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HomeMy WebLinkAbout2012-09-10 - Grant Leonard W. Olson and Caren L. Recor } Ldwyers Title Company Recorded in Official Records,Orange County RECORDING REQUESTED BY: Hugh Nguyen,Clerk-Recorder City of Huntington Beach w 0O7 ❑❑E ' 14CD FE. Real Estate Services Division P.O. Box 190/ 2000 Main Street - 1 �1757 11Crt Ck Huntington Beach, CA 92648 63 Sec2 G02 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): 110-152-08 GMNT DEED 2 ,� O Location: — 2 Si nature of Declarant or Agent determining tax z5ocyc4D,45�b/A- [oT FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Leonard W. Olson and Caren L. Recor � 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 Dated: ! 2012 --- -----5- ------- rC"---- - I ----- --- --- - -- - - - - ------ ------------------------------------------------------------- DEED CERTIFICATION—CITY OF HUNTINGTON BEACH APPROVED AS TO FORM: Jennifer McGrath, City Attorney This is to c ify t at the erest in real property conveyed by the Deed dated zot� from Leonard W. Olson and By: Pk, d c,(3o(Z+Ii �' Caren L. eCOr to the CITY OF HUNTINGTON BEACH is hereby Assistant/Deputy City Attorney accepted by the undersigned officer or agent on behalf of the City Council of the City of Huntington Beach pursuant to the authority This document is solely for the official business of the City of conferred by Resolution No. 3537 of the City Council of the City of Huntington Beach, as contemplated under Government Code Sec. Huntington Beach adopted on August 7, 1972, and the grantee 6103 and should be recorded free of charge. consents to the recordation thereof by its duly authorized officer. CITY OF HUNTINGTON BEACH Dated: Tax Exempt Government Agency CITY OF HUNTINGTON BEACH Joan Flynn,City Clerk _.� y 'AA CITY J CI LERK MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOMNG LINE City Clerk City of Huntington Beach P.O. Box 190/2000 Main Street Huntington Beach,CA 92648 12-3220/84078 r li CALIFORNIA ALL-PURPOSE rr; CERTIFICATE OF ACKNOWLEDGMENT '( , State of California 1 County of _S 7 iE I! On_I Q) SQ-cA. a 1r.-), before me, s; (Here insert name and title oft.he officer) s personally appeared 0 C"-\Ck Cos, '_A L✓• ` R CGS who proved to me on the basis of satisfactory evidence to be the perso !(s) hose n (s�is a ubscribed to the within instrument and acknowledged to meat he/she th�ey�xecut(e( the In his/her eir authorized l' capact ies) and that by his/her heir ignatu (sr")�n the instrument the perso s), the entity upon behalf of which the perso (s)a ted, execute the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ,„,,,. J:JUDEN Cortnm.#1985192 WITNESS my hand and official seal. tdotary public.California Riverside County j , Comm.EzpiresJui 15,201 66 Ij (Notary Seal) Signature of4otarg Public II ' ADDITIONAL OPTIONAL INF'OltMATION INSTRUCTIONS FOR COMPLETING THIS FORM Am'acknowledgment completed in California trust contain verbiage exact/v as i DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form neat be !' r c leted and attached to that document. 77re only exception is t a properly �P pti f .. � document is to be recorded outside of California.in such instances,any alternative . (Title or description of attached document) oeknow/edgment 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 authorized capacity of the stgner). Please check the !` ! (Title or description of attached document continued) document corefrdh:for proper notarial wording and attach this form ifrequired. # Number of Pages 3 Document Date • State and County information must be the State and County where the document {� 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. t (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). l • Print the name(s) of document signer(s) who y appear at the time of personally l! notarization CAPACITY CI AI D BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. �. individu (S) lte/shetdw is/are)or circling the correct forms:Failure to correctly indicate this i! information may lead to rejection of document recording. J ❑ Corporate cer • 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 Ei (Title) sufficient area permits,otherwise complete a different aclmowledgment form. t ❑ 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 i Q Trustee($) acknowledgment is not misused er attached to a different document. �i ❑ Other > Indicate title or type of attached document,number of pages and date. v Indicate the capacity claimed by the signer,if the claimed.capacity is a jcorporate officer,indicate the title(i.e.CEO,CFO,Secretary). i • Securely attach this document to the signed document ' 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClassm.com O u . EXHIBIT "A" All that certain real property situated in the County of Orange, State of California, described as follows: Lot 17 of Tract 32 as shown on a Map recorded in Book 9 at page 31 of Miscellaneous Maps in the Office of the Orange County Recorder. Assessor Parcel !Number: 110-152-08 BOE-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 fling. 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,: 09271587-916-GKB TIRE NO.: 9306903 SELLER/TRANSFEROR: Leonard W. Olson and Caren L. Recor _ BUYER/TRANSFEREE: City of Huntington Beach,a California municipal corporation ASSESSOR'S PARCEL NUMBER: 110-152-08 STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY: APN: 110-152-08, Huntington Beach CA LEGAL DESCRIPTION: JMAIL PROPERTY TAX INFORM TION n oeach Z: v o r4V I)e-Vel rypen t7 Qepaemeeif QJW0 L s ac% CA q741tK BUYER'S DAYTIME TELEPHON NUMBER: ❑YES JQ 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 ❑ A. This transfer is solely between spouses(addition or removal of spouse,death of spouse,divorce settlement, etc.). ❑ B. This transfer is solely between domestic partners currently registered with the California Secretary of State(add/lion or removal of partner,death of a partner, termination settlement,etc), CI )2r * C. This is a transfer between: ❑parent(s)and children) ❑ grandparent(s)and grandchild(ren). ❑ * D This transaction Is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑YES ❑NO ❑ 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 ❑ ,0 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: ❑ G. The recorded document creates, terminates,or reconveys a lender's Interest in the property. ❑ 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: ❑ I. The recorded document substitutes a trustee of a trust,mortgage,or other similar document, J. This is a transfer of property: ❑ 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, ❑ 3, to/from an Irrevocable trust for the benefit of the ❑creator/grantor/trustor and/or ❑grantor's/trustor's spouse ❑grantor's/trustor's registered domestic partner. ❑ 4, to/from an irrevocable trust from which the property reverts to the creator/grantor/trustor within 12 years. ❑ K. This property is subject to a lease with a remaining lease term of 35 years or more Including written options. ❑ 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. ❑ M This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ * 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 SUB3ECT TO PUBLIC INSPECTION BQE-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 E]Trade or exchange ❑Merger,stock,or partnership acquisition(Form BOE-100-B) ❑ Contract of sale. Date of contract: _Inheritance. Date of death: ❑ Sale/leaseback E] 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 0"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 C7 Assumption of Contractual Assessment*with a remaining balance of: $ *An assessment used to finance properly-specific Improvements that constitutes a lien against the real property, B. The property was purchased: ❑Through real estate broker, Broker name: Phone number;] ) ❑ Direct from seller ❑ From a family member ❑ Other. Please explain; 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 ❑ Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Multiple-family residence. Number of units; El Condominium �2rUnimproved lot ❑ Other, Description: (Le.,timber,mineral,water rights,etc.) ❑ Timeshare E] Commercial/Industrial B, ❑ YES XNO 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 Rr/No A'manufactured home is included in the purchase price. If YES,enter the value attributed to the manufactured home: $ ❑YES ❑NO The manufactured home is subject to local property tax. If NO,enter decal number: D. ❑YES XNO 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 ,dAverage ❑ Fair ❑ Poor CERTIFICATION I certify(or d clare)under penalty of perjury under the laws of the State of California that the foregoing and all information hereon,including any accompany/ g t tements or documents,is true and correct to the best of my knowledge and belief. This declarat/on is binding on each and eve !i t nsferee. SIGNA NSFEREE OR CORPORATE OFFICER DAT ® NAME 0 rRA SFEREE/LEGAL REPRESENTATIVE/CORPORATE OFFICER(PLEASE PRINT) TITLE f—MAIYADDRESS The Assessor's office may contact you for additional information regarding this transaction.