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PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by 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. NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE (Make necessary corrections to the printed name and mailing address) Holly Commerce Center LLC ASSESSOR'S PAR9r-L NUMBER Steve Cortese 212-160-10 21 Lafayette Circ., Ste.200 SELLERrI' "SF-R R Lafayette,CA 95304 Holly Commerce Center LLC Escrow No. 58209645-582-LE Title No.: 58209645 BUYER'S DAYTIME TELEPHONE NUMBER Legal Description: BUYER'S EMAIL ADDRESS STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY 9409 W.Arbor Ave.,Tracy,CA 95304 MAIL PROPERTY TAX INFORMATION TO(NAME) Holly Commerce Center LLC ADDRESS 21 Lafayette Circ., Ste.200,Lafayette,CA 95304 ❑YES 0 NO This property is intended as my principal residence. If YES,please indicate the date of occupancy MO DAY YEAR or intended occupancy, PART I: TRANSFER INFORMATION Please complete all statements. This section contains possible exclusions from reassessment for certain types of transfers. YES NO ❑ 0 A. This transfer is solely between spouses(addition or removal of a spouse,death of a spouse,divorce settlement,etc.). ❑ 0 B. This transfer is solely between domestic partners currently registered with the California Secretary of State(addition or removal of a partner, death of a partner, termination settlement,etc.). ❑ 0 * C. This is a transfer: ❑between parent(s)and child(ren) ❑ from grandparent(s)to grandchild(ren). ❑ 0 * D. This transfer is the result of a cotenant's death. Date of death ❑ 0 * E. This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑YES ❑NO ❑ 0 * F. 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 G. 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: ❑ 0 H. The recorded document creates,terminates,or reconveys a lender's interest in the property. ❑ 0 I. 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: ❑ 0 J. The recorded document substitutes a trustee of a trust,mortgage,or other similar document. K. This is a transfer of property: ❑ 0 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. ❑ 0 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. ❑ 0 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. ❑ 0 L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. 0 ❑ M. 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. ❑ 0 N This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ 0 * O. This transfer is to the first purchaser of a new building containing an active solar energy system. *Please refer to the instructions for Part 1. Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION