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8CE-502-A(P 1) REV. 12 (05-13) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property, In accordance with section 480.3 of the Revenue and Taxation Code. A Prel/minary 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 BUYERnRANSFEREE (Make nf<etsrry cvrm%-NOns N ar PdRte name and malfi, aeNm s) I DalJlt Singh , CA STREET AODRE85OR PHYSICAL LOCATION OF PEAL PROPERTY 4445 N. Pershing Avenue Stockton, CA 95207 MAIL PRO] -1.1 TA%INFORMATION TO INAME) A-SE-SORSPARCEL NUMBER 110-180-06 SELLE NSFEROR Steve Nguyen, et al. BUYERS Otv nmtlttePHONE NUMBER ( ) J eWEfta EMAIL ADOREaa ❑ L. This property Is subject to a lease with a remaining lease term of 35 years or more Including written options. ❑ K 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. ❑ N. This is a transfer subject to subsidized low -Income housing requirements with governmentally Imposed restrictions. ❑ '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 STATE ZIP CODE CA I ❑YES This propedy is intended as my pdnppal realtlence. If YES, lease Indicate the date of occupancy ❑ NO or intended ecoepancy. MO DAY YEAR PART 1. TRANSFER INFORMATION Please complete at/ statements. This section contains possible exclusions from reassessment for certain types of transfers. VES NO ❑ A. This transfer Is solely between spouses (addition orramoval of a spouse, death ora spouse, divorce settlement, of.). ❑ B. This:ransf:, Is solely between domestic partners currently registered with the California Secretary of State (eddit/on or removal of 'C. so eMer, death ora partner, termination settlement, etc.). 0 This is a transfer: ❑ between parents) and child(ren) ❑ from grandparent(s) to grandchild(ren). 'D. This transfer is the result of a cotenant's death. Date of death ❑ 13 'E. This r:, Is to replace a principal residence by a person 55 years of age or older. Wlthin the same county? ❑ YES [-INO ❑ '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. Wllhin the same county? El YES ❑ NO ❑ G. This hansacllon 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: ❑ H. The recorded document creates, terminates, or reconveys a lender's Interest in the property. ❑ 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: ❑ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. K. This Is a transfer of property: ❑ 1 to/from a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferors spouse ❑ registered domestic partner. ❑ 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 tenants) as beneficiaries when the creator/grantor/trustor dies. 3. to/from irrevocable an trust for the benefit of the ❑ creatorigrantodtrustor and/or [Igrantors/trustoes spouse Elgrantor's/trustors registered domestic partner. ❑ 4. to/from an irrevocable trust from which the property reverts to the creator/grantor/truslor within 12 years. ❑ L. This property Is subject to a lease with a remaining lease term of 35 years or more Including written options. ❑ K 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. ❑ N. This is a transfer subject to subsidized low -Income housing requirements with governmentally Imposed restrictions. ❑ '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