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<br />PRELIMINARY CHANGE OF OWNERSHIP REPORT FOR RECORDER'S USE ONLY <br />To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section 480.03 of the DOCUMENT NUMBER <br />Revenue and Taxation Code. A Preliminary Change 01 Ownership Report must be filed with each conveyance in the <br />County Recorder's office lor the county where the property is located: this particular form may be used in all 58 <br />counties of California. <br /> THIS REPORT IS NOT A PUBLIC DOCUMENT <br />SELLERfTRANSFEROR: Aurora Angel, <br />BUYERfTRANSFEREE: City of Santa Ana <br />ASSESSOR'S PARCEL NUMBER(S): 010-272-24 <br />PROPERTY ADDRESS OR LOCATION: 1011 & 1007 South Bristol St., Santa Ana, CA RECORDING DATE <br />MAIL TAX INFORMATION TO: Name City of Santa Ana. Public Works Aaencv <br /> Address <br /> Phone Number"fB a.m. -Sp.m.1 ( i <br />NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the <br />following fiscal year, July 1 through June 30. One-half of these taxes is due November 1, and one-half is due February <br />1. The first installment becomes delinquent on December 10, and 1he second installment becomes delinquent on April <br />10. One tax bill is mailed before November 1 to the owner of record. If this transfer occurs after January 1 and on <br />or before December 31, you may be responsible for the second installment of taxes due February 1. <br /> <br />The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Orange County Assessor. For further information <br />on your supplement;;!.1 roll obligation, please call the Orange County Aesassor. <br /> <br />PART I: TRANSFER INFORMATION (please answer all questions) <br /> <br />A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? <br />B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (For example, a name change upon <br />marriage)? Please explain <br />C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? <br />D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest <br />(e.g. cosigner)? Please explain <br />E. Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document? <br />F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? <br />G. Does this transfer return property to the person who created the joint tenancy (original transferor)? <br />H. Is this transfer of property: <br />1. to a revocable trust that may be revoked by the transferor and is for the benefit of the 0 transferor 0 transferor's spouse? <br />2. to a trust that may be revoked by the Creator/Grantor who is also a joint tenant. and which names the other joint <br />tenant(s) as beneficiaries when the Creator/Grantor dies? <br />~ 3. to an irrevocable trust for the benefit of the 0 Creator/Grantor and/or 0 Grantor's spouse? <br />~. 4. to an irrevocable trust from which the property reverts to the Creator/Grantor within 12 years? <br />~ I. If this property is subject to a lease, is the remaining lease tenn 35 years or more including written options? <br />[ilj *J. Is this a transfer between 0 parent(s) to child(ren)? 0 or from grandparent(s) to grandchild(ren)? <br />iii *K. Is this transaction to replace a principal residence by a person 55 years of age or older? <br />Within the same county? 0 Yes D No <br />o Ii *L. Is this transaction 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? 0 Yes 0 No <br />o [J' M. Is this transfer solely between domestic partners currently registered with the California Secretary of State? <br />*If you checked yes to J, K, or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. <br />If you do not file a claim, your property will be reassessed. <br />Please provide any other information that would help the Assessors to understand the nature of the transfer. <br />If the conveying document constitutes an exclusion from a change in ownership defined in s tion 62 of the <br />reason other than those listed above, set forth the specific exclusions claimed: , <br />Please answer all questions in each section. If a question does not apply, indicate with "N/A", Sign and date at bottom of second page. <br /> <br />YES <br />o <br />o <br /> <br />o <br />o <br /> <br />o <br />o <br />o <br />o <br />o <br />o <br /> <br />o <br />o <br />o <br />o <br />o <br /> <br />r:2 <br />1;1 <br />~ <br />ri <br />~ <br />; <br /> <br /> <br />e for any <br /> <br />PART II: OTHER TRANSFER INFORMATION <br /> <br />Date of transfer if other than recording date <br />TYge of transfer (Please check appropriate box.) <br />51" Purchase 0 Foreclosure D Gift 0 Trade or Exchange <br />D Contract of Sale - Date of Contract <br />D Inheritance - Date of Death <br />D Creation of Lease <br />o Date lease began <br />o Original term in years (including written options) <br />o Remaining tenn in years (including written options) <br />Monthly Payment <br />C. Was only a partial interest in the property transferred? <br />If yes, indicate the percentage transferred ;3 0 <br /> <br />BOE-502-A (BACK) REV. 8(10-05) ASSR-70 (Rev. 05/(6) <br /> <br />A. <br />B. <br /> <br />D Merger, Stock, or Partnership Acquisition <br /> <br />o Other: Please explain: <br />o Termination of a Lease <br /> <br />o Sale/Leaseback <br /> <br />o Assignment of a Lease <br /> <br />Remaining Term <br />Yes D No <br />" <br /> <br />% <br /> <br />Page 1 of 2 <br />