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149/04/2009 12:10 209-95*62 CBSJ � PAGE 20 DOE-502-A(Back)Rev.10(8-07) I_ P/ea§re write ASSesssnr'a Parce/N 1MhdV 3j' — �' 3 ' -Z"^' Please aas to the best c f rknoW all /cable ed)ons then nand date. Ifo u ort does not a unci ate wr7h PART III: PURCHASE PRICE AND TERMS OF SALE A. CASH DOWN PAYMENT OR value of trade or exchange(emdudirg dosrng casW Amount; B. FIRST DEED OF TRUST Cw %Interest for—years. Pymts./Mo._; (Prin-&Int.only) Amount$ ❑FHA( Olemunt Points) ❑Fixed rate ❑New loan ❑Conventional ❑Variable rate ❑Assumed existing loan balance ❑VA( Diaebpnt Points) ❑All Inclusive D.T,($ wrapped) ❑Bank Or savings&loan ❑ Cal-Vet ❑Loan Carried by seller ❑Finance company Balloon payment Yes ❑No Due Data Amount$ C. SECOND DEED OF TRUST C_%Interest for years. PymIs.JMe. (Pan.&Int.only) Amount$ n Bank or savings&loan ❑Fixed rate Q New loan ❑Loan cabled 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$ T e %Interest for—years. Pymts./Mo.-; (Prin.&Int.only) [Bank or savings&loan ❑Fixed rate ❑New loan ❑Loan carried by seller ❑variable rate ❑Assumed existing loan balance Balloon payment F7 Yes ❑No Due Date Amount$ E, WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑Yes ❑No Outstanding Balance: Amount$ F. TOTAL PURCHASE PRICE feracqu/sioonpkvv,iffradedoramhang%Include rral estate mmmtssion ifpard) TOTAL ITEMS A THROUGH E $ G. PROPERTY PURCHASED ❑Through a broker ❑Direct from seller []From a family member ❑Other(&wse Wta/nj If purchased through a broker,provide broker's name and phone number: Please mplaln any special terms,seller concessions,or financing and any other Information that would help the Assessor understand the purchase prim and terms of sale: PARTIV. PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: ❑Single-family residence ❑Agricultural ❑Timeshare ❑Multiple-family residence(no.of units: ] ❑co•op/Own-your-own ❑Manufactured home Commercial/Industrlal ❑Condominium - ❑Unimproved lot Other(Description:i.e.,timber,mineral,water rights,etc ) 8. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑Yes Rg No If yes,War data of occupancy J_'20 or intended occupancy 01—M) (ary) t^w) (rr%prh) to r) head C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE(I.E.,furniture farm equipment,machinery,etc.) (other than a manufactured home subject to local property,tax)7 ❑f Yes LJ No a t/et_ A G,� Ip, (�n-tae, di rG If yes,enter the value of the personal property included In the purchase price$ IV IT F� (Attach itemi ad list of perron6l pmpe*..) D. IS A MANUFAC 1JRED HOME INCLUDED IN PURCHASE PRICE? ❑Yes ONO If yes,how much OF the purchase price Is afacated to the manufactured home? Is the manufactured home subject to local property tax? ❑Yes [7 No What is time decal number? .y, E. DOES THE PROPERTY PRODUCE INCOME? [-]Yes 5a No If yes,Is the Income from: N 0� &+ 'p,t•4lr.4 J lNm P, ❑1-20011tent ❑Contract ❑Mineral Rights ❑Other(please eyplofin): F. WHAT WAS THE CONDITION OF PROPERTY AT THE TIME OF SALE? Ra W L–a.NQ ❑Goad ❑Average Vg Fair ❑Poor Please explain the physical condition of the property and provide any other Information(such as restrictions,etc.)that would assist the Assessor in determining the value of the property: CERTIFICATION OWNERSHIP TYPE (17 Proprietorship ❑ Partnership ❑ I CHYify that Me Torryo/n on A;binding in go n eand vchcampleted eve y the best of my knowl ff. and belief Corporation (�j[ fits dedarabon is Glnd/ng on each and every co-owner and/arparhrer. Other LTJ NAME OF NEW OWNER/CORPORATE OFFICER 4AS d TILE 5lCAtATJBE OFNEW OWNERrCORPORA7E OFFICER fav w/ f _ An © DATE „ ZZ 09 t7 rJC.Lrt/Ll1.CY FFnV GE-V NAME OF ENTITY(bG�dwp>:'rrrdJ//�� 11 jA C] MUb3 _ 1.nYriYYIKNli ADDRESS Ann J HONE UMBE (a a.m.-r p.m.) E-M L ApeRFS opfb A a 5 IAAF, dirt The eessor my cone+ you ora ona n a on rrO document evidendnpa change ewnenhlp i9 presented to the maordor farta0fudstran without tmeconcurrent filing of a preamin]ry change of Ownership report the r"corder may charge an additional fee of twenty dollars(Ala).