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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. Type of Transfer Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Dale of contract: ❑ Inheritance. Date of death: ❑ Salelleaseback ❑ Creation of a 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. DYES ❑ NO If YES, indicate the percentage transferred: > 1 % PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase price. 1$7,200.00 B. Cash down payment or value of trade or exchange excluding closing costs Amount $ C. First deed of trust @ o/ interest for years. Monthly payment $ Amount $ ❑ FFIA ( Discount Points) ❑ Cal -Vet ❑ VA ( Discount 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 ( ) i'Direct from seller ❑ From a family member -Relationship ❑ Other: Please explain: 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 property 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.) ❑ Timeshare lY Commercial/Industrial B. ❑ YES h/NO Personal/business 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, enter the value of the personal/business properly: $ Incentives $ C. ❑ YES VNO A manufactured home is included in the purchase price. If YES, enter the value attributed to the manufactured home: $ ❑ YES KdNO The manufactured home is subject to local property tax. If NO, enter decal number D. ❑ YES VNO The property produces rental or other income. If YES, the Income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: E. The condition of the properly at the time of sale was: VGood ❑ Average ❑ Fair ❑ Poor Please describe: CERTIFICATION I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the best of my knowledge and belief. SIGNArUREOF BUYERITRANSFEREE OR CORPORATE OFFICER /" 41*� DATE I 'I'ELEPHOW Jason Gabriel I Principal Civil Engineer I The Assessor's office may contact you for additional information regarding this transaction. SFRM0017 (DSI Rev. 02/18/21)