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THIS SPACE PROVIDED FOR RECORDER'S USE:
Filed for Record at Request of ,,,T --
CITY OF RENTON/City Clerk Office L.,1Name _
Address 200 Mill Avenue South j. __
M ›
City and State Renton, Washington 98055 �`
r17:11. •11:1 .40 707 I A
RECD F 5. 00
Quit Claim Deed CASHSL *+::+,-t.:ix 00
11
THE GRANTOR Rudolph L. Bernovich, Jr.
for and in consideration of $1.00 (ONE DOLLAR AND NO/100ths)
conveys and quit claims to the City of Renton
e following described real estate, situated in the County of King State of Washington,
Nowith all after acquired title of the grantor(s) therein:
Q
Cit
The West 10.00 feet of the following described parcel :
1004
oisi The North 146 feet of the South 931 feet of the West 240 feet, of the
Pio Southeast 1/4 of the Southeast 1/4 of Section 31, Township 23 North,
CI) Range 5 East, W.M. , King County, Washington.
LESS Talbot Road So.
KING COUNTY
NO EXCISE TAX
NOV181987
EO 74425
Dated
ndividual1 s.
0....4ce1 I (dual) (President)
By
1 Secretary 1
STATE OF WASHINGTON ) STATE OF WASHINGTON
)} ss. )} ss.
COUNTY OF / r--,— COUNTY OF
day person$Ily geared before me On this day of 19
t _1�-�?=-.2 -x:. 1, before me, the undersigned, a Notary Public in and for the State of Wash-
i, 2. i-. ,i-..le .L-e---e•-c. - ington, duly commissioned and sworn, personally appeared
to me known to be the individual described in and
who executed the within and foregoing instrument, and
and acknowledged that .. signed the same to me known to be the President and Secretary,
as .' 4�•a-�.... . free and vo untary act and deed, respectively,of
for the uses and purposes therein mentioned. the corporation that executed the foregoing instrument, and acknowledged
the said instrument to be the free and voluntary act and deed of said corpor-
ation, for the uses and purposes therein mentioned, and on oath stated that
authorized to execute the said instrument and that the seal
GIVEN under my hand and official seal this affixed is the corporate seal of said corporation.
trat..day of...e�' , 1911 Witness my hand and official seal hereto affixed the day and year first
above written.
j-7'.. .�f^` ultc -
Notary Publiriin and for the 5.ate of Wash- Notary Public in and for the State of Washington,
ington, residing at..,%4, 5:... 'c-' i V residing at
Submit to C,ourityoTreasurer of the This form is your receipt when stamped
Submit
tiwhich ypTressuope:rty is located. REAL ESTATE E• XCISE TAX by cashier. Pay by cash or`certified .
coCHAPTER 82.45 RCW check to County Treasurer.
PLEASE TY.I2e OR'1SRINT CHAPTER 458-61 WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS Q THROUGH Q ARE FULLY COMPLETED
I
O Name Rudolph L. Bernovi:.'i1,r Jr. 2 Name Cif)" OF iiOet3
W
cc
cc (Z W 5� ., ¢
QQ 1..Iii „ :un :i„)ai Oor;oration ay.P Y.Ing County
W a CO CC
SLI Street #�,:� f,� s"' .lif;�. t';Ft. S. c7 a�:,.=e; ;i"a1 l ttvenuc South
Street
City Renin State .tit Zip its b • City Renton State ;Ifs Zip %iirs-5
0 CIO'i = 3F REt T0h, ,Citi, Clerk Office ALL TAX PARCEL NUMBERS
NEW OWNER'S Name
PERMANENT ADDRESSP k t i on of 3123C5-,:,o7,3-04
FOR ALL PROPERTY Street €' n Avenue So( wai
TAX RELATED a:,- r. ;
CORRESPONDENCE City/State •t1r 3 s j Zip 3t a�`
0
LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED COUNTY CI OR IN CITY OF r*#'11d.(`° *1
he ;,Jest '&.w £t'L'.°. of the following described parcel :
fhe lorth at4° feet of f.oe South 93i feet of + e Jest 24i., feet of the Southeast if4 s $
,.'1t' Southeast i/4 of Section 31, Township .3 Mork.n, Range 5 East , xa«as, s King County,
Jetshit ton
LE5',; ial,;pExaa. . bat; :d3.
0 Is this property currently: YES NO 0 Description of personal property if included in sale(furniture,ap-
Classified or designated as forest land? ❑ f4fi
Chapter 84.33 RCW pliances,etc.)
Classified as current use land(open space,
farm and agricultural,or timber)?Chapter 84.34 RCW ❑
If gxemptjon c,taimed„explain 3Jeed to "i LY of Je11,•o
Exempt from property tax under nonprofit CI ® IOr tr'u f'E c a4oa:. ay
organizations Chapter 84.36 RCW?
Receiving special valuation as historic ❑ I !1
property under Chapter 84.26 RCW?
Type of Document 3UClaim
Type Property: M land only ❑ land with new building. :).".L<,;
Date of Sale or Conveyance Instrument
S
❑ land with previously ❑ land with mobile home Gross Sale Price 1/ $ z,t"t`
used building Personal Property(deduct)2/ $
SEE TAX OBLIGATIONS ON REVERSE SIDE Taxable Sale Price $
0 Excise Tax State 3/ $
(1) NOTICE OF CONTINUANCE (RCW)84.33 or RCW 84.34)
Local4/ $
If the new owner(s) of land that is classified or designated as current use or Delinquent Penalty 5/ $
forest land wish(es)to continue the classification or designation of such land, Total Tax Due $
the new owner(s) must sign below. If the new owner(s) do(es) not desire to
continue such classification or designation, all compensating or additional tax (SEE 1-5 ON REVERSE SIDE)
calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due O
and payable by the seller or transferor at the time of sale. To determine if the
land transferred qualifies to continue classification or designation, the county AFFIDAVIT
assessor must be consulted.All new owners must sign. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF
THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE
This land ❑ does ❑ does not qualify AND CORRECT (see #6 on reverse for penalties).
for continuance. DEPUTY ASSESSOR
DATE SIGNATURE i c na 3"d C, §ou h tot)
(3) NOTICE OF COMPLIANCE(Chapter 84.26 RCW) NAME (print) Public JOrk S Director
If the new owner(s) of property with special valuation as historic property '`DATE & PLACE OF SIGNING: `e `'C'4' „L''
wish(s)to continue this special valuation the new owner(s)must sign below. If
the new owner(s)do(es)not desire to continue such special valuation,all addi-
tional tax calculated pursuant to Chapter 84.26 RCW,shall be due and payable SPECIFY(circle): HtOY/g tee/4t tiint a9er�t �r144€W1 4Rt
by the seller or transferor at the time of sale.
Address of residence or place of buisness of person signing(specify):
(3) OWNER(S)SIGNATURE
CITY OF 4.1451i
200 #iii f Ave„ t,„ , Rentol t 1;A 'A,4°5.
Telephone Number
0
The following optional questions are requested by RCW 82.45.120
Is property at the time of sale: YES NO
YES NO e. Does conveyance involve a trade,partial
a. Subject to lderly,disability,or physical improvement 1❑ interest corporate affiliates,related parties,
2 trust,receivership or an estate? 1❑ 2
El
exemption?
f. Is the grantee acting as a nominee for a third 1❑ 2❑
b. Does building, if any, have a heat pump or solar ❑ 2 party?
heating or cooling system? 1
g. Principal use:
c. Does this conveyance divide a current parcel of land? 1 El 2❑
1 El agricultural 2 ❑ condominium 3 ❑ recreational
d. Does sale include current crop or merchantable 1❑ 2® 4 ❑ apt(4+ units) 5 ❑ industrial 6 ❑ residential
timber?
gpmrilerg4al 8 Q mobile home 9 El timber
FOR TREASURER'S USE ONLY
FORM REV 64 0030 (5/86) -1155-
TAXPAYER
. . ,
. � ' � , °
.
1/ GROSS SALE PRICE "Selling Pho*^ shall mean umnaideration, including money or ythi of value, or
delivered or contracted to be paid or delivered in return for the transfer of the real property or estate or
interest in real property, and shall include the amount of any lien, mortgage, contract indebtedness, or other
incumbrance, either given to secure the purchase price, or any part thereof, or remaining unpaid on such
property at the time of sale (WAC 458-61-030(13)). When consideration is other than money and the transfer
is taxmb|*, market value is to be reported.
2/ PERSONAL PROPERTY
The transfer of personal property is subject to the use tax and is the liability of the grantee. Use separate
form for mobile home.
3/ AUDIT AND ENFORCEMENT
The tax paid by this document is subject to audit by the Department of Revenue under RCW 82.45.150. RCW
82.45.080 specifies that this tax is the obligation of the seller and remedies for its enforcement are specified
in Chapter 82.32 RCW. RCW 82.45.080 states that such tax and penalities... "shall be a specific lien upon
each piece of real property sold from the time of sate until the tax shall have been paid, which lien may be
enforced in the manner prescribed for the foreclosure of mortgages".
4/ LOCAL REAL ESTATE EXCISE TAX
Cities and/or counties are authorized to adopt by ordinance an additional real estate excise tax to be
collected and distributed by the county treasurer (CHAPTER 82.46 RCW).
5/ DELINQUENT PENALTY
If the tax due is not paid within 30 days from the time of sale, interest of 1% per month shall be charged from
the sale date until date of payment. Nonpayment or underpayment resulting from intent to evade the tax is
subject to ark penalty (Chapter 82.45 RCW).
6/ 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 doUany, or by both such imprisonment and fine (RCW 9A.20.020 (1C)),
________ __________________ ___________________ ________ ___________ ________ ______________ ___________ ______
_
TAX OBLIGATION FOR FOREST LAND CLASSIFICATION OR DESIGNATION,
CURRENT USE (OPEN SPACE) CLASSUF|CATION, PROPERTY EXEMPT FROM TAXATION OR
SPECIAL VALUATION AS HISTORIC PROPERTY
FOREST LAND LIABILITY (RCW 84'33'120 and 84'33'140)
Upon withdrawal or removal of this land from classification or designation a compensating tax shall be imposed
which shall be equal to:
1. The difference between the amount of tax last levied on such land as forest land and an amount equal to
the new assessed valuation of such land multiplied by the millage rate of the last levy extended against
such land, multiplied by
2. A number, in no event greater than ten, equal to the number of years for which such land was classified or
designated as forest land.
Reforestation or conversion requirements should be consulted according to Chapter 70.09 RCW.
CURRENT USE LIABILITY (RCW 84'34'108)
Upon withdrawal or removal of this land from o/aooihcahon, an additional tax shall be imposed in the following
manner.
1. Land under classification for a minimum of ten years shall pay an amount equal to the difference between
the tax computed on the basis of "current use" and the tax computed on the basis of true and fair value
plus interest at the same statutory rate charged on property taxes. The additional tax and interest shall be
paid for the seven years last past.
2. Land withdrawn because of a change to a nonconforming use or land withdrawn prior to the minimum ten-
yearperi0dorfui!orat000mp[y1otvvn'yeornn1io* nfwithdrawo| sheUbe |iab|etopaytheaddiUone( tuxaa
in 1. above plus a penalty of 20° of the additional tax and interest. The additional tax, interest and penalty
shall be paid for the past seven years.
PROPERTY EXEMPT FROM TAXATION (RCW 84.36.810 and 84.36.262)
Sale of exempt property may cause taxes and interest to be assessed for up to last Zen years, depending on
type and ot exemption.
SPECIAL VALUATION AS HISTORIC PROPERTY LIABILITY (Chapter 84'26 RCW)
YYkm`e`u/ propertyn|uoaifndondvo|oedasvliyib/ehiotn/inprupertyinremovednrdiuqua|iKeuforthovuboUon.
en add/h,-,-; `al tax shall become due and payable which is equal to (a) the actual costs of the substantial
imp;c*pmort multiplied by tna levy rate in each year the property was subject to upndal valuation: plus (b)
in!ec...;,,t on tr:e amounts of the additional tax at the statutory rate charged on delinquent property taxes from the
dates onwhi(. |1 the additiora tax could have been paid without penalty' 1 the property hid not been valued as
� �u|ono p�c;e/ty; plus a penalty equai to twelve potceot of the amount determined in (a) and (b).
SPEED LETTER
TO: DATE: ///3/67
PROJECT:
SUBJECT: j.)._e_ f-
Vita
- I
6/( •/5-. s3 . , 4779 .17
NOT 3'ISX
( '. ned)