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Return FULLLY EXECUTED <br />F-502-A-R12-051 -3001 0e-1 Copy to COTC, M-30 <br />BOE-502-A (P1) REV. 12 (05-13) <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 Revenue <br />and Taxation Code. A Preliminary Change of Ownership Report <br />must be filed with each conveyance in the County Recorder's office <br />Claude P rrish <br />Orange County Assessor <br />Civic Center Plaza, Building 11 <br />625 N. Ross Street, Room 142 <br />P.O. Box 1948 <br />Santa Ana, CA 92702-1948 <br />(714) 834-5031 <br />www.ocgov.com/assessor <br />for the county where the property is located. A-2022-218-02 <br />YrI v) <br />rb. <br />NAME AND MAILING ADDRESS OF BTRANSFEREE ASSESSOR'S PARCEL NUMBER <br />I\\ •Y ) (Make necessary corrections to the puntedted name and mailing address) <br />r- , 398-151-01 <br />CITY OF SANTA ANA, a charter city and SELLERITRANSFEROR <br />N <br />municipal corporation Santa Ana Unified School District <br />O <br />BUYER'S DAYTIME TELEPHONE NUMBER <br />20 Civic Center Plaza, M-31 (` S <br />�/ <br />Santa Ana, CA 92701 BUYER'S E <br />EMAIL ADDRESS <br />® <br />L J kridge@santa-ana.org <br />d <br />STREET <br />ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY <br />LLJ <br />1415 N. French St, Santa Ana, CA <br />MAIL PROPERTY TAX INFORMATION TO (NAME) <br />CITY OF SANTA ANA, a charter city and municipal corporation <br />ADDRESS <br />20 Civic Center Plaza, M-31 <br />CITY <br />Santa Ana <br />STATE <br />CA <br />21P COOE <br />92701 <br />❑YES <br />X❑ NO This property is intended as my principal residence. If YES, please indicate the date of occupancy <br />MO <br />DAY <br />YEAR <br />or intended occupancy. <br />PART 1. 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 />❑X A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement etc.). <br />❑ <br />❑X B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition orremoval of <br />a partner, death of a partner, termination settlement, etc.). <br />❑ <br />X❑ * C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren). <br />❑ <br />X❑ * D. This transfer is the result of a cotenant's death. Date of death <br />❑ <br />X❑ * 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 />❑X * 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 />X❑ G. This transaction is only a correction of the names) of the person(s) holding title to the property (e.g., a name change upon marriage). <br />If YES, please explain: <br />❑ <br />❑X H. The recorded document creates, terminates, or reconveys a lender's interest in the property. <br />❑ <br />❑X 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 />0 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 />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 />X❑ 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which <br />names the other joint tenant(s) as beneficiaries when the creator/grantor/trustor dies. <br />❑ ❑X 3. to/from an irrevocable trust for the benefit of the <br />❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner. <br />❑ X❑ L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. <br />❑ ❑X M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel <br />being transferred remain exactly the same after the transfer. <br />❑ ❑X N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. <br />❑ ❑X * O. This transfer is to the first purchaser of a new building containing an active solar energy system. <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 />