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SOE-502-A(Pi)REV. 14 (05-18) <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />To be completed by the transferee (buyer) prior to a transfer of <br />subject property, in accordance with Section 480.3 of the <br />Revenue and Taxation Code. A Preliminary Change of <br />Ownership Report must be filed with each conveyance In the <br />County Recorder's office for the county where the <br />property Is located. <br />NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE <br />(Make necessary comectlons to the printed name and mailing address) <br />City of Santa Ana, Public Works Agency ASSESSOR'S PARCEL NUMBER <br />20 Civic Center Plaza , M-36 016-211-25 <br />Santa Ana, CA 92702 SELLER/TRANSFEROR <br />Salvador Arreola Valencia <br />BUYER'S DAYTIME TELEPHONE NUMBER <br />714-647-5013 <br />BUYER'S EMAIL ADDRESS <br />STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY <br />❑ YES <br />IN NO This property is intended as my principal residence. If YES, please indicate the date of occupancy I MO I DAY I YEAR <br />or intended occupancy. <br />❑ YES <br />19NO Are you a disabled veteran or an unmarried surviving spouse of a disabled veteran who was <br />compensated at 100% by the Department of Veterans Affairs? <br />MAIL <br />PROPERTY TAX INFORMATION TO (NAME) <br />City <br />of Santa Ana, Public Works Agency, M-36 <br />MAIL <br />PROPERTY TAX INFORMATION TO (ADDRESS) <br />CITY <br />STATE <br />ZIP CODE <br />PART I: TRANSFER INFORMATION Please complete all statements. <br />This section contains possible exclusions from reassessment for certain types of transfers. <br />YES <br />NO <br />❑ <br />14 <br />A. This transfer is solely between spouses (addition orremoval of spouse, death of spouse, divorce settlement, etc.). <br />❑ <br />IX <br />B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of <br />partner, death of a partner, termination settlement, etc.). <br />❑ <br />C. This is a transfer: ❑ between parents) and children) ❑ from grandparents) to grandchild(ren). <br />❑ <br />IN " <br />D. This transfer is the result of a cotenant's death. Date of death <br />❑ <br />L%S " <br />E. This transaction Is to replace a principal residence by a person 55 years of age or older. <br />Within the same county? ❑ YES ❑ NO <br />❑ <br />' <br />F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code <br />section 69.5. Within the same county? ❑ YES ❑ NO <br />❑ <br />IN <br />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). <br />If YES, please explain: <br />❑ <br />H. The recorded document creates, terminates, or reconveys a lender's interest in the property. <br />❑ <br />IN <br />I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest <br />(e,g„ cosigner). If YES, please explain: <br />❑ <br />J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. <br />K. This Is a transfer of property: <br />❑ <br />IN <br />1. to/from a revocable trust that may be revoked by the transferor and Is for the benefit of <br />❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. <br />❑ <br />IN <br />2. to/from an irrevocable trust for the benefit of the <br />❑ creator/grantoritrustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner <br />❑ N <br />L. <br />This property is subject to a lease with a remaining lease term of 35 years or more Including written options. <br />❑ IN <br />M. <br />This is a transfer between parties In which proportional Interests of the transferor(s) and transferee(s) in each and every parcel being <br />transferred remain exactly the same after the transfer. <br />❑ IN <br />N <br />This is a transfer subject to subsidized low -Income housing requirements with governmentally Imposed restrictions, or restrictions <br />Imposed by specified nonprofit corporations. <br />❑ <br />" O. <br />This transfer is to the first purchaser of a new building containing an active solar energy system. <br />❑ <br />P. <br />Other. This transfer is to <br />* Please refer to the Instructions for Part 1. <br />Please provide any other information that will help the Assessor understand the nature of the transfer. <br />THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION <br />SFRM0017 (DSI Rev. 08131120) <br />