HomeMy WebLinkAbout2012-06-27 - Grant John Scott Miller t Recorded in Official Records,Orange County
RECORDING REQUESTED BY: ! Tom Daly,Clerk-Recorder
City of Huntington Beach . . . O C7 CJ CJ CJ CJ CJ❑ NC-) FT
Real Estate Services Division
P.O. Box 190/2000 Main Street COL�?57 4:30pm 0947/12
Huntington Beach, CA 92648 1174182 3
WHEN RECORDED MAIL TO: 0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00
City Clerk
City of Huntington Beach
P.O. Box 190/2000 Main Street
Huntington Beach, CA 92648
INCORPORATED AREA DOCUMENTARY TRANSFER TAX$EXEMPT
APN(s): 4f -fib -n3 ryl GRANT DEED
Location: Signature of Declarant or A ent determining tax
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JOHN SCOTT MILLER �C73 s
hereby GRANT(S) to THE CITY OF HUNTINGTON BEACH, a municipal corporation, the real property in
the City of Huntington Beach, County of Orange, State of California, described as follows:
See Exhibit"A"for legal description
^^ This document is recorded of and for the benefit of City of Huntington Beach
and is therefore exempt from the payment of the recording fee pursuant to 0,
Government Code Section 6103 and from the payment of the documentary transfer tax
pursuant to Revenue and Taxation Code Section 19922.
Dated: �7 2012 -
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DEED CERTIFICATION—CITY OF HUNTINGTON BEACH APPROVED AS TO FORM BY THE OFFICE OF CITY ATTORNEY
This is to certify that the interest in real property conveyed by the Deed p
dated Jan a 'Ir1 , 20 1 Z. , from 101W -to the CITY OF By:
HUNTINGTON BEACH is hereby accepted by the undersigned officer or Assistant/DepwW City Attorney
agent on behalf of the City Council of the City of Huntington Beach
pursuant to the authority conferred by Resolution No. 3537 of the City This document is solely for the official business of the City of
Council of the City of Huntington Beach adopted on August 7, 1972, Huntington ,Beach, as contemplated under Government Code Sec.
and the grantee consents to the recordation thereof by its duly
authorized officer. 6103 and should be recorded free of charge.
CITY OF HUNTINGTON BEACH Dated: — �� �f Tax Exempt Government Agency
CITY OF HUNTINGTON BEACH
Joan Flynn,City Clerk
By,
6 .J
/���By�:
EIY�CLERK CI -CLERK
MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE
City Clerk City of Huntington Beach P.O. Box 190/2000 Main Street Huntington Beach,CA 92648
12-3362/80418
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EXHIBIT "A"
THAT REAL PROPERTY LOCATED IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE,
STATE OF CALIFORNIA, DESCRIBED AS FOLLWS:
LOTS 33 AND 34 IN BLOCK "B" OF TRACT 44, AS PER MAP RECORDED IN BOOK 9, PAGE 45 OF
MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDED OF SAID COUNTY.
1 • ,
CALIFORNIA ALL-PURPOSE
i CERTIFICATE OF ACKNOWLEDGMENT
State of eat- VV yum:VS
County of �
On �ch'l� 1 aOG before me, 000,V1 A C roC, C't�n�-Zt�'� C-
(Here insert name and,tittle of the officer)
,personally appeared 0v, �'c�� } tiler:
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same_in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
DEVIN R C,RACIA-NOTARY PUBLIC
County of I
WITNESS my hand and official seal. 4) "ng
J Connrnlsebrt Sept 9th,2014
Puk (Notary Seal)
Signatur o otary Public
ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
(Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authori=ed capacity of the signer). Please check the
(Title or description of attached document continued) document carefullyfor proper notarial wording and attach this form;'required
• State and County information must be the State and County where the document
Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s)personally appeared which
must also be the same date the acknowledgment is completed.
(Additional information) • The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title(notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they-is/are)or circling the correct forms.Failure to correctly indicate this
❑ Individual(s) information may lead to rejection of document recording.
❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re-seal if a
(Title) sufficient area permits,otherwise complete a different acknowledgment form.
❑ Partner(s) • Signature of the notary public must match the signature on file with the office of
the county clerk.
❑ Attorney-in-Fact Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document.
❑ Other Indicate title or type of attached document,number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i.e,CEO,CFO,Secretary).
• Securely attach this document to the signed document
2008 Version CAPA vl2.10.07 800-873-9865 www.NotaryClasses.com
60E-502-A(Pl)REV. 11(07-10) FOR RECORDER'S USE ONLY
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by the transferee(buyer)prior to a transfer of subject property, in accordance with section
480.3 of the Revenue and Taxation Code. A Preliminary Change of Ownership Report must be filed with each
conveyance in the County Recorder's office for the county where the property is located. Please answer all
questions in each section,and sign and complete the certification before filing. This form may be used in all 58
California counties. If a document evidencing a change in ownership is presented to the Recorder for
recordation without the concurrent filing of a Preliminary Change of Ownership Report,the Recorder may charge
an additional recording fee of twenty dollars($20).
NOTICE: The property which you acquired may be subject to a supplemental assessment in an amount to be
determined by the County Assessor. Supplemental assessments are not paid by the title or escrow company at
close of escrow,and are not included in lender impound accounts. You may be responsible for the current
or upcoming property taxes even if you do not receive the tax bill.
ESCROW NO.: 09271217-916-GKB TITLE NO.:9306292
SELLER/TRANSFEROR: John Scott Miller
BUYER/TRANSFEREE: City of Huntington Beach, a California municipal corporation
ASSESSOR'S PARCEL NUMBER: 110-162-03&04
STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY:
APN 110-162-03&04 Huntington Beach,CA
LEGAL DESCRIPTION:
MAIL PROPERTY TAX INFORMATION TO:
_C 1+-.4 of H'K w4-.;,1 IV,, a &&[I
va o W1,0A, S f
BUYER'S DAYT ME TELEPHONE NUMBER: (071�h 34
❑ YES NO This property is intended as my principal residence. If YES,please indicate the date of MO DAY YEAR
occupancy or intended occupancy.
PART 1. TRANSFER INFORMATION Please complete all statements.
YES NO
❑ ff�' A. This transfer is solely between spouses(addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑ CT' B. This transfer is solely between domestic partners currently registered with the California Secretary of State(addition orremoval of
partner, death of partner, termination settlement, etc.).
❑ Lam* C. This is a transfer between: ❑ parent(s)and child(ren) ❑ grandparent(s)and grandchild(ren).
❑ a� * D This transaction is to replace a principal residence by a person 55 years of age or older.
Within the same county? ❑ YES ❑ NO
❑ ET-* E. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code
section 69.5. Within the same county? ❑YES ❑ NO
❑ M'_ F. This transaction is only a correction of the name(s)of the person(s)holding title to the property(e.g., a name change upon
marriage). If YES, please explain:
❑ I.-J' G. The recorded document creates,terminates,or reconveys a lender's interest in the property.
❑ 2 ' H. This transaction is recorded only as a requirement for financing purposes or to create,terminate,or reconvey a security interest
(e.g., cosigner). If YES, please explain:
❑ 09' I. The recorded document substitutes a trustee of a trust, mortgage, or other similar document.
J. This is a transfer of property:
❑ 2' 1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of
❑ the transferor,and/or ❑ the transferor's spouse ❑ registered domestic partner.
❑ ❑-- 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which names the other joint
tenant(s)as beneficiaries when the creator/grantor/trustor dies.
❑ 09"" 3. to/from an irrevocable trust for the benefit of the
�/ Elcreator/grantor/trustor and/or ❑ grantor's/trustor's spouse Elgrantor's/trustor's registered domestic partner.
ElL? 4. to/from an irrevocable trust from which the property reverts to the creator/grantor/trustor within 12 years.
❑ E?'—' K. This property is subject to a lease with a remaining lease term of 35 years or more including written options.
❑ L7 L. This is a transfer between parties in which proportional interests of the transferor(s)and transferee(s)in each and every parcel being
transferred remain exactly the same after the transfer.
❑ 113"'
' M This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑ t� * N. This transfer is to the first purchaser of a new building containing an active solar energy system.
*If you checked YES to statements C,D,or E,you may qualify for a property tax reassessment exclusion,which may allow you to maintain your previous tax
base. If you checked YES to statement N,you may qualify for a property tax new construction exclusion. A claim form must be filed and all requirements met
in order to obtain any of these exclusions. Contact the Assessor for claim forms.
Please provide any other information that will help the Assessor understand the nature of the transfer.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
4.
B6E-502-A(P2)REV. 11(07-10)
PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Date of transfer, if other than recording date:
B. Type of transfer:
❑ Purchase ❑ Foreclosure ❑Gift ❑Trade or exchange ❑ Merger,stock, or partnership acquisition(Form BOE-100-13)
❑ Contract of sale, Date of contract: _Inheritance. Date of death:
❑ Sale/leaseback ❑Creation of a lease ❑Assignment of a lease ❑Termination of a lease. Date lease began:
Original term in years(including written options): Remaining term in years(including written options):
❑ Other. Please explain: - ---
C. Only a partial interest in the property was transferred. ❑YES ❑ NO If YES, indicate the percentage transferred: %
PART 3, PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.
A. Total purchase or acquisition price. Do not include closing costs or mortgage insurance.
Down payment: $ Interest rate: % Seller-paid points or closing costs: $
Balloon payment: $
❑ Loan carried by seller ❑ Assumption of Contractual Assessment*with a remaining balance of: $
*An assessment used to finance property-specific improvements that constitutes a lien against the real property.
Thee property was purchased: El Through real estate broker. Broker name: Phone number: ( )
E Direct from seller ❑ From a family member
❑ Other. Please explain:
C. Please explain any special terms, seller concessions,financing,and any other information (e.g.,buyer assumed the existing loan balance)that would
assist the Assessor in the valuation of your property.
PART 4. PROPERTY INFORMATION Check and complete as applicable.
A. Type of property transferred
El Single-family residence ❑ Co-op/Own-your-own ❑ f�anufactured home
❑ Multiple-family residence. Number of units: El Condominium Unimproved lot
❑ Other. Description: (i.e.,timber, mineral,water rights, etc.) ❑ Timeshare ❑ Commercial/Industrial
B. ❑YES L7 NO Personal/business property,or incentives,are included in the purchase price. Examples are furniture,farm equipment, machinery,
club memberships, etc. Attach list if available.
If YES, enter the value If the personal/business property: $
C. ❑YES Q NO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
❑YES 11 NO The manufactured home is subject to local property tax. If NO, enter decal number:
❑YES lI NO The property produces rental or other income.
If YES,the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑Other:
E. The condition of the property at the time of sale was: ❑ Good ❑Average ❑ Fair ❑ Poor
CERTIFICATION
Acertify(or declare)under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any
accom anying statements or documents, is true and correct to the best of my knowledge and belief. This declaration is binding on each and
every buy" a sferee.
SIGNATUR SFEREE OR CORPORATE OFFICER DATE
NAME 07LFF7ANSFEREE/LEGAL REPRESENTATIVE/CORPORATE OFFICER(PLEASE PRINT) TIT
L•E
E-MAIL AOORESS
The Assessor's office may contact you for additional information regarding this transaction.