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BOE-502-A (P2) REV. 15 (02-21) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, If other than recording date: B. Ty e of Transfer `Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death: ❑ Sale/leaseback ❑ Creation are lease ❑ Assignment of a lease ❑ Termination of a lease. Date lease began: Original term in years (including written options): Remaining term in years (including written options): ❑ Other, Please explain C. Only a partial interest in the property was transferred. WYES ❑ NO If YES, indicate the percentage transferred: 2,392 Sq. ft. % PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase price. Is 176,000 B. Cash down payment or value of trade or exchange excluding closing costs Amount $ C. First deed of trust @ % interest for years. Monthly payment $ Amount $ ❑ FHA (Discount Pointy) ❑ Cal -Vet ❑ VA ( Dlscoust Points) ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: D. Second deed of trust @ _ % Interest for years. Monthly payment $ Amount $ ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: E. Was an Improvement Bond or other public financing assumed by the buyer? ❑ YES ❑ NO Outstanding Balance $ F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $ G. The property was purchased: ❑ Through real estate broker. Broker name: Phone number ( ) ❑ Direct from seller ❑ From a family member-Relationshlp `Other: Please explain:City Right -Of -Way ACnUISltion H. Please explain any special terms, seller concessions, broker/agent fees waived, financing, and any other information (e.g., buyer assumed the existing loan balance) that would assist the Assessor in the valuation of your property. PART 4. PROPERTY INFORMATION Check and complete as applicable. A. Type of properly transferred ❑ Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Multiple -family residence, Number of units: ❑ Condominium ❑ Unimproved lot ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) IT Timeshare Commercial/Industrial B. ❑ YES `VNO Personalibusiness property, or Incentives, provided by seller to buyer are included in the purchase price. Examples of personal property are furniture, farm equipment, machinery, etc. Examples of incentives are club memberships, etc. Attach list if available. If YES,/el�ter the value of the personallbusiness property: $ Incentives $ C. ❑ YES V NO A manufactured home is included in the purchase price. If YES, crier the value attributed to the manufactured home: $ El YES nya NO The manufactured home is subject to local property tax. If NO, enter decal number D. ❑ YES VNO The properly produces rental or other income. If YES, the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: E. The condition of the property at the time of sale was: VGood ❑ Average ❑ Fair ❑ Poor Please describe: CERTIFICATION I certify (or declare) that the foregoing and at/ information hereon, including any accompanying statements or documents, is true and correct to the best of my knowledge and belief. 311 TO EE OF PUYERURsWFEREE OR CORPORATE OFFICER DATE TELEPHONE ►�I I L � lip 9/20121 714-647-5013 Jason Gabriel[ Principal Civil Engineer The Assessor's office may contact you for additional information regarding this transaction. SFRM0017 (DSI Rev. 02/18/21)