HomeMy WebLinkAboutMiscREAL ESTATE EXCISE TAX AFFIDAVIT TI1is form is your receipt
PLEASE TYPE OR PRINT CHAPTER 82.45 RCW -CHAPTER 458-61A WAC when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
N=, ---------------------
Mailing Address------------------
City/State/Zip -----
Phone No. (mclud1ng area code)
next 10 rianie
334270-0371
II Street address of property· _3_6_2_7_W_,_1•_A_"_o_,_,_N_o_M ________________________________ _
This properly is located in Renton
D Check box if any of the listed parcels are being segregated from a larger parcel
Legal description of property (if more space is needed, you may attach a separate sheet to each page of the affidavit)
A portion of the South 90 feetoflhe East 140 feet ofTract 79, C.D. Hillman's Lake Washington Garden of Eden Addition to SeaWe No. 2, • +
according to the plat thereof recorded In Volume 11 of plats, Page 64, in King County, Washington. S CC CL H (l_(,h ec, £ X. h I b i
Select Land Use Code(s): Lf f:,'
enter any additional codes: ____________ _
(See back of last page for instructions)
YES
Is this property exempt from property tax per chapter D
84.36 RCW (nonprofit organization)?
YES
Is ibis JX'OPffiY ~ as fcrest land per chapia" 84.33 RCW? D
Is this :rrq:ierty classified as curtU1t use (opeo space, faro aod D
agricultural, CX" timber) land per~ 84.34?
1s ibis~ receiving speaa1 vaiuaion as hislocical pr(lJXrt),' D
per diapter-8426 RC\ll?
If any answers are yes, complete as instructed t:clow.
(I) NOTICEOFCONllNUANCE (FORESTLANDORUJRRENTUSE)
NEW OWNER(S): To continue the current designation as forest land or
classification as curreat use (open space., farm and agriculture, or timber)
land, you must sign on (3) bdow. The COI.IIlty asses.soc must then determine
if the land transferred continues to qualify and will indicate by signing below.
If the land no longc:r qualifies or you do not Vl'ish to continue the designation
or classifica1ioo, it will be removed and the compensating or additional taxes
will be due and payable by 1he seller or transferor at the time of sale. (RCW
84.33.140 orRCW 84.34.108). Prior to signing (3) below,youmay contact
List all personal property (tangible and intangible) included in selling
price.
If claiming an exemption. list WAC number and reason for exemption:
WAC No. (Section/Subsection) t{o'S --(p / ft -qD5{ I/ J
J
Reason for exemption
Transfer of property to City of Renton far use as public right-of-way
TypeofDoc,ment Dee:;! 6 f Dtdiccdfil::L
Date of Document l \ 30 I l. 0 I Lj
Gross Selling Price $ ____________ _
*Personal Property (deduct) $ ____________ _
Exemption Claimed (deduct) $ ____________ _
Taxable Selling Price $ ____________ _
Excise Tax : State $ ___________ ~0--'.0~1
0.0000 ! Local $ __________ __,occ.Oc...1
"'Delinquent Interest: State $ ____________ _
Local$ ____________ _
E2654476
*Delinquent Penalty $ ____________ _
Subtotal $ ___________ 0_.0_0
*State Technology Fee $ ___________ 5~-~0-'--0 02/21/2014 15:31
KING COUNTY, WA
TAX
SALE
$10.00
$0.00
Signature of
PAGE-001 OF 001
Granklr or Grantor's Agent-,L/t,t/'-~t'-'~~'-1---1'---'------
Name (print) _:8~'"~"~;~.,.~':.._ _ _.L __ _,,,,,_...;. ______ _
• Affidavit Processing Fee $ ____________ _
Total Due $ ___________ 1_0._o_o
A .MINIMUM OF SJ0.00 IS DUE IN FEE(S) AND/OR TAX
• SEE INS1RUCTIONS
Date & city of signing:
Perjury: Perjury is a class C felooy which is
a fine in an amrn.mt fixed by the court of DO(
le by imprisonmenl in the state correctional institution for a max:imum tenn of not more than five years, or by
ore than five thousand dollars ($5,0tXl.001 oc by bolh imprisomnent and fine (RCW 9A.20.020 (JC}).
A
REV S4 OOOlae (a) (OS/08/07) nns SPACE-TREASURER'S USE ONLY COUNTY1REASURE
EXHIBIT"A"
That portion of the South 90 feet of the East 140 feet of Tract 79, C.D. Hillman's Lake
Washington Garden of Eden Addition to Seattle No. 2, according to the plat thereof recorded in
Volume 11 of plats, Page 64, in King County, Washington, more particularly more particularly
described as follows;
COMMENCING at the Northwest corner of the above described parcel;
THENCE South 88°42'56" East along the North line thereof a distance of 114.75 feet to a curve
to the right having a radius of 25.00 feet also being the POINT OF BEGINNING;
THENCE Southerly along said curve through a central angle of 90'36'07" having a length of
39.53 feet to a point on the east line of said lot;
THENCE North 1°53'11" East along said line a distance of 25.26 feet to the Northeasterly
corner of said lot;
THENCE North 88°42'56" West a distance of 25.26 feet to the POINT OF BEGINNING.
All situate in the Northwest quarter of Section 32, Township 23 North, Range 5 East. W.M., in
the City of Renton, King County, Washington.
Containing 137 SF, more or less
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