaflialsaleofnronerwIfmultinleowners,listnercentaeeofossnershinnexttoname.HNameCHGSFLLC.,aWashingtonlimitedliabilitycompanyflCityofRentonasMailingAddress846108thAve.NE,Suite200MailingAddressRentonCityHall1055S.GradyWayCity/Slate/ZipBellevue,WA98004City/State/ZipRenton,WA98057PhoneNo.(includingareacode)(425)646-4426PhoneNo(includingareaAListallrealandpersonalpropertytaxparcelaccountSendallpropertytaxcorrespondenceto:ISameasBuyer/GranteeListassessedvalue(s)numbers—checkboxifpersonalpropertyName3223059088Q$199,000MailingAddressElCity/Stale/ZipFTPhoneNo(includingareacode)(425)646-4426ElStreetaddressofproperty:18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCounty?JCheckboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmorespaceisneeded,youmayattachaseparatesheettoeachpageoftheaffidavit)SEEATTACHEDLEGALSelectLandUseCode(s):Lintallpersonalproperty(tangibleandintangible)includedinsellingItoLandwithnewbuildingIprice.enteranyadditionalcodes:___________________________________NA(Seebackoflastpageforinstructions)YESNOIsthispropertyexemptfrompropertytaxperctsapterQ084.36RCW(nonprofitorganization)?NYESNOIfclaiminganexemption,listWACnumberandreasonforexemption:Isthispropertydesignatedasforestlandperclsapter$4.33RCW?Q0lsthispropettyclassifiedascttrrentuse(opetsspace,famsand0WACNo.(Sectiois/Subsection)WAC458-61A-205agricultural,ortimber)landperchapter84.34?ReasonforexemptiotsIsthispropertyreceivingspecialvaluationaslsiatoricalpropertyD0perchapter8426RCW?Propertytransferforapublicpurpose.Ifanymsswersareyes,conspleteasitsslittctedbelow.(I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S):Tocontinuethecurrentdetignstiotsasforestlandor...DateofDocument11/10/16classificationascurrentuse(openspace,famsandagriculture,ortinsber)land,youmustsignon(3)below.Thecountyassessormustthendetermine, ,000ifthehandtransferredcontinuestoqualifyandwillindicatebysigningbelow.GrousSellingPrice$__ _ _ _______ _ _ _ _______ _ _ _ _______ _ _ _ _Iftitelsndnolongerqitalifiesoryoudonotwishtocontitsuethedesignation°PersotiulProperty(deduct)$0.00orclassificationitwillberemovedandthecoiaspensstingoradditionaltaxes. .000. , .ExenaptiotsClaimed(deduct)$___ _ ___ ___ ___ _ ___ ___ ___ _ ___ ___ ___willbedueandpayablebythesellerortransferoratthetimeofsale.(RCW84.33,140orRCW8434.108).Priortosigning(3)below,youmaycontactTaxableSelliisgPrice$0.00yourlocalcountyassessorformoreinformation.ExciseTaxState50.00ThislandfldoesEdoesnotqualityforcoistinuance.I0.0050ILocal$0.005DelinquentInterest:State$0.00DEPUTYASSESSORDATELocal50.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)*DelinquentPenalty$0.00NEWOWNER(S):ToContinuespecialvaluationashistoricproperty,si g n (3)below.Ifthenewowner(s)doesnotwishtocontinue,allSubtotal$____ _ _ _______ _ _ _ _______ _ _ _ _______ _ _additiotsaltaxcalculatedptirsuanttochapter84.26RCW,shallbedue°StateTechnolofeeS5.00andpayablebythesellerortransferoratthetimeofsale.gy(3)OWNER(S)SIGNATURE*AffidavitProcessingfee$5.00TotalDue$10.00PRINTNAMEAMINIMUMOF$10.00ISDUEINFEE(S)AND/ORTAX*SEEINSTRUCTIONSNICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignatureofSignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentName(prtnt)Name(print)Date&cityofsigning:Date&cityofsigning:Perjury:PeijuiyisaclassCfelonywlsiclsispuniatsablebyinsprisonmentinthestatecorrectionalinstitutionforamnaximnuantermofnotsnorethanfiveyears,orbyafineinanamountfixedbysItecourtofnotsnorefisanfivethousanddollars($5,000.00),orbybothinspnsonnsentandfine(RCW9A.20.020flC)).REV84000Iae(a)(05/08/07)ThISSPACE-TREASURER’SUSEONLYDEPT.OFREVEI\ I3(’luirtmesiiiievenueisveoSian.REALESTATEEXCISETAXAFFIDAVITThisformisyourreceiptPLEASETYPEORPRINTCHAPTER82.45RCW—CHAPTER458-61AWACwhenstampedbycashier.THISAFFIDAVITVILLNOTBEACCEPTEDUNLESSALLAREASONALLPAGESAREFULLYCOMPLETED(Seebackoflastpageforinstructions)flnu,.fr-’-fnrnnenvtf”—’—tonameHNanieCHGSFLLC.,aWashingtonlimitedliabilitycompanyflCityofRentonasMailingAddress846108thAve.NE,Suite200MailingAddressRentonCityHall1055S.GradyWayCity/Stale/ZipBellet,tje,WA98004City/State/ZipRenlon,WA98057PhoneNo.(includingareacode)(425)646-4426—PhoneNo(includingareacode)j306400ListallrealandpersonalpropertytaxparcelaccountSendaltpropertytaxcorrespondenceto:/SameasBuyer/Grantee-Listassessedvalue(s)numbers—checkboxifpersonalpropertyNanse3223059088fl$199,000MailingAddressCity/Stale/ZipPhoneNo(includingareacode)(425)646-4426Streetaddressofproperly18661108thAveSE,Renton,WA98055ThispropertyislocatedinKingCountyLZICheckboxifanyofthelistedparcelsarebeingsegregatedfromalargerparcel.Legaldescriptionofproperty(ifmorespaceisneeded,youniayattachaseparatesheettocactipageoftheaffidavit)SEEAHACHEDLEGALSelectLatadUseCode(s):Listallpersoisalproperty(tangibleandintangible)includedintellingID-CmiiiwithnowbuikiigIprice.enteranyadditionalcodes:___________________________________NA(Seebackoflastpageforinstructions)YESNOIsthispropertyexenaptfrompropertytaxperchapter[]84.36RCW(nonprofitorganization)?NYESNOIfclaiminganexemption,lintWACnumberandreasonforexemption:Islidspropertydesignatedasforestlandperchapter84.33RCW?j]Isthispropertyclassifiedascurrentuse(openspace,farmandU0WACNo.(Section/Subaeclion)WAC458-61A-205agricultural,orbmber)landperchapter84.34?ReasonforexemptionIsthispropertyreceivingspecialvaluationashistoricalpropertypercltapler8426RCW9Propertytransferforapublicpurpose.Ifanymss’.versareyes,completeasinstnactedbelow.(I)NOTICEOFCONTINUANCE(FORESTLANDORCURRENTUSE)TypeofDocumentDeedofDedicationNEWOWNER(S)Tocoistinuethecurrentdesignationasforestlandorclassificationascurrentuse(openspace,farmandagriculture,ortinaber)DateofDocuissent11/10/16land,yeumustsignen(3)below.Thecountyassessormustthendetermine..000ifthelandtransferredcontinuestoqualityandwillindicatebysigningbelow.GrossSellingPrice$__ _ _____ _ _____ _ _ _____ _ _ _____ _ _____ _ _ __Ifthelandnolongerqaalifiesoryoudonotwishtocontinuethedesignation°PersonalProperty(deduct)$0.00orclassification,ittvillberemovedandthecotaipensatingoradditionaltaxes..000. .ExemptionClaimed(deduct)$___ __ ___ __ ___ __ ___ __ ___ __ ___ __ __willbedueandpayablebythesellerortransferoratthetimeofsale.(RCW84.33.140orRCW84.34.108).Priortosigning(3)below,youmaycontactTaxableSellingPrice$0.00yourlocalcountyassessorforiaaoreinfonnation.ExciseTax..State$0.00Thislanddoes0doestaotqualityforcontinuance.0.0050ILocal$0.00°DelinquentInterest:State$0.00DEPUTYASSESSORDATELocal$0.00(2)NOTICEOFCOMPLIANCE(HISTORICPROPERTY)°DelinqtientPenalty$0.00NEWOWNER(S):Tocontinuespecialvaluationashistoricproperty,000sign(3)below.Ifthenewosvner(s)doesnotwishtocontinue,allSubtotal$______ _ _ _ _______ _ _ _ _______ _ _ _ ______additiotsaltaxcalculatedpursuanttoclaapter84.26RCW,shallbedue°StateTechnologyFee$5.00andpayablebythesellerortransferoratthetimeofsale.(3)OWNER(S)SIGNATUREsAffidavitProcessingFee$5.00TotalDue$10.00PRINTNAMEAMINIMUMOF$18.00ISDUEINFEE(S)AND/ORTAXCSEEINSTRUCTIONSICERTIFYUNDERPENALTYOFPERJURYTHATTHEFOREGOINGISTRUEANDCORRECT.SignatureofSignatureofGrantororGrantor’sAgentGranteeorGrantee’sAgentName(print)Name(print)Date&cityofaigniag:Date&cityofsigning:Perjury:PerjuiyisaclassCfelonywlsiclainpunislsablebyhaapnsonmentinthestatecorrectionalinstitutionforanaaxitnmntemaofnotmoretItanfiveyears,orbyafineinanataaountfixedbytlaecourtofnotmorethanfivetlsounanddollaro($5,000.00),orbybothimaaprisonmentandfine(RCtV9A.20.020(IC)).REV84000tae(a)(05/08/07)THISSPACE-TREASURER’SUSEONLYTAXPAYE INSTRUCTIONSNote:Toreportatransferofacontrollinginterestinrealproperty,pleaseusetheRealEstateExciseTaxAffidavitControllingInterestTransferReturn,RevenueFormNo.84-000lB.Thisformisavailableonlineathtto://dpr.wa.gpv.Section1:Enterthename(s)ofseller/grantor.Thisistheperson(s)conveyinginterestintheproperty.Section2:Enterthename(s)ofbuyer/grantee.Thisistheperson(s)receivinginterestintheproperty.Section3:•Enterthenameandaddresswhereyouwouldlikeallfuturepropertytaxinformationsent.•Enterthetaxparcelnumberandcurrentassessedvalueforrealandpersonalpropertybeingconveyed.Checktheboxtoindicatepersonalproperty.Section4:•Enterthestreetaddressoftheproperty.•Enterthecountyifinunincorporatedarea.Entercitynameiflocatedwithinamunicipality.•Enterthelegaldescriptionoftheproperty.Section5:•Entertheappropriatelandusecodefortheproperty.Pleaselistallcodesthatapplyonthelinesprovidedinsection5.SeeWAC458-53-030(5)foracompletelist.•09-Landwithmobilehome•23-Apparetandotherfinished33-Primarymetalindustries•71-Culturalactivities/natureexhibitions•tO-Landwithnewbuildingproductsnsadefrontfabrics,•34-Fabricatedmetalproducts•74-Recreationalactivities(golfleather,andsimilarnsateriuls•II-Honselsold,singlefamilyunits•35-Professionalscientificandcontrollingcourses,etc.)24-Lunsberandwoodproductsinstruments;photographicandoptical75-Resortsandgroupcamps•12-Multiplefomilyresidence(24Units)(exceptfurniture)goods,watches/clocksmanufacturnig80-Waterormmcmlright•13-Multiplefamilyresidence(5+Units)•25-Furnitureandfixtures•39-Miscellaneousmanufacturing•81-Agriculture(nottncurrentuse)•14-Residentialcondominiums26-Paperandalliedproducts•50-Condominiums-otherthanresidential•$3-AgriculturecurrentuseRCW8434IS-Mobilehomeparksorcourts•27-Printingandpublishing•53-RetailTrade-generalmerchandise•$6-StandingTimber(separatefrom16-Hotels/motels•28-Chemicals•54-RetailTrade—foodland)17-InstitutionalLodging(convalescent•29-Petroleumrefiningandrelated•58-Retailtrade-eating&drinking•8$-ForestlanddesignutedRCW8433homes,nursinghomes,etc)industries(restaurants,bars)•91-UndevelopedLand(landonly)•18-Allotherresidentialnotcoded•30-Rubberandmiscellaneous•59-Tenantoccupied,commercialproperties94-OpenspacelandRCW8434•19-Vacationandcabinplasticproducts64-Repairservices•95-TimberlandclassifiedRCW5434•21-Foodandkindredproducts•31-Leatherandleatherproducts65-Professionalservices(medical,dental,etc.)•96-Improvementsonleasedland•22-Textilemillproducts•32-Stone,clayandglossproductsSection6:Indicatewhethertheproperlyisdesignatedasforestlandperclsapter84.33RCW,classifiedascurrentuse(openspace,farm,agricultural,orlimber)perchapler$4.34RCW,orreceivingnpecialvaluationashistoricpropertyperchapter84.26RCW.Section7:•Listpersonalpropertyincludedinthesellingpriceoftherealproperty,forexample,includetangible(furniture,eqttipmenl,dc)andintangible(goodwill,agreementnottoconspete,dc).•UseTaxisdueonpersonalpropertypurchasedwithoutpaymentofthesalestax.UseTaxmaybereportedonyourCombinedExciseTaxReturnoraConsunserUseTaxReturn,bothavailableathttp://dor.wa.gov.•Ifyouareclaimingataxexemption,citethespecificWashingtonAdministrativeCode(WAC)number,sectionandsubsectionandprovideabriefexplanation.Mosttaxexemptionsrequirespecificdocumentation.RefertotlseappropriateWAC10determinedocumentationrequirements.Chapter458-61AWACisavailableonlineathttp://dor.wa.gov.•Enlerthetypeofdocument(quitclaimdeed,statutorywarrantydeed,etc.),anddateofdocument(IvilvlIDD/YYYY)•Enterthesellingpriceoftineproperty.Sellingprice:Fortaxpurposes,thesellingpriceisthetrueandfairvalueofthepropertyconveyed.Whenpropertyisconveyedinanarm’slengthtransactionbetweenunrelatedpersonsforvaluableconsideration,lhereisapresumptionthatthesellingpriceisequaltothetotalconsiderationpaidorcontracledtobepaid,includinganyindeblednesn.RefertoRCW82.45.030formoreinformationaboutsellingprice.•Deducttheamounlofpersonalprolsertyincludedinthesellingprice.•Detlucttheamountoftaxexemptionclaimedperchapter458-61AWAC.DueDate,InterestandPenalties:Taxisdueattlsetimeofsale/transfer.Iftaxisnotpaidwilhinonemontlsoftlsedateofsale/trannfer,inlerestandpenaltieswillapply.TheinlerestrateisvariableanddeterminedperRCW82.32.050.Delinquentpenaltiesare5%onemonthaftertlaeduedate;10%twomonthsaftertheduedate;and20%threemonthsaftertheduedate.(RCW82.45.100)StateTechnologyFee-A$5.00ElectronicTechnologyfeethatisdueonalltransactionn.AffidavitProcessingFee-Aminimumof$5.00shallbecollectedintheformoftaxatadprocessingfee.Aproceasingfeeisdueonalltransactionswherenotaxisdueandonalltaxabletransactionswherethetaxdueislessthan$5.00.Section8:Bothgranlor(seller)andgrantee(buyer),ortheagentofeach,mustsignthisform,certifyingthatalltheinformationprovidediscorrect.Note:Originalsignaturesrequiredonthe“CountyTreasurer”copy.Signaturesmayberequiredonthe“Assessors”copy.Checkwithyourcounty.Wheretosendcompletedforms:CompletedformsshouldbesubmittedtotheCountyTreasurer’sorRecorder’sOfficewlserethepropertyislocated.Audit:InformationyouprovideonthisformissubjecttoauditbytheDepartmentofRevenue.Underpaymentsoftaxwillresultintheissuanceofataxassessmentwithinterestandpenalties.Note:intheeventofanaudit,itisthetaxpayers’responsibilitytoprovidedocumentationtosupportthesellingpriceoranyexemptionclaimed,Thisdocumentationmustbemaintainedforaminimumoffouryearsfromdateofsale.(RCtV82.45.100)Rulingrequests:Youmayrequestapredeterminationofyourtaxliability.ThewrittenopinionwillbebindingonbothyouandtheDepartmentbasedonthefactspresented(WAC458-20-100(9)).Sendyourrulingrequestto:DepartmentofRevenueTaxpayerInformalion&EducationP.O.Box4747$Olytsspia,WA98504-7478FAX(360)705-6655Fortaxassistance,contactyourlocalCountyTreasurer/Recorderorvisithttp.//dor.wa.govorcall(360)570-3265.Toinquireabouttheuvuilabilihyofthisdocumentinusalternateformatforthevisuallyimpaired,pleasecall(360)705-6715Telehype(TY)userspleasecall1-800-451-7985,REV64000lae(a)inst(05/08/07) THESOUTHERNMOST3.00FEETOFTHEMOSTSOUTHEASTERLY54.88FEETOFLOT1,KINGCOUNTYLOTLINEADJUSTMENT#LUA—15—000845—LLA,RECORDEDUNDERKINGCOUNTYRECORDINGNUMBER201602229D0012,INKINGCOUNTY,WASHINGTON.AxisSurvey&Mapping15241NE90THSTREDMOND,WA98052TEL.425.823—5700DATE:9/2/16PROJ.NO.15—131SHEET:2OF3SIDEWALKDEDICATIONDESCRIPTION±63SQ.FT.WRITTENBY:CHECKEDBY:ERMMTSE