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Kenneth W. Blakemore <br /> Debra Leonardini <br /> San Joaquin County Chicf..hdminislra ion 8 Smnda ds <br /> Teresa Williamson <br /> a Assessor - Recorder — County Clerk Chid Deputy Recorder Clerk <br /> ' 44 N.San Joaquin Street,Suite 260,Stockton CA 95202-3274 <br /> [� tp PO Box 1968 Stockton Ca 95201-I968 <br /> dL1 i oRT' (209)468-3939 FAX(209)468-8040 <br /> AFFIDAVIT OF EXEMPTION <br /> FROM DOCUMENTARY TRANSFER TAX <br /> THIS FORM MUST BE COMPLETED IN FULL AND FILED WITH THE DOCUMENT AT THE TIME OF RECORDING <br /> NOTICE: ANY MISREPRESENTATION OF FACT IN THIS AFFIDAVIT IS A MISDEMEANOR UNDER SECTION 1116 OF <br /> THE REAL PROPERTY TRANSFER TAX ORDINANCE. ANY PERSON WHO MAKES SUCH A MISREPRESENTATION IS <br /> SUBJECT TO PROSECUTION FOR SUCH OFFENSE. THE RECORDER RESERVES THE RIGHT TO REPORT POTENTIALLY <br /> FRAUDULENT RECORDINGS TO THE DISTRICT ATTORNEY'Sr REAL ESTATE FRAUD UNIT. <br /> ASSESSOR'S PARCEL NUMBER(S) rz_— �Q <br /> STREET ADDRESS(ES) <br /> ❑ 1. This is a gift in which no consideration was paid or given to the grantor*. <br /> *Be aware that certain gifts in excess of$13,000 per calendar year may trigger a Federal Gift Tax.In such cases,the <br /> Transferor(donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue <br /> Service. Also be aware that information stated on this document may be given and used by governmental agencies, <br /> including the Internal Revenue Service. <br /> 1, as the Transferor (donor/grantor), declare under penalty of perjury that I have read the above paragraph and <br /> acknowledge that a Federal Gift Tax may be triggered. <br /> Donor/Grantor Signature/Attorney for Client Donor/Grantor Phone Number <br /> © 2. ❑ This is an interspousal transfer in which spouse is relinquishing his/her rights to the property. <br /> Spouse was never on title. <br /> * 3. L This is a spousal transfer pursuant to divorce or separation. Was the exchange of assets even? Yes Ci No <br /> If no,explain <br /> 4. L'This is solely the addition/deletion of a co-signer who has/had no ownership interest in the property. <br /> Name of co-signer <br /> Complete and attach the co-signer affidavit. <br /> * 5. 1 This is to remove/add back an owner's name due to refinancing purposes only and does not change the <br /> actual property ownership. <br /> 6. C This is a Deed to/from a Trust pursuant to a Trust Agreement for the benefit of Grantor/Trustee named <br /> therein. A copy of the Trust may be required for viewing. <br /> 0 7. This Deed is recording to correct an error or title flaw created by a document recorded on <br /> Original Number Reason fbr correction <br />