CHARLES W. BOWERS MUSEUM-KIDSEUM

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BOE-502-A (Back) Rev. SO (8-07) Please write Assessor's Parce Please answer. to the best of your) A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing tests) Amount $ B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. _ $ (Prin. & Int. only) Amount $ ❑ FHA( Discount Points) ❑ Fixed rate ❑ New loan Conventional ❑ Variable rate ❑ Assumed existing loan balance ❑ VA( Discount Points) ❑ All inclusive D.T. ($ Wrapped) ❑ Bank or savings & loan ❑ Cal -Vet ❑ Loan carried by seller ❑ Finance company Balloon payment ❑Yes ❑ No Due Date Amount $ C. SECOND DEED OF TRUST @ % interest for _ years. Pymts./Mo. _ $ (Prin. & Int. only) Amount $ n Bank or savings & loan F-] Fixed Fixed rate New loan ❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance Balloon payment -]Yes ❑ No Due Date Amount $ D. OTHER FINANCING - Is other financing involved not covered in (b) and (c) above? Yes ❑ No Amount $ T pe @ % interest for _ years. Pymts./Mo. _ $ (Prin. & Int. only) Bank or savings & loan ❑ Fixed rate ❑ New loan ❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance Balloon payment ❑ Yes ❑ No Due Date Amount $ E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑ Yes ❑ No Outstanding Balance: Amount $ F. TOTAL PURCHASE PRICE (or acquisition price. if traded or exchanged, include teal estate commission dpaid) �p TOTAL ITEMS A THROUGH E 1 $ G. PROPERTY PURCHASED ❑ Through a broker Direct from seller ❑ From a family member ❑ Other (please explain] If purchased through a broker, provide broker's name and phone number: Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price and terms of sale: PARTIV: PROPERTY INFORMATION A. TYPE OF PROPERTY TRANSFERRED: ❑ Single-family residence- - ❑ Agricultural ❑ Timeshare ❑ Multiple -family residence (no. of units: 1 ❑ Co-op/Own-your-own ❑ Manufactured home Commercial/Industrial }fIC�I Coqdo�m�inium pp ❑ Unimproved lot Other (Description: i.e.; timber, mineral, water rights, etc. L7!L�^l�lYlQ 1 — ) B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes ,No If yes, enter date of occupancy 20 or intended occupancy / , 20 (month) (day) (Yaar) (month) (day) (year) C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture farm equipment, machinery, etc.) (other than a manufactured home subject to local property tax)? 11 Yes IS IfNo If yes, enter the value of the personal property included in the purchase price (Attach itemized list ofpersonal property.) D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ❑ Yes [X No If yes, how much of the purchase price Is allocated to the manufactured home? Is the manufactured home subject to local property tax? Yes ❑ No What is the decal number? E. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes Dg No If yes, is the income from: ❑ Lease/Rent ❑ Contract ❑ Mineral Rights ❑ Other (please explain): F. WHAT WAS IM CONDITION OF PROPERTY AT THE TIME OF SALE? ❑ Good Average ❑ Fair ❑ Poor Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in determining the value of the property: OWNERSHIP TYPE (�) Proprietorship ❑ Partnership ❑ I certify that the foregoing is true, correct and complete to the best of my knowledge and belief. Coryor�o�n �..Q_ Other This dedaration is binding on each and every co-owner and/or partner. N F clC R Air(I vVnA G l°i j'J) SIGNA RE O P DA7E1 `%t p ']M'plWi Y }OF IiNTITYIQn( vt '1 ,� FE E J g- AD (tytrorprinfed);t a — � PHt�N U E (8 .m.-,5 .m. E-MAIL ADDRESS (opCionaQ Note: The Assessor may contact yo for atltlitioral information) If a document evidencing a change ownership is presented to the recorder for recordation without the concurrent filing of a preliminary change of ownership report, the recorder may charge an additional fee of twenty dollars ($20). {:aS