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Lot Line Adjustment 2012-002 - 815 Main Street 92648 - Clien
-- i Recorded in Official Records,Orange County Mail recorded copies to: Renee lRamirez,Assistant Clerk-Recorder CITY OF HUNTINGTON BEACH I IIII l (l i I�I�I�I III II� I IIII� Illllli 24.W * $ R 0 0 0 5 4 1 3 3 9 5 $ CITY CLERK 2012000767139 2:38 pan 12/11/12 2000 Main Street 117403 L09 7 Huntington Beach, CA 92648 0.00 0.00 0.00 0.0018.00 0.00 0.00 0.00 Space above reserved for County Recorder's use Fee: _ Y== CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No.2o i2.. B RECORD OWNER(S) OF EXISTING PARCELS: (IfWe) hereby certify that: 1)(1 am[We are)the record owner(s)of all parcels proposed for adjustment by this application: 2) (][We) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: Z v y7 APN: NAME: 1�14yio NAME: ADDRESS. ADDRESS: I-IdNi iitJl TAN Ci9G/�lfr DAYTIME y��'44 DAYTIME TELEPHONE: J .% i — 3 3 (v TELEPHONE: Signature Signature Name: 1-:�A✓llo /0 0/6� u Name: Signature Signature Name: Name: Mail recorded copies to: CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee: $ H5CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT N O.20/2. RECORD OWNER(S) OF EXISTING PARCELS: (I/We) hereby certify that: 9) (1 amble are)the record owner(s) of all parcels proposed for adjustment by this application: 2) (I/We) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: 4.Z 5= /(o`-07 APN: NAME: /.24V/o /0 9,0po NAME: ADDRESS: "P,/ 141A11(11 S%1-zz ADDRESS: DAYTIME / ` '`� DAYTIME TELEPHONE: //f¢] 9`9:3 TELEPHONE: Signature Signature Name: 0 Name: Signature Signature Name: Name: `$ CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT -.r- O a 2O/Z m 00 Z- STATE OF CALIFORNIA I SS COUNTY OF ORANGE 20)Z M, .,CHRISTY,NOTARY PUBLIC ON THIS ') DAY OF P06V-CC , 240- BEFORE ME, A NOTARY PUBLICT IN AND F{OR SAID STATE, PERSONALLY APPEARED WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE NAME(S) ISIARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HEISHEITHEY EXECUTED THE SAME IN HISIHER/THEIR AUTHORIZED CAPACTITY(IES), AND THAT BY HISIHERITHEIR 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. WITNESS Y HAND AND OFFICIAL SEAL: MY COMMISSION EXPIRES: 7. r MY PRINCIPAL PLACE OF BUSINESS IS IN NOTAff�Y, PUBdC IN AND FOR SAID STATE fcJn�} _ COUNTY. PRINT NAME M.K.CHRISTY Commission# 1855019 is n STATE OF CALIFORNIA Zwl Grange County SS My Comm.Expires Jul 18,2013 COUNTY OF ORANGE ON THIS DAY OF , 200 , BEFORE ME, A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEARED I WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S) WHOSE NAME(S) ISIARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/SHE/THEY EXECUTED THE SAME IN HISIHERITHEIR AUTHORIZED CAPACTITY(IES), AND THAT BY HISIHERITHEIR 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. i WITNESS MY HAND: MY COMMISSION EXPIRES: i MY PRINCIPAL PLACE OF BUSINESS IS IN NOTARY PUBLIC IN AND FOR SAID STATE COUNTY. PRINT NAME i f CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT �- N O.Zo lz ® o� PREPARER: CONTACT PERSON: /✓�N��� 6 ADDRESS: /Sdp /�A/o� sr srE-/Go � LAND r�vG9n����4 YTiME TELEPHONE N0: 7/4 ��� �� 5sRU33p�3 DA prepared by me o 7 pages was prep r This document consisting of uncle y direction. CALNEo@� Name and License Number Surveyor's! My gistr on Expires o zo/3 COUNTY: SSA Approved as to survey � tac y F0 Examined and App rvey content only for lCE1/i>`1 R. a il(5� cou►J' j '5 J&vF-YD� � � Ttoa.t L,S• Gs loll EXi'1 7r. �X miyo l' WZ►;�931 QF.CAS Dated this day of ESSI F 6 i CITY ENGINEER: This Lot Line Adjustment Application has been examined and approved by C60560 2N m the City of Huntington Beach• �/ � n, Lam`- ---- `� i� Date rovls Nopl�lns, Acting CRY rig! er R.GE 60560 '{3F CA�- my Registrdtion Expires: Decem or Jf, 20f2 i PLANNING DEPARTMENT: Approved as to Zoning Conformance by Examined and planning Department i the City o Huntington Reapw f pate See Exhibits "A, 8 and C" i By, attached hereto CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. Zo/2 - OD 2- LEGAL DESCRIPTION "EXHIBIT A" Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: oppo o z - 14,1-o ��ViJJ ab,DO o L 5- 6 l-0 7 fF C CL Z SHEET 1 OF 2 PARCEL 1: LOT 20 AND THE SOUTH 2.00 FEET OF LOT 19, BLOCK 1206 OF VISTA DEL MAR TRACT, SECTION 6, IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 4, PAGE 29 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPT THEREFROM AN UNDIVIDED ONE-HALF INTEREST IN AND TO ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY F.G. SIMMONS AND WINNIE SIMMONS, HIS WIFE, IN DEED RECORDED MAY 31, 1946 IN BOOK 1420 PAGE(S) 183 OF OFFICIAL RECORDS. SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART THEREOF. SUBJECT TO ALL COVENENTS, CONDITIONS, RESERVATIONS, RIGHTS-OF-WAY AND EASEMENTS, IF ANY, OF RECORD. LAND THIS DESCRIPTION HAS BEEN PREPARED BY ME OR ER MY DIRECTI a NO,'� &DONALD G. BAKE L.S. 4683 MY LICENSE EXPIRES 9/30/13 OF CALF 0 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO® 2o/2 DOwmmlmmmm�l C.a-pon LEGAL DESCRIPTION °EXHIBIT A" Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: 1014 V/b F oDvo azS- i�/- a i°.9R cF� ,�}� oIa o 02 -�GI-p P•"I2cE Z SHEET 2 OF 2 PARCEL 2: LOT 19 AND THE SOUTH 4.00 FEET OF LOT 18, BLOCK 1206 OF VISTA DEL MAR TRACT, SECTION 6, IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 4, PAGE 29 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPT THE SOUTH 2.00 FEET OF SAID LOT 19. ALSO EXCEPT THEREFROM AN UNDIVIDED ONE-HALF INTEREST IN AND TO ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY F.G. SIMMONS AND WINNIE SIMMONS, HIS WIFE, IN DEED RECORDED MAY 31, 1946 IN BOOK 1420 PAGE(S) 183 OF OFFICIAL RECORDS. ALSO EXCEPT THE INTEREST IN THE EXCEPT THEREFROM ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY DEEDS FROM WALTER E, DRAPER AND STELLA DRAPER, HUSBAND AND WIFE, TO CLARENCE HENRY HANSON AND ANNA E. HANSON, HUSBAND AND WIFE AS JOINT TENANTS, RECORDED OCTOBER 26, 1949 IN BOOK 1920 PAGE(S) 129, OFFICIAL RECORDS, RECITING EXCEPTION OF ONE-HALF; DEED FROM LILLIAN M. BINNER, A-WIDOW TO CLARENCE HENRY-HANSON AND-ANNA E. HANSON, HUSBAND AND WIFE AS JOINT TENANTS, RECORDED AUGUST 24, 1950 IN BOOK 2051, PAGE(S) 385, OFFICIAL RECORDS, AFFECTING THE SOUTH 4 FEET OF LOT 18, RECITING EXCEPTION OF ONE-HALF. SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART THEREOF. SUBJECT TO ALL COVENENTS, CONDITIONS, RESERVATIONS, �S�o LAND sG9G RIGHTS-OF-WAY AND EASEMENTS, IF ANY, OF RECORD. THIS, DESCRIPTION.HAS EEN PREPARED BY ME OR o NO 4883 U ER MY DIRECTIO N/ E* 30 DONALD G. BAKER, L.S. 4683 OF CA1.��O� MY LICENSE EXPIRES 9/30/13 f � CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT �O„Zoiz. � o0 2 Mom MAP "EXHIBIT B" Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: vAv'(o 000d oz5- /Gl-o7 RAlgcEL. ! O DD L2 p 2 5, / / - 07 FAR,-el- 2- SHEET 1 OF 1 30' EXIST. R/W EXIST. R/W 15' (I2F50')Cl � f u, a EAST 127.50PARCEL ' rn 2Z <C C� 00 coN N :� 0 08 ACRES , � .^�. N'n SCALE. 1"-40' LO .. 3697t S.F. uj 6 S x EAST 127.50' 0 w :9 o .. „ (127.50') r. — _ .._ - - PARCEL 1 0.085* ACRES 3Q' l 3697* S.F. EAST 127.50' EXIST. R/W EXIST. R/W o M M LNCOLN AVE: NOTE: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER LEGEND: VISTA DEL MAR TRACT, SECTION 6, M.M. 4/29, RECORDS Of ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA. EXISTING BOUNDARY LINE TO REMAIN — -- --—— — EXISTING LOT LINE TO BE REMOVED � � EXISTING LOT LINE THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION NO4683 MYNLICENSE BEXPIRES 9/30/13 9�0�CAL���Q • CITY OF HUNTINGTON BEACH lei LOT LINE ADJUSTMENT i SITE PLAN "EXHIBIT C" Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: I/iD f' a-D.Do OZ5- SHEET 1 OF 1 30' EXIST. R/W EXIST, R/W 15' m (127.50') is tY EAST 127.50' r- W —— — —(�1ri2,7�C.5,0')— 0.085i ACRES a cnv SCALE.' 1 p-40' 'n 3697t S.F EAST 127.50i r' (127.50') a115 � 0.0 5t ACRES ='' a 30' 3697t S.F. EAST 127.50' EXIST. R/W o EXIST. R/W d M M f�i LI ICOL tl AV . NOTE: LEGEND: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER EXIST. STRUCTURE TO BE REMOVED VISTA DEL MAR TRACT, SECTION 6, M.M. 4/29, RECORDS OF ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA. EXISTING BOUNDARY LINE TO REMAIN — -- -- —— — EXISTING LOT LINE TO BE REMOVEDc��t� ---- --- EXISTING LOT LINE V� �Q3- 'A THIS MAP HAS BEEN PREPARED BY ME OR o f�0 UNDER MY DIRECTION 40 DONALD G. BAKER, L.S. 4683 ®F CAL��d� MY LICENSE EXPIRES 9/30/13 t ' RECORDED REQUESTED BY j WHEN RECORDED MAIL THIS DEED AND,UNLESS OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT Recorded in Official Records,Orange County To: David P. Oddo Renee Ramirez,AssiMnt Clerk-Recorder I r�/�(�Name n,e �G.W Address 8 r S ,—lArN �' 7" * $ R 0 0 0 5 4 1 3 3 9 6 $ 2012000767140 2:38 pm 1211/12 C'ry HVPTitJC4. o j BeAC,H CA 117 403 C101 3 Zip 0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00 Title Order No. Escrow No, SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s)declares that the documentary Transfer Tax is$ —0— City Tax is$ —0— and is: ❑ computed on full value of the interest or property conveyed,or is _0_ ❑ computed on full value less the value of liens and encumbrances remaining thereon at time of sale.The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area: ❑ city of and FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged, David P. Oddo, A single man do(does)hereby remise,release and forever quitclaim to David P. Oddo, A single man the following described real property in the County of Orange State of California: Property is also known as 1202 England Street, Huntington Beach, CA Parcel 1 as shown on Exhibit "B" attached to City of Huntington Beach Lot Line Adjustment No. 2012-002 recorded concurrently herewith, in the official records of Orange County, California. ** Date October 2, 2012 1/T � David P. Oddo STATE OF CALIFOR COUNTY OF f'al`1Ca,�- SS. On 101,)i i Z. before me, M tG lga-:,H-f a Notary Public, personally appeared My d O 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 helsheRhey executed the same in hisltheirther authorized capacity (ies), and that by hislherltheir signatures(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 tha th fo. gping parspr0b�R`6` Apr act J rc�n� WITNESS my hand W official seal. I!Aary Pi blic-California Orange County LA Ary Comm.Expires Jul 18,2013 Signature v = ,�• _ **This deed is being recorded to impart constructive notice to said lot line adjustment no. 2012-002 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE:IF NO PARTY SO SHOWN,MAIL AS DIRECTED ABOVE. Name Street Address City and State RECORDED REQUESTED BY WHEN RECORDED MAIL THIS DEED AND,UNLESS OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT TO: David P. Oddo Name Street Address ft�� MAW Andress G.i d_t W SJ;O�T _ city N'Ue1'f�r-TO J 1 CA State q 'I Zip 'Ie42 2) Title Order No. Escrow No. 17 C ��_ SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s)declares that the documentary Transfer Tax is$ —0— City Tax is$ —0— and is: ❑ computed on full value of the interest or property conveyed,or is —0— ❑ computed on full value less the value of liens and encumbrances remaining thereon at time of sale.The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area: ❑ city of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David P. Oddo, A single man do (does)hereby remise, release and forever quitclaim to David P. Oddo, A single man the following described real property in the County of orange State of California: Property is also known as 1202 England Street, Huntington Beach, CA Parcel 1 as shown on Exhibit "B" attached to City of Huntington Beach Lot Line Adjustment No. 2012-002 recorded concurrently herewith, in the official records of Orange County, California. * Date October 2, 2012 w" c David P. Oddo STATE OF CALIFOR COUNT OF I�i . 1C3 � SS, On t l Z f i Z. before me, M tr'-L.litet1�t�_ a Notary Public, personally appeared DINTkd P Odd 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/their/her authorized capacity (ies), and that by hislherltheir signatures(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 th thee' g paragraph fit ' oriBc CommissionU1y e. WITNESS my hand wJ4 official seal, a Notary Public-California n Orange Count Signature rely Comm Expires Jamul 1111 411 **This deed is being recorded to impart constructive notice to said lot line adjustment no. 2012-002 AVAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE:IF NO PARTY SO SHOWN,MAIL AS DIRECTED ABOVE, Name Street Address City and State CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO82O1r- w ao ?- MAP ° ___...- -- "EXHIBIT R,Y __.. Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: A9AV 0 f' oDDd 92 y - /61-01 oDDv Oz �_ / - o P RGrG Z- SHEET 1 OF 1 30 EXIST. R/W EXIST. R/W 15' EAST 127.50' ~ .. Z a PA 0o N h t 0 0885t�ACRES a •1r .�i N N� SCALE. 1°=40' C143697t S.F. ui c~i �' s W——_` EAST 127.50° — — oc z o c, (127.50') ¢ ,� 15'� X. ,. Ca •.: 2-, PARCEL 1 V N O1 (�! N v ri `i 0.085t ACRES > 30' 3697t S.F. EAST 127.50' EXIST. R/W o EXIST. R/W M M I �- LINW N AVM I f NOTE: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER LEGEND: VISTA DEL MAR TRACT, SECTION 6, M.M. 4/29, RECORDS OF ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA, EXISTING BOUNDARY LINE TO REMAIN -- -- — ——— EXISTING LOT LINE TO BE REMOVED -- EXISTING LOT LINE THIS MAP HAS BEEN PREPARED BY ME 0R UNDER MY DIRECTION DONALD G. BAKER, L.S. 4683 F MY LICENSE EXPIRES 9/30/13 OF CAL��� i. ILLEGIBLE NOTARY BEAD DECLARATION i Government Code Section 27361.7 I I certify under penalty of perjury that the notary seal on the document to which this statement attached reads as follows: Name of Notary: l Date Commission E �u fires: i Notary Identification No: � S S-v 1<1 ManufacturerNendor Identification No: Place of Execution of the.Declaration: Rancho Cucamonga, CA Y. lDate: ti �- � tt 1Z t k G First American Title G I n r k t F PRELIMINARY CHANGE OF OWNERSHIP REPORT THIS REPORT IS NOT A PUBLIC DOCUMENT To be completed by BuyerlTransferee prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation Code. S ELLERSrrRANS FERORS: A Preliminary Change of Ownership I Report must be filed along with each conveyance in the county Recorder's BUYERS/TRANSFEREES: office for the county in which the property is located; this particular 1 form may be used in all 58 counties in California. j ASSESSOR'S PARCEL NO.: ESCROW NO.: i NV-0 NV-T j PROPERTY ADDRESS OR LOCATION:' i csH PP MAIL TAX INFORMATION TO: Name Address AREA NOTICE: Alien for property taxes applies to your property on March 1 of each year for the taxes owing in the following fiscal year,July i through June 30. One half of these taxes is due November 1, and one-half is due February 1. The first Installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill Is mailed before November 1 to the owner of record. IF THIS TRANSFER OCCURS AFTER MARCH 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY 1. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor. For further information on your supplemental roll obligation or this form,please call the County Assessor. PART I: TRANSFER INFORMATION Please answer ALL questions ❑Yes ❑No A. is this transfer solely between husband and wife? (Addition of a spouse,death of a spouse,divorce settlement,etc.) ❑Yes ❑No B. Is this transaction only a correction of the name(s)of the person(s)holding title to the property? (For example,a.name change upon marriage) ❑Yes ❑No C. Is this document recorded to create,terminate,or reconvey a lender's interest in the property? a ❑Yes ❑No D. Is this transaction recorded only to create,terminate,or reconvey a security interest(e.g.,a co-signer)? 1 ❑Yes ❑No E. Is this document recorded to substitute a trustee under a deed of trust,mortgage,or other similar document? i El Yes ❑No F. Did this transfer result in the creation of a joint tenancy in which the seller/transferor remains as one of the joint tenants? El Yes ❑No G. Does this transfer return property to the person who created the joint tenancy(the original transferor)? I H. Is this transfer of property: ❑Yes ❑No 1, to a trust for the benefit of the grantor,or grantor's spouse? ❑Yes ❑No 2,.to a trust revocable by the transferor? ❑Yes ❑No 3. to a trust from which the property reverts to the grantor within 12 years? ❑Yes ❑No 1. if this property is subject to a lease,is the remaining lease term 35 years or more including written options? ❑Yes ❑No J. Is this transfer from parents to children or from children to parents? El Yes ❑No K. Is this transaction to replace a principal residence by a person 55 years of age or older? ❑Yes ❑No L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69.5? If you checked yes to J,K,or L,an applicable claim form must be filed with the County Assessor. Please provide any other information that would help the Assessor to understand the nature of the transfer: r is t f i PART il: OTHER TRANSFER INFORMATION A. Date of transfer,if other than recording date B. Type of transfer(please check appropriate box): ❑ Purchase ❑ Foreclosure ❑Gift ❑Trade or Exchange ❑Merger,Stock or Partnership Acquisition ❑Contract of Sale-Date of Contract ❑Inheritance-Date of Death El Other:Please explain: ❑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) C. Was only partial interest in the property transferred? CI Yes ❑ No If yes,indicate the percentage transferred SSSI 150A REV.4/95 I Please answer,to the best of your knowledge,all applicable questions,sign and date. if a question does not apply,indicate with N/A". PART_i11: PURCHASE PRICE &TERMS OF SALE A.CASH DOWN PAYMENT or Value of Trade or Exchange(excluding closing cost) Amount$ B.FIRST DEED OF TRUST @ /°Interest for vears.Payments/Mo.=$ Amount$ ❑ FHA (PAn.smr.- ❑ Fixed Rate ❑ New Loan ❑ Conventionat El Variable Rate ❑ Assumed Existing Loan Balance ❑ VA ❑ All Inclusive D.T.($ Wrapped) ❑ Bank or Savings&Loan ❑ Cal-Vet ❑ Loan Carried by Seller ❑ Finance Company Balloon Payment ❑ Yes ❑ No Due Date Amount$ C.SECOND DEED OF TRUST @ %Interest for years.Payments/Mo=$ Amount$ ❑ Bank or Savings&Loan ❑ Fixed Rate rPAn.drnl.Dory) ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ D.OTHER FINANCING-Is other financing involved not covered In(B)and(C)above? ❑ Yes ❑ No Amount$ Type @ %Interest for years.Payments/Mo.=$ (PAn.8 In4 oN» ❑ Bank or Savings&Loan ❑ Fixed Rate ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ E.IMPROVEMENT BOND ❑ Yes ❑ No Outstanding Balance Amount$ F. TOTAL PURCHASE PRICE(or acquisition price,it traded or exchanged,Include real estate commission if paid). Total Items A through E--> G.PROPERTY PURCHASED:❑Through a broker: ❑Direct from setter: ❑Other(explain) If purchased through a broker,provide broker's name and phone no.:. Please explain any special terms or financing and any other information that would help the Assessor understand purchase price and terms of sale. PART IV:PROPERTY INFORMATION A.Is Personal Property(moveable items such as furniture,appliances,and equipment)included in the Purchase Price I (other than a mobilehome subject to local property tax)? ❑ Yes ❑ No j if"Yes"enter the value of the personal property included in the purchase price$ (Attach itemized list of persona!property). � B.Is this property intended as your principal residence? ❑ Yes ❑ No � I If"Yes";enter date of occupancy Month Da 20 or Intended occupancy 2C C.Type of Property transferred: ' Month Day ❑ Single-family residence ❑ Agricultural 9 ❑ Timeshare i ❑ Multiple-family residence(no.of units_ ❑ Co-op/Own-your-own ❑ Mobilehome ❑ Commercial/Industrial ❑ Condominium ❑ Unimproved lot Other(Description: D.Does this property produce income? ❑ Yes ❑ No E.If the answer to question"D"is yes,Is the income from: ❑ Lease/Rent ❑ Contract EJ Mineral Rights ❑ Other-explain F,What was the condition of the property at the time of sale? ❑ Good ❑ Average ❑ Fair ❑ Poor Enter here,or on an attached sheet,any other information that would assist the Assessor In determining value of the property such as the physical condition of the property,restrictions,etc. I i l certify that the foregoing is true,correct and complete to the best of my knowledge and belief. ! Signed zx-- , if� •r. 1Z`_ Date !New Ownerlcorporate oBicar( Please Print Name of New Owner/Corporate Officer Phone Number where you are available from 8:00 a.m.-5:00 p.m.( ) (NOTE:The Assessor may contact you for further information) It a document evidencing a change of 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). sssl 150-2 Rev.4>95 i RECORDED REQUESTED BY WHEN RECORDED MAIL THIS DEED AND,UNLESS Recorded in Official Records,Orange County OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT Renee Ramirez,Assistant Clerk-Recorder NOame David P. Oddo IIII I II IIIIII IIIIIIIIIIIIIIII II III IIII .12.00 Addess St`� MAW STw�r 2 20120007671412:38 pm 12111112 7 $ City 117 403 Q01 3 State &4-no4c%Td>a bfAc4I CA 0.00 0.00 0.00 0.00 6.00 0.00 0.00 0.00 Zip �2(- & Tltle Order No, Escrow No. SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s)declares that the documentary Transfer Tax is $ -0- City Tax is$ -0- and is: ❑ computed on full value of the interest or property conveyed,or is -0- ❑ computed on full value less the value of liens and encumbrances remaining thereon at time of sale.The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area; ❑ city of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DAVID P. ODDO, a single man do (does) hereby remise; release and forever quitclaim to DAVID P. ODDO, a single man the following described real property in the County of orange State of California: Property is also known as 1202 Eng an ree un ing on eac ,CA Parcel 2 as shown on Exhibit "B" attached to city of Huntington Beach Lot Line adjustment No. 2012-002 recorded concurrently herewith, in the official records of Orange County, California. ** Date October 2, 2012 - � .10l�� <-'�" DAVID P. ODDO STATE OF CALIFORNIA COUNTY OF SS. On t 2 I Z _ before e, YYl dCpn'�tN a Notary Public, personally appeared � 'iC 2 r '4 c5 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/their/her authorized capacity (ies), and that by his/her/their signatures(s) on the instrument the person(s), or the entity upon behalf of which the persons)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that J egg!'99-p?ta rap is frap 2 1. 41rec ,,.. WITNESS my hand and I�asal. 1855019 z. Notary Pudic-California Signature z `.:;>;d orange county toy Gomm.Expires JuI 1 B,2013 **This deed is being recorded to impart constructive notice of said lot line adjjustment No 2012-002 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE:IF NO PARTY So SHOWN,MAIL AS DIRECTED ABOVE. Name Street Address City and State I RECORDED REQUESTED BY WHEN RECORDED MAIL THIS DEED AND,UNLESS OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT Name Na David P Oddo Street gl S �Aetl STr�T' t Address City State &4- jhlgTaTJ CA Zip �2� 8 Title Order No. Escrow No. SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s)declares that the documentary Transfer Tax is$ —0— City Tax is$ —0 and is: ❑ computed on full value of the interest or property conveyed, or is —0— ❑ computed on full value less the value of liens and encumbrances remaining thereon at time of sale.The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area: ❑ city of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DAVID P. ODDO, a single man do(does)hereby remise,release and forever quitclaim to DAVID P. ODDO, a single man the following described real property in the County of Orange State of California: Property is also known as 1202 Eng-Eandree un ing on eac. ,h Parcel 2 as shown on Exhibit "B" attached to city of Huntington Beach Lot Line adjustment No. 2012-002 recorded concurrently herewith, in the official records of Orange County, California. ** Date October 2, 2012 — � DAVID P. ODDO STATE OF CALIFORNIA COUNTY F SS. On ICE _ 1 Z_ before e, ryl iChn f a Notary Public, personally appeared } rt}1C �'. COc 0 who proved to me on the basis of satisfactory evidence to be the person(s) I whose name(s) is/are subscribed to the within instrument and acknowledged to me that hefshelthey executed the same in hisltheirlher authorized capacity (ies), and that by hislhedtheir signatures(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 th t WA-04s WITNESS m hand and Icia seal. M.K.CHi�isTY y ���`Nr�."°k,�i Commission� 1665013� a Notary Public-California z Signature z orange County Ivty Comm.Expires Jul 18,2013 **This deed is being re lorded to impart constructive notice of said lot line adjustment No 2012-002 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE:IF NO PARTY SO SHOWN,MAIL AS DIRECTED ABOVE. Name Street Address City and State . CITY OF HUNTINGTON BEACH i LOT LINE ADJUSTMENT NOe2Oiz. oaz MAP "EXHJ BI-T--B" I Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: t7AV/O P 4wD62 19z5 - /1/,/--07 SHEET 1 OF 1 EXIST. R/W EXIST. R/W 15' 30, / {-- --— 12 r-- o a• � .�N_ EAST 127.50PARM ' 22 0 08 ACRES G' ' N N� SCALE, 1"-40' 3697t S.F. EAST 127.50 — ! —_ — ' o w r — a 0 (127.50') z PARCEL 1 °A t5 ) (841 C, `, 0.085t ACRES 7 `~ 30' 3697t S.F. EAST 127.50' ___ EXIST. R/W EXIST. R/W M LINO"AI/,E M NOTE: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER LEGEND: VISTA DEL MAR TRACT, SECTION 6, M.M. 4/29, RECORDS OF ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA, EXISTING BOUNDARY LINE TO REMAIN ——— --— — EXISTING LOT LINE TO BE REMOVED � Q EXISTING LOT LINE _�� .g �► THIS MAP HAS BEEN PREPARED BY ME OR "' Q UNDER MY DIRECTION NO.4683 E)A Opts DONALD G. BAKER, L.S. 4683 ;61a MY LICENSE EXPIRES 9/30/13 GALS ILLEGIBLE NOTARY SEAL DECLARATION Government Code Section 27361.7 I certify under penalty of perjury that the notary seal on the document to which this i statement attached reads as follows: i i�S Name of Notary: h r Date Commission Expires: �— �' ► `� Notary Identification No: ManufacturerNendor Identification No: Place of Execution of the.Declaration: Rancho Cucamonga, CA . Date: ) U/ t r //1, i i Title First A me ' I i i f PRELIMINARY CHANGE OF OWNERSHIP REPORT THIS REPORT IS NOT A PUBLIC DOCUMENT To be completed by Buyer/Transferee prior to transfer of subject property in accordance with Section 480.3 of the Revenue and Taxation Code, SELLERS/TRANSFERORS: A Preliminary Change of ownership Report must be filed along with each conveyance in the county Recorder's BUYERS/TRANSFEREES: office for the county in which the property is located; this particular form may be used in all 58 counties in California. ASSESSOR'S PARCEL_NO.: ESCROW NO.: NV-D NV-T PROPERTY ADDRESS OR LOCATION:' f CSH pp MAIL TAX INFORMATION TO: Name Address AREA NOTICE; A lien for property taxes applies to your property on March 1 of each year for the taxes owing in the following fiscal year, duly 1 through June 30. One half of these taxes Is due November 1, and one-half is due February 1. The first Installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill Is mailed before November 1 to the owner of record. IF THIS TRANSFER OCCURS AFTER MARCH 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY 1. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor. For further information on your supplemental roll obligation or this form,please call the County Assessor. PART I: TRANSFER INFORMATION Please answer ALL questions DYes ❑No A. Is this transfer solely between husband and wife? (Addition of a spouse,death of a spouse,divorce settlement,etc.) E]Yes E]No B. Is this transaction only a correction of the name(s)of the person(s)holding title to the property? (For example,a,name change upon marriage) E]Yes ❑No C. Is this document recorded to create,terminate,or reconvey a lender's interest in the property? E]Yes E]No D. Is this transaction recorded only to create,terminate,or reconvey a security interest(e.g.,a co-signer)? ❑Yes ❑No E. Is this document recorded to substitute a trustee under a deed of trust,mortgage,or other similar document? E]Yes E3 No F. Did this transfer result in the creation of a joint tenancy in which the seller/transferor remains as one of the joint tenants? E]Yes E]No G. Does this transfer return property to the person who created the joint tenancy(the original transferor)? H. Is this transfer of property: E]Yes ❑No 1, to a trust for the benefit of the grantor,or grantor's spouse? E]Yes 13 2. to a trust revocable by the transferor? E3Yes ❑No 3. to a trust from which the property reverts to the grantor within 12 years? i E]Yes 0 No I. If this property is subject to a lease,is the remaining lease term 35 years or more including written options? E]Yes ❑No J. Is this transfer from parents to children or from children to parents? ElYes ❑No K. is this transaction to replace a principal residence by a person 55 years of age or older? E]Yes ❑No L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69.5? If you checked yes to J, K,or L,an applicable claim form must be filed with the County Assessor. Please provide any other information that would help the Assessor to understand the nature of the transfer: t 1061 i®. !'. PART II: OTHER TRANSFER INFORMATION A. Date of transfer,if other than recording date L. B. Type of transfer(please check appropriate box): El Purchase El Foreclosure El Gift El Trade or Exchange ❑Merger,Stock or Partnership Acquisition El Contract of Sale-Date of Contract El Inheritance-Date of Death ❑Other:Please explain: ❑Creation of a Lease: ❑Assignment of a Lease: 0 Termination of a Lease: Date lease began Original term in years(including written options) Remaining term in years(including written options) C. Was only partial interest in the property transferred? LI Yes ❑No If yes,indicate the percentage transferred %, SSSI 159A REV.4195 Please answer,to the best of your knowledge,all applicable questions,sign and date. If a question does not apply,indicate with'N/A". PART I[[: PURCHASE PRICE&TERMS OF SALE A.CASH DOWN PAYMENT or Value of Trade or Exchange(excluding closing cost) Amount$ B.F1RST DEED OF TRUST @ /°Interest for years.Payments/Mo•=$ Amount$ ❑ FHA (Pon.s tot°Ny) p Fixed Rate ❑ New Loan ❑ Conventional p Variable Rate❑ VA ❑ Assumed Existing Loan Balance ❑ Aff Inclusive D.T.($ Wrapped) 13 Bank or Savings&Loan ❑ Cal-Vet ❑ Loan Carried by Seller ❑ Finance Company Balloon Payment 0 Yes 0 No Due Date Amount$ C.SECOND DEED OF TRUST @ %interest for years.Payments/Mo.=$ _ Amount$ ❑ Bank or Savings&Loan ❑ Fixed Rate rP a tm.°n1y) p New Loan ❑ Loan Carried by Seller ElVariable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ D.OTHER FINANCING-Is other financing involved not covered in(B)and(C)above? ❑ Yes ❑ No Amount$ Type @ %Interest for years.Payments/Mo,=$ p Bank or Savings&Loan L7 Fixed Rate fP�^•�l�tw L ip Loan Carried b Seller ❑ New Loan Y ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes © No Due Date Amount$ E.IMPROVEMENT BOND ❑ Yes ip No Outstanding Balance Amount$ F. TOTAL PURCHASE PRICE(or acquisition price,if traded or exchanged,include.real estate commission if paid). Total Items A through E-> G.PROPERTY PURCHASED:ip Through a broker: E7 Direct from seller: ❑Other(explain) Kill If purchased through a broker,provide broker's name and phone no.:. 41) —7 Please explain any special terms or financing and any other information that would help the Assessor understand purchase price and terms of sale, PART IV:PROPERTY INFORMATION A.Is Personal Property(moveable items such as furniture,appliances,and equipment)included in the Purchase Price (other than a mobilehome subject to local property tax)? 0 Yes p No If"Yes"enter the value of the personal property included in the purchase price$ (Attach itemized list of personal property). B.Is this property intended as your principal residence? ❑ Yes ip No It"Yes';enter date of occupancy. M°nm 20 or intended occupancy, �0 C.Type of Property transferred: Da Y Month - Day ❑ Single-family residence ip Agricultural ❑ Timeshare ❑ Multiple-family residence(no,of units:_„ 1 ❑ Co-oplOwn-your-own ❑ Mobilehome ❑ Commercial/industrial ip Condominium ❑ Unimproved lot Other(Description: D.Does this property produce income? ❑ Yes ip No E.If the answer to question"D"is yes,Is the income from: ❑ Lease/Rent ❑ Contract ❑ Mineral Rights ❑ Other-explain F.What was the condition of the property at the time of sale? p Good p Average ❑ Fair ❑ Poor Enter here,or on an attached sheet,any other information that would assist the Assessor in determining value of the property such as the physical condition of the property,restrictions,etc. !certify that the foregoing is true,correct and complete to the best of my knowledge and belief. Date (New OwnedCarporare Otacer( Please Print Name of New Owner/Corporate Officer Phone Number where you are available from 8:00 a.m,-5:00 p.m.( ) (NOTE:The Assessor may contact you for further information) If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preffminary change of ownership report,the recorder may charge an additional recording fee of twenty dollars($20). sss(150-z Rev.4195 �13 , zv � First American Title Company 1250 Corona Pointe Court, Ste 201 Corona, CA 92879 v Dated: December 18, 2012 City of Huntington Beach - City Clerk's P.O. Box 190 Huntington Beach, CA 92648 Attention:Joan L. Flynn Re: NHSC-3998257 Copy of recorded LLA and perfecting deed Terrell Crutchfield Title Officer Phone: (951)256-5879 Fax: (866)558-2872 Email: tcrutchfield@firstam.com ® City Of Huntington Beach 200o Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov Office of the City Clerk -17,-7904 t Joan L. Flynn, City Clerk January 2, 2013 County of Orange Resources & Development Management Department 300 N. Flower Street Santa Ana, CA 92702-4048 Attn: Brad Tippett, Orange County Surveyor's Office Dear Mr. Tippett: Enclosed for your records is a copy of a recorded Lot Line Adjustment: #2012-002 (APN 025-161-07). Sincerely, Jo L. Flynn, CIVIC City Clerk JF:pe Enclosure Sister Cities: Anjo, Japan 0 Waitakere, New Zealand p City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov s r �e 17 ,904,a° Office ®f the City Clerk ` Joan L. Flynn, City Clerk December 7, 2012 First American Title Company Attn Mr Terrell Crutchfield 2 First American Way Santa Ana CA 92707 Re Lot Line Adjustment (LLA) 2012-002; APN 025-161-07 815 Main Street Huntington Beach CA 92648 (714) 883-6336 Client Name: David P. Oddo Order#NHSC-3998257 Enclosed please find (1) Lot Line Adjustment No 2012-002 and (2) Quitclaim Deeds Please record the three documents for your client After recording, please return the recorded copy of Lot Line Adjustment 2011-001 to City of Huntington Beach City Clerk's Office — 2nd Floor P O Box 190 Huntington Beach, CA 92648 tanL Flynn, CMC City Clerk JF pe Attachments Received by ` ,y CLERIC'S OFFICE RETAINS COPY FOR FILE Date /2 . f 0 f 2 Name of Company EX.It-lltSTErk_ 14 -4'aC, Phone Sister Cities Anjo,Japan O Waitakere, New Zealand H°Aa &R CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Patty Esparza, Deputy City Clerk FROM: Bob Milani, Senior Civil Engineer /,1040* DATE: December 5, 2012 SUBJECT: Lot Line Adjustment LLA 2012-002 Address is 1202 England Street THE ATTACHED ORIGINAL LOT LINE ADJUSTMENT IS READY FOR RECORDATION. Please contact the person listed below and arrange for the pick-up or delivery of the attached Lot Line Adjustment. At the time of delivery/pick-up please forward a copy of this memo, the attached Lot Lane Adjustment and the County letter dated November 28, 2012 and request that they record the Lot Line Adjustment along with the associated required documents (Grant Deeds, Modifications to Grant Deed, etc.) for their client. Company: First American Title Company Street Address: 2 First American Way City, State, and Zip code: Santa Ana, CA 92707 Attn: Mr. Terrell Crutchfield Telephone Number: (951)256-5879 Email: trutchfield@firstam.com Order No.: NHSC-3998257 Client: David P. Oddo 815 Main Street Huntington Beach, CA 92648 (714) 883-6336 Engineer: Don Baker P.L.S. Regarding Property at 1202 England Street Upon the City Clerks receipt of the recorded copy, please send a copy of the recorded Lot Line Adjustment, to 1 County of Orange Resources & Development Management Department 300 N Flower Street Santa Ana, CA 92702-4048 Attn. Brad Tippett, Orange County Surveyor's Office 714-967-0842 2. HB Planning Department Attn Ethan Edwards 714-536-5561 3. HB Public Works Department Attn. Bob Milani 714-374-1735 cc PW LLA File G\Engmeermg Drvision\DEVELOPMENT\Maps and LLAs\Cjty Clerk Memo's\LLA 12-002 memo to City Clerk(1202 England)12-5-12 bsm doe O R A N G E C O U N T Y Ignacio Ochoa,PE, _® Interim Director CU"'CPublileWorks 300N Flower Street Santa Ana,CA Our Community Our Commitment PO Box4048 Santa Ana,CA 92702-4048 Telephone (714)834-2300 Fax (714)834-5188 November 28, 2012 Travis Hopkins, Acting City Engineer City of Huntington Beach Department of Public Works 2000 Main Street Huntington Beach, CA 92648 Dear Mr Hopkins The County of Orange Surveyor has approved lot line adjustment No 2012-002 We are forwarding said lot line adjustment to you for further processing and recording We recommend the following actions to complete the recording of the lot line adjustment Verify the owners listed on the lot line adjustment against a current title report or lot book guarantee A GRANT or QUITCLAIM deed is required for conveyance Each deed shall be signed and notarized by the record owner, and accompanied with a preliminary change of ownership report The deeds shall record concurrently with the lot line adjustment ❑ Any existing Deed of Trust on the parcels being adjusted should be modified and recorded concurrently with the lot line adjustment Consent to the lot line adjustment by a party or entity holding a beneficial interest in the property shall be reflected in a modification of the Deed of Trust, including, as appropriate any partial reconveyance necessary to affect the intent of the lot line adjustment The modification and if required, partial reconveyance shall be executed in the manner of conveyance of real property and recorded concurrently with the deed Each MODIFICATION OF DEED OF TRUST shall be signed and notarized by all parties (This is a County of Orange policy only) We have reviewed this lot line adjustment for technical correctness only Comment After the lot line adiustment has been approved by the City and recorded, please send a copy of the recorded lot line adiustment to the Orange County Surveyor's office Direct any questions regarding this letter or related matters to Brad Tippett at(714) 967-0842 Sincerely, Kevin R Hills, County Surveyor This letter was prepared® Unde y direction By "Annd 0 Beal, L S Exp 12-Sk- Senior Land Surveyor NO 4955 �'� OF CRI�Fo¢ Mail recorded copies to: CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee $ LIM CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT ID RECORD OWNER(S) OF EXISTING PARCELS- (I/We) hereby certify that 1) (1 am/We are) the record owner(s) of all parcels proposed for adjustment by this application 2) (I/We) have knowledge of and consent to the filing of this application and 3) The information submitted in connection with this application is true and correct APN• 6 2 S f!�`-U7 APN NAME 101EV,/� R 15010100 NAME ADDRESS 'i,/i/`�i�1/� .5/2C.-/ ADDRESS- DAYTIME yz�`�"�' DAYTIME TELEPHONE TELEPHONE. Signature Signature Name L� ivll) /a OZ200 Name Signature Signature Name: Name CITY OF HUNTINGTON BEACH lei LOT LINE ADJUSTMENT IV O.�iZ _ oo z STATE OF CALIFORNIA SS COUNTY OF ORANGE Zn I L M1,CHRISTY,NOTARY PUBLIC ON THIS DAY OF rYIa&Ck- , 2W BEFORE ME, A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEARED �J'quid P O�ldv 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 CAPACTITY(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 WITNESS HAND AND OFFICIAL SEAL MY COMMISSION EXPIRES. -7 I8"i-3 MY PRINCIPAL PLACE OF BUSINESS IS IN NOTARY PUBL C IN AND FOR SAID STATE ��dnq � COUNTY. PRINT NAME M K CHRISTY :F Commission# 1855019 z is z Orange County STATE OF CALIFORNIA Z r n My Comm Expires Jul 18,2013 SS COUNTY OF ORANGE ON THIS DAY OF , 200_, BEFORE ME, A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEARED 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 CAPACTITY(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 WITNESS MY HAND MY COMMISSION EXPIRES MY PRINCIPAL PLACE OF BUSINESS IS IN NOTARY PUBLIC IN AND FOR SAID STATE COUNTY. PRINT NAME • CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO• Zo/z e o0 2. PREPARER /� NA L� CONTACT PERSON: �✓d Ig 6 ADDRESS' oa �A�e✓ Sr sr�� /�o ° Lallo New r1N�ro / PJ%3o� N0: �. ate ' 7/4 4 5.57 .� D �s DAYTIME TELEPHONE ma or re This document consisting of _�_Pages wasp Pared by OF CAL\E unde y direction l.� Name and License Number Surveyor's/ poN.9�OC� BAKER,L.S -3d8zo/3 My Registration Expires: ND COUNTY. aG�R S��L \ Examined and App roved as to survey content only for U���Q� ��y� KEViN R. 401s1 COU06-T� SjriuE-yoF- Tio#t DATE.: 1 Z`31--13 o A `P1,9r No, OF C i day of Dated this ___ �pJESS►p4, CITY ENGINEER roved by !!cation has been examined and approved �� C60560 �ct> This Lot Line Adjustment App M the City of Huntington Beach. za 3-! IMP I Date � C M� q routs Hopkins, Acting Clty 1 or R.C.E. 60560 Wy Registration Explres: Decem or 31, 2012 PLANNING DEPARTMENT: anc Examined and Approved Beas t planning g Department e by the Ci y o Huntington Date gee Exhibits "A, 8'and C" By attached hereto CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. ^012 - 00 2-- LEGAL DESCRIPTION "EXHIBIT A" Existing Parcels Proposed Parcels Owners- AP Numbers: Reference Number- 0/4 V/O O ODDo O 2 - A!o/- D7 / SHEET 1 OF 2 PARCEL 1: LOT 20 AND THE SOUTH 2.00 FEET OF LOT 19, BLOCK 1206 OF VISTA DEL MAR TRACT, SECTION 6, IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 4, PAGE 29 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPT THEREFROM AN UNDIVIDED ONE-HALF INTEREST IN AND TO ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY F.G. SIMMONS AND WINNIE SIMMONS, HIS WIFE, IN DEED RECORDED MAY 31, 1946 IN BOOK 1420 PAGE(S) 183 OF OFFICIAL RECORDS. SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART THEREOF. SUBJECT TO ALL COVENENTS, CONDITIONS, RESERVATIONS, RIGHTS-OF-WAY AND EASEMENTS, IF ANY, OF RECORD. LAND THIS DESCRIPTION HAS BEEN PREPARED BY ME OR ,;ER MY DIRECTI '� � NO 4683 Nq EV tQ DONALD G. BAKER, L.S. 4683 MY LICENSE EXPIRES 9/30/13 OF Cg1.\F�Q� If v7IM01% CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT S, No. 2o/Z - DOZ o g LEGAL DESCRIPTION "EXHIBIT A" Existing Parcels Proposed Parcels Owners. AP Numbers: Reference Number: DA V/D F' opDO 01 S— /!o/- D 10AR CEL l D,4v OD o P,42r_EL Z SHEET 2 OF 2 PARCEL 2: LOT 19 AND THE SOUTH 4.00 FEET OF LOT 18, BLOCK 1206 OF VISTA DEL MAR TRACT, SECTION 6, IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 4, PAGE 29 OF MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. EXCEPT THE SOUTH 2.00 FEET OF SAID LOT 19. ALSO EXCEPT THEREFROM AN UNDIVIDED ONE-HALF INTEREST IN AND TO ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY F.G. SIMMONS AND WINNIE SIMMONS, HIS WIFE, IN DEED RECORDED MAY 31, 1946 IN BOOK 1420 PAGE(S) 183 OF OFFICIAL RECORDS. ALSO EXCEPT THE INTEREST IN THE EXCEPT THEREFROM ALL OIL, GAS, MINERALS AND OTHER HYDROCARBON SUBSTANCES, LYING IN OR UNDER SAID LAND, WITHOUT THE RIGHT OF SURFACE ENTRY, AS RESERVED BY DEEDS FROM WALTER E. DRAPER AND STELLA DRAPER, HUSBAND AND WIFE, TO CLARENCE HENRY HANSON AND ANNA E. HANSON, HUSBAND AND WIFE AS JOINT TENANTS, RECORDED OCTOBER 26, 1949 IN BOOK 1920 PAGE(S) 129, OFFICIAL RECORDS, RECITING EXCEPTION OF ONE-HALF; DEED FROM LILLIAN M. BINNER, A WIDOW TO CLARENCE HENRY HANSON AND ANNA E. HANSON, HUSBAND AND WIFE AS JOINT TENANTS, RECORDED AUGUST 24, 1950 IN BOOK 2051, PAGE(S) 385, OFFICIAL RECORDS, AFFECTING THE SOUTH 4 FEET OF LOT 18, RECITING EXCEPTION OF ONE-HALF. SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART THEREOF. LANDSUBJECT TO ALL COVENENTS, CONDITIONS, RESERVATIONS, S�9G RIGHTS-OF-WAY AND EASEMENTS, IF ANY, OF RECORD. THIS DESCRIPTION HAS EEN PREPARED BY ME OR NO 46D U ER MY DIRECTIO N�AA� �/3v�i 3 \� DONALD G. BAKER, L.S. 4683 e of CAL\F�� MY LICENSE EXPIRES 9/30/13 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT �- NO,20/2 - ao z MAP "EXHIBIT B" Existing Parcels Proposed Parcels Owners: AP Numbers- Reference Number: pA vl o i° Od D d o z y- /6/-0 7 PAS lZCEG- OfIV�� l'• oDDv 07 2- SHEET 1 OF 1 30' EXIST. R/W EXIST. R/W 15' a EAST 127.50' F cN �` �% f~ 0 08A5t ACRES 2 `�' N N� SCALE. 1"-40' o in `=' 3697t S.F. w v `� = EAST 127.50' O w o — — — — — — (127.50') - - - - - ^ z Z- = 0 `; H i� 15' rn L PA a3. I u) N S 0.085t ACRES > N 30' •� u) 3697t S.F. _ EAST 127.50' EXIST. R/W c EXIST. R/W O M M LIAPCOLN AVE. NOTE: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER VISTA DEL MAR TRACT, SECTION 6, LEGEND: M.M. 4/29, RECORDS OF ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA. EXISTING BOUNDARY LINE TO REMAIN — — — — — — EXISTING LOT LINE TO BE REMOVED EXISTING LOT LINE THIS MAP HAS BEEN PREPARED BY ME OR �� �� UNDER MY DIRECTION DONALD G. BAKER, L.S. 4683 OF GAUFp MY LICENSE EXPIRES 9/30/13 CITY OF E-IUNTINGTON BEACH LOT LINE ADJUSTMENT �- No. SITE PLAN "EXHIBIT C" Existing Parcels Proposed Parcels Owners: AP Numbers: Reference Number: 0 PSI 2cEG D11✓iD P o.Do OZ5-- g— SHEET 1 OF 1 30' EXIST. R/W EXIST. R/W 15' — 3 c7 a: cn --N-- EAST 127.50' x — W 0 N N -�L i� / 0 PARCEL85t ACRES i ��� `' v N°� SCALE: 1"=40' v EAST 127 53697± 0Lu ' 4� o c, (127.50') ,� z Z. /mil ii n oc 15 N N 0.0 5t ACRES N N ;a• 30' 3697t S.F. _ EAST 127.50' EXIST. R/W c EXIST. R/W O M M f UVCOUV AVE. NOTE: LEGEND: DISTANCES SHOWN AS ARE RECORD OR CALCULATED PER EXIST. STRUCTURE TO BE REMOVED VISTA DEL MAR TRACT, SECTION 6, M.M. 4/29, RECORDS OF ORANGE PROPOSED LOT LINE COUNTY, CALIFORMIA. EXISTING BOUNDARY LINE TO REMAIN � � S — — — — — — EXISTING LOT LINE TO BE REMOVED EXISTING LOT LINE THIS MAP HAS BEEN PREPARED BY ME OR o NO 4633 UNDER MY DIRECTION E y`. \' F DONAL D G. BAKER, L.S. 4683 QF \F�Q� MY LICENSE EXPIRES 9/30/13 Cat RECORDED REQUESTED BY WHEN RECORDED MAIL THIS DEED AND,UNLESS OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT TO David P. Oddo Name Street 81S MAN!P1 Sl;e�T City Pe1PTpJ4 T0a CA State Q Zip q 1 Zip V Title Order No Escrow No SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s)declares that the documentary Transfer Tax is $ -0- City Tax is $ -0- and is ❑ computed on full value of the interest or property conveyed, or is -0- ❑ computed on full value less the value of liens and encumbrances remaining thereon at time of sale The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area ❑ city of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David P. Oddo, A single man do (does) hereby remise, release and forever quitclaim to David P. Oddo, A single man the following described real property in the County of orange State of California Property is also known as 1202 England Street, Huntington Beach, CA Parcel 1 as shown on Exhibit "B" attached to City of Huntington Beach Lot Line Adjustment No. 2012-002 recorded concurrently herewith, in the official records of Orange County, California. ** Date October 2, 2012 David P. Oddo STATE OF CALIFOR A COUNTY OF )ro_( Q,_- SS. On I 01 ZJ I Z before me, rn(6 C hnnz--1 j a Notary Public, personally appeared DNV ICI 10 VJJ 0 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/their/her authorized capacity (ies), and that by his/her/their signatures(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 th thed r ;1 paragraph�R6 a x T�w° Commission#- SbUi�ctt z WITNESS my hand offiaal seal PJota�y Public -California z p1 Orange County ' My Comm Erpires Jul 18,20i3 Signature � � **This deed is being recorded to impart constructive notice to said lot line adjustment no. 2012-002 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE IF NO PARTY SO SHOWN,MAIL AS DIRECTED ABOVE Name Street Address City and State PRELIMINARY CHANGE OF OWNERSHIP REPORT THIS REPORT IS NOT A PUBLIC DOCUMENT To be completed by Buyer/Transferee prior to transfer of subject property in accordance with Section 480 3 of the Revenue and Taxation Code SELLERS/TRANSFERORS A Preliminary Change of Ownership Report must be filed along with each conveyance in the County Recorder's BUYERS/TRANSFEREES office for the county in which the property is located, this particular form may be used in all 58 counties in California ASSESSOR'S PARCEL NO ESCROW NO NV-0 NV-T PROPERTY ADDRESS OR LOCATION CSH PP MAIL TAX INFORMATION TO Name Address AREA NOTICE A lien for property taxes applies to your property on March 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30 One half of these taxes is due November 1, and one-half is due February 1 The first installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10 One tax bill is mailed before November 1 to the owner of record IF THIS TRANSFER OCCURS AFTER MARCH 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY 1 The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor For further information on your supplemental roll obligation or this form,please call the County Assessor PART I: TRANSFER INFORMATION Please answer ALL questions ❑Yes ❑No A Is this transfer solely between husband and wife (Addition of a spouse,death of a spouse,divorce settlement,etc) ❑Yes ❑No B Is this transaction only a correction of the name(s) of the person(s) holding title to the property (For example, a name change upon marriage) ❑Yes ❑No C Is this document recorded to create,terminate,or reconvey a lender's interest in the property ❑Yes ❑No D Is this transaction recorded only to create,terminate,or reconvey a security interest(e g , a co-signer) ❑Yes ❑No E is this document recorded to substitute a trustee under a deed of trust, mortgage,or other similar document ❑Yes ❑No F Did this transfer result in the creation of a joint tenancy in which the seller/transferor remains as one of the joint tenants ❑Yes ❑No G Does this transfer return property to the person who created the joint tenancy(the original transferor) H Is this transfer of property ❑Yes ❑No 1 to a trust for the benefit of the grantor,or grantor's spouse ❑Yes ❑No 2 to a trust revocable by the transferor ❑Yes ❑No 3 to a trust from which the property reverts to the grantor within 12 years ❑Yes ❑No I If this property is subject to a lease, is the remaining lease term 35 years or more including written options2 ❑Yes ❑No J Is this transfer from parents to Children or from children to parents ❑Yes ❑No K Is this transaction to replace a principal residence by a person 55 years of age or older ❑Yes ❑No L Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69 59 If you checked yes to J, K,or L, an applicable claim form must be filed with the County Assessor Please provide any other information that would help the Assessor to understand the nature of the transfer PART II: OTHER TRANSFER INFORMATION A Date of transfer, if other than recording date B Type of transfer(please check appropriate box) ❑ Purchase ❑ Foreclosure ❑ Gift ❑Trade or Exchange ❑ Merger, Stock or Partnership Acquisition ❑ Contract of Sale-Date of Contract ❑ Inheritance- Date of Death ❑Other Please explain ❑ 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) C Was only partial Interest in the property transferred2 ❑ Yes ❑ No If yes, Indicate the percentage transferred 0 SSSI 150A REV 4195 Please answer,to the best of your knowledge,all applicable questions,sign and date if a question does not apply,indicate with 'N/A" PART III: PURCHASE PRICE &TERMS OF SALE A CASH DOWN PAYMENT or Value of Trade or Exchange(excluding closing cost) Amount$ B FIRST DEED OF TRUST @ %Interest for----_years Payments/Mo=$ Amount$ ❑ FHA (Pan E Inc only) ❑ Fixed Rate ❑/New Loan ❑ Conventional ❑ Variable Rate ❑ Assumed Existing Loan Balance ❑ VA ❑ All Inclusive D T ($ Wrapped) ❑ Bank or Savings&Loan ❑ Cal-Vet ❑ Loan Carried by Seller ❑ Finance Company Balloon Payment ❑ Yes ❑ No Due Date Amount$ C SECOND DEED OF TRUST @ %Interest for years Payments/Mo=$ Amount$ (Pan 6 Int only) ❑ Bank or Savings&Loan ❑ Fixed Rate ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ D OTHER FINANCING-Is other financing involved not covered in(B)and(C)above? ❑ Yes ❑ No Amount$ Type @ %Interest for years Payments/Mo=$ (Prin d Int only) ❑ Bank or Savings&Loan ❑ Fixed Rate ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ E IMPROVEMENT BOND ❑ Yes ❑ No Outstanding Balance Amount$ F TOTAL PURCHASE PRICE(or acquisition price,if traded or exchanged,include real estate commission if paid) Total Items A through E—> G PROPERTY PURCHASED ❑Through a broker ❑ Direct from seller ❑Other(explain) If purchased through a broker, provide broker's name and phone no. Pleaseexplain any special terms or financing and any other information that would help the Assessor understand purchase price and terms of sale PART IV:PROPERTY INFORMATION A Is Personal Property(moveable items such as furniture,appliances,and equipment)included in the Purchase Price (other than a mobilehome subject to local property tax)? ❑ Yes ❑ No If"Yes"enter the value of the personal property included in the purchase price$ (Attach itemized list of personal property) B Is this property intended as your principal residence? ❑ Yes ❑ No If"Yes",enter date of occupancy 20 or intended occupancy_ 20 C Type of Property transferred Month Day Month Day ❑ Single-family residence ❑ Agricultural ❑ Timeshare ❑ Multiple-family residence(no of units_� ❑ Co-op/Own-your-own ❑ Mobilehome ❑ CommerciaUlndustnal ❑ Condominium ❑ Unimproved lot Other(Description D Does this property produce income? ❑ Yes ❑ No E If the answer to question"D"is yes,is the income from ❑ Lease/Rent ❑ Contract ❑ Mineral Rights ❑ Other-explain F What was the condition of the property at the time of sale? ❑ Good ❑ Average ❑ Fair ❑ Poor Enter here,or on an attached sheet,any other information that would assist the Assessor in determining value of the property such as the physical condition of the property,restrictions,etc I certify that the foregoing is true,correct and complete to the best of my knowledge and belief Signed zx-� cQ Date (New owner/corporate Otficer) Please Print Name of New Owner/Corporate Officer Phone Number where you are available from 8 00 a m -5 00 p m ( ) (NOTE The Assessor may contact you for further information) If a document evidencing a change of 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($20) SSSI 150-2 REV 4/95 RECORDED REQUESTED BY WHEN RECORDED MAIL THIS DEED AND,UNLESS OTHERWISE SHOWN BELOW,MAIL TAX STATEMENT TO David P: Oddo Name Street MAIr4 STe&-r Address City State AtlNT1r4c%To,-*.N ?)&ACH Zip C1 2-( c/$ �-t Title Order No Escrow No r SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned Grantor(s) declares that the documentary Transfer Tax is$ -0- City Tax is $ -0- and is ❑ computed on full value of the interest or property conveyed, or is— El computed on full value less the value of liens and encumbrances remaining thereon at time of sale The land tenements or realty is located in Huntington Beach, CA ❑ unincorporated area ❑ city of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DAVID P. ODDO, a single man do (does) hereby remise, release and forever quitclaim to DAVID P. ODDO, a single man the following described real property in the County of orange State of California Property is also known as 1202 Engiandree un ing on eacti,tA Parcel 2 as shown on Exhibit "B" attached to city of Huntington Beach Lot Line adjustment No. 2012-002 recorded concurrently herewith, in the official Date records of Orange County, California. October 2, 2012 � �f DAVID P. ODDO STATE OF CALIFORNIA COUNTY F `) 1 SS. 2 On 1 12-- before V— i e, CY) n: JN a Notary Public, personally appeared �ACt P W CP O 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/their/her authorized capacity (fes), and that by his/her/their signatures(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 th t _g fpregoing p grad l .true ad auec M K CHRISTY WITNESS my hand and icia seal Commission iF 1855019 z Signature � "��'n- ��, Notary Public-California z "`� n a z `�,.p�� Orange County My Comm Expires Ju!18,2013 **This deed is being recorded to impart constructive notice of said lot line adjustment No 2012-002 MAIL TAX STATEMENTS TO PARTY SHOWN ON THE FOLLOWING LINE'IF NO PARTY SO SHOWN,MAIL AS DIRECTED ABOVE. Name Street Address City and State PRELIMINARY CHANGE OF OWNERSHIP REPORT - --- THIS REPORT IS NOT A PUBLIC DOCUMENT To be completed by BuyedTransferee prior to transfer of subject property in accordance with Section 480 3 of the Revenue and Taxation Code SELLERS/TRANSFERORS A Preliminary Change of Ownership Report must be filed along with each conveyance in the County Recorder's BUYERS/TRANSFEREES office for the county in which the property is located, this particular form may be used in all 58 counties in California ASSESSOR'S PARCEL NO ESCROW NO NV-0 NV-T PROPERTY ADDRESS OR LOCATION CSH PP MAIL TAX INFORMATION TO Name Address AREA NOTICE A lien for property taxes applies to your property,on March 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30 One half of these taxes is due November 1, and one-half is due February 1 The first Installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10 One tax bill is mailed before November 1 to the owner of record IF THIS TRANSFER OCCURS AFTER MARCH 1 AND ON OR BEFORE DECEMBER 31, YOU MAY BE RESPONSIBLE FOR THE SECOND INSTALLMENT OF TAXES DUE FEBRUARY 1 The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor For further information on your supplemental roll obligation or this form,please call the County Assessor PART 1: TRANSFER INFORMATION Please answer ALL questions ❑Yes ❑No A Is this transfer solely between husband and wife? (Addition of a spouse, death of a spouse,divorce settlement,etc) ❑Yes ❑No B Is this transaction only a correction of the name(s)of the person(s)holding title to the property? (For example,a name change upon marriage) ❑Yes ❑No C Is this document recorded to create,terminate,or reconvey a lender's interest in the property? ❑Yes ❑No D Is this transaction recorded only to create,terminate,or reconvey a security interest(e g , a co-signer)? ❑Yes ❑No E Is this document recorded to substitute a trustee under a deed of trust, mortgage,or other similar document? ❑Yes ❑No F Did this transfer result in the creation of a joint tenancy in which the seller/transferor remains as one of the joint tenants? ❑Yes ❑No G Does this transfer return property to the person who created the joint tenancy(the original transferor)? H Is this transfer of property ❑Yes ❑No 1 to a trust for the benefit of the grantor,or grantor's spouse? ❑Yes ❑No 2 to a trust revocable by the transferor? ❑Yes ❑No 3 to a trust from which the property reverts to the grantor within 12 years? ❑Yes ❑No I If this property is subject to a lease, is the remaining lease term 35 years or more including written options? ❑Yes ❑No J Is this transfer from parents to children or from children to parents? ❑Yes ❑No K Is this transaction to replace a principal residence by a person 55 years of age or older? ❑Yes ❑No L Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69 5? If you checked yes to J, K, or L, an applicable claim form must be filed with the County Assessor Please provide any other information that would help the Assessor to understand the nature of the transfer o ®11 V Rai o ®- PART If: OTHER TRANSFER INFORMATION A Date of transfer, if other than recording date B Type of transfer(please check appropriate box) ❑ Purchase ❑ Foreclosure ❑Gift ❑Trade or Exchange ❑Merger, Stock or Partnership Acquisition ❑ Contract of Sale-Date of Contract ❑ Inheritance-Date of Death ❑ Other Please explain ❑ 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) C Was only partial interest in the property transferred? ❑Yes ❑No If yes, indicate the percentage transferred 0 SSSI 150A REV 4195 Please answer,to the best of your knowledge,all applicable questions,sign and date ff a question does not apply,indicate with 'N/A" PART III: PURCHASE PRICE & TERMS OF SALE A CASH DOWN PAYMENT or Value of Trade or Exchange(excluding closing cost) Amount$ B FIRST DEED OF TRUST @ %Interest for years Payments/Mo=$ Amount$ El FHA (Pnn E Int.only) ❑ Fixed Rate ❑ New Loan ❑ Conventional ❑ Variable Rate ❑ Assumed Existing Loan Balance ❑ VA ❑ All Inclusive D T ($ Wrapped) ❑ Bank or Savings&Loan ❑ Cal-Vet ❑ Loan Carried by Seller ❑ Finance Company Balloon Payment ❑ Yes ❑ No Due Date Amount$ C SECOND DEED OF TRUST @ %Interest for years Payments/Mo=$ Amount$ ❑ Bank or Savings&Loan ❑ Fixed Rate (Pnn a int only) ❑ New Loan ❑ Loan Carried by Seller ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ D OTHER FINANCING-Is other financing involved not covered in(B)and(C)above? ❑ Yes ❑ No Amount$ Type @ %Interest for years Payments/Mo=$ (Pri❑ Bank or Savings& Loan ❑ ❑Fixed Rate D 61nL L New Loan ❑ Loan Carried by Seiler ❑ Variable Rate ❑ Assumed Existing Loan Balance Balloon Payment ❑ Yes ❑ No Due Date Amount$ E IMPROVEMENT BOND ❑ Yes ❑ No Outstanding Balance Amount$ F TOTAL PURCHASE PRICE (or acquisition price,if traded or exchanged,include real estate commission if paid) Total Items A through E—> Alm G PROPERTY PURCHASED ❑Through a broker ❑ Direct from seller ❑Other(explain) If purchased through a broker,provide broker's name and phone no Please explain any special terms or financing and any other information that would help the Assessor understand purchase price and terms of sale PART IV:PROPERTY INFORMATION A Is Personal Property(moveable items such as furniture,appliances,and equipment)included in the Purchase Price (other than a mobilehome subject to local property tax)? ❑ Yes ❑ No If"Yes"enter the value of the personal property included in the purchase price$ (Attach itemized list of personal property) B Is this property intended as your principal residence? ❑ Yes ❑ No If"Yes",enter date of occupancy 20 or intended occupancy_ 20 C Type of Property transferred Month Day Month Day ❑ Single-family residence ❑ Agricultural ❑ Timeshare ❑ Multiple-family residence(no of units_ ❑ Co-op/Own-your-own ❑ Mobilehome ❑ Commercial/Industnal ❑ Condominium ❑ Unimproved lot Other(Description D Does this property produce income? ❑ Yes ❑ No E If the answer to question"D"is yes,is the income from ❑ Lease/Rent ❑ Contract ❑ Mineral Rights ❑ Other-explain F What was the condition of the property at the time of sale? ❑ Good ❑ Average ❑ Fair ❑ Poor Enter here,or on an attached sheet,any other information that would assist the Assessor in determining value of the property such as the physical condition of the property,restrictions,etc I certify that the fore oing is true,correct and complete to the best of my knowledge and belief Signed _ Date (New Dw er/Corporate Officer) Please Print Name of New Owner/Corporate Officer Phone Number where you are available from 8 00 a m -5 00 p m ( ) (NOTE The Assessor may contact you for further information) If a document evidencing a change of 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) SSSI 150 2 REV 4195