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sCHEDULE, B
<br />Interests In Real Property
<br />(Including Rental Income)
<br />► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
<br />N/A
<br />CITY
<br />FAIR MARKET
<br />VALUE
<br />❑❑ $2,000-$10,000
<br />❑ $10,001•$100,000
<br />❑ $100,001-$1-000,000
<br />NATURE OF INTEREST
<br />Ownership/Deed of Trust
<br />IF APPLICABLE, LIST DATE:
<br />/ /18 / 118
<br />ACquIRED DISPOSED
<br />❑ Easement
<br />❑ Leasehold ❑
<br />Yra. ramelning
<br />IF RENTAL PROPERTY, GROSS INCOME RECEIVED
<br />❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
<br />❑ $10,001 - $100,000 ❑ OVER $100,000
<br />SOuRCES OF RENTAL INCOME: If you own a 10% or greater
<br />Interest, list the name of each tenant that is a single source of
<br />Income of $10,000 or more.
<br />❑ None
<br />Name
<br />Maricee Vallejo
<br />► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
<br />N/A
<br />CITY
<br />FAIR MARkET vALUE
<br />❑ $2,000-$10,000
<br />❑ $10,001 - $100,000
<br />❑ $100,001 -$1,00,000
<br />❑ Over $1,000,000
<br />NATuRE OF INTEREST
<br />❑ Ownershlp/Deed of Trust
<br />IF APPLICABLE, LIST DATE:
<br />I /18 / /18
<br />ACquIRED DISPOSED
<br />❑ Easement
<br />❑ Leasehold ❑
<br />Yra, remaining Other
<br />IF RENTAL PROPERTY, GROSS INCOME RECEIVED
<br />❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
<br />❑ $10,001 - $100,000 ❑ OVER $100,000
<br />SOuRCES OF RENTAL INCOME: If you Own a 10% Or greater
<br />Interest, Ilst the name of each tenant that is a single source of
<br />Income of $10,000 or more.
<br />❑ None
<br />" You are not required to report loans from a commercial lending institution made in the lender's regular course of
<br />business on terms available to members of the public without regard to your official status. Personal loans and
<br />loans received not In a lender's regular course of business must be disclosed as follows:
<br />NAME OF LENDER"
<br />N/A
<br />ADDRESS (Business Address Acceptable)
<br />BuSINESS ACTIVITY, IF ANY, OF LENDER
<br />INTERESTRATE TERM(Months/Years)
<br />°I° ❑ None
<br />HIGHEST BALANCE DURING REPORTING PERIOD
<br />❑ $500 - $1,000 ❑ $1,001 - $10,000
<br />❑ $10,001 - $100,000 ❑ OVER $100,000
<br />❑ Guarantor, If applicable
<br />Comments:
<br />NAME OF LENDER'
<br />N/A
<br />ADDRESS (Business Address Acceptable)
<br />BUSINESS ACTIVITY, IF ANY, OF LENDER
<br />INTEREST RATE TERM (Months/Years)
<br />❑ None
<br />HIGHEST BALANCE DuRING REPORTING PERIOD
<br />❑ $500 - $1,000 ❑ sum - $10,000
<br />❑ $1,001 - $100,Ooo ❑ OVER $100,000
<br />❑ Guarantor, If applicable
<br />c iCFPPC Form 700(2018/2019) idQar Pa Q 6 FPPC Advice Email: edvicafdffppc.ca,gov
<br />FPpC7oll•Fraa Halplina:066/275.3772 www.lppc.ca.gov
<br />Yaea .19
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