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•3,9/04/2009 12:10 209-95*62 CBSJ PAGE 21 CLAIM OF EXEMPTION FROM DOCUMENTARY TRANSFER TAX TO:Gary W.Freeman Assessor-Recorder-County Clerk Date Recorded: Assessor Parcel Number(s): 141-090-19,08,,14;141-100-26 1. This is a gift in which no consideration was paid or given to the grantor. _YES _�LNO 2. This is solely the addidon/deletion of a cc-Signer who has/bad no ownership interest in the property. _YES �4NO If yes,name of co-signer 3. This is a foreclosure ora trustee sale. x^YES NO p�[� I vl �t�'K 0� Rre t�[_I 17 SGt," a. If yes,is the Transferee the Beneficiary or Mortgagee? YES —NO 4. This is a lease with a term,includ'pg options,of less than 35 years. _YES �( NO a.Tcrm,including options_ N N _ b.If term is 35 years or greater,provide the leasehold consideration value$ N16 5. The propertywas conveyed by an executor/administrator/trustee in accordance with an estate YES X NO 6. This transfer was between an individual or individuals and a legal entity or between legal entities that results solely in a change in the method of holding title to the realty and in which proportional ownership interests in the realty,directly or indirectly,remain the same immediately after the transfer. _YES ( NO I II 7. Other �YLS _NO If yes,include explanation and authority: pe-eA ILA �-"t4 �rjrcc�dsutrr CCNTACT NAMErwn ADDRESS CONTACT TELEPHONE NIJNMFR—W q S - S- ( I DECLARE OR AFFIRM UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. '2 Signa ure PRINT NAME 5J0CHQV), 5 c TOrAQ UI\A `o � l 1//DrNIG L fart ZDD� Place of Executio (city,count,state vAicre executed) DATE NOTICE: ANY MISREPRESENTATION OF FACT IN THIS AFFIDAVIT IS A MISDEMEANOR UNDER SECTION 1116 OF THE REAL ESTATE PROPERTY TRANSFER TAX ORDINANCE. ANY PERSON WHO MAKES SUCH MISREPRESF,NTATION IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.